Get rid of vocal cord nodules

Edited by Ian Gabriel T. Tolledo, Lynn, Robbi, Ermin and 28 others

Nodules in throat2.png

Vocal cord nodules are small, hard growths that occur on the vocal cords when they rub against each other. They can cause swelling or pain in the throat, and often result in a hoarse or scratchy voice. Anyone can develop these nodules if they spend a lot of time using their voices, but people who work as professional singers, teachers or public speakers are typically more susceptible. Women and children are particularly prone to this condition. Luckily, there are ways to treat this condition through a careful balance of home remedies and professional treatment. This article will discuss the signs and symptoms of vocal cord nodules, as well ways to get rid of them.


Signs of Vocal Cord Nodules

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Watch for these signs and symptoms:

  • Hoarseness and a rough voice.
  • Harshness and a scratchy voice.
  • Breathlessness.
  • Feeling like there's a lump in your throat.
  • Neck pain and decreased pitch range.
  • Voice and body fatigue.
  • Pain that shoots from ear to ear.

Causes of Vocal Nodules

There are many possible contributors to vocal nodules, including:

  • Vocal abuse (singing improperly, shouting and overuse of the voice).
  • Continuous coughing that can irritate the throat.
  • Allergies or smoking.
  • Tense muscles.
  • Too much caffeine and alcohol consumption (they dry out your throat).

Treatment for Vocal Cord Nodules

  1. 1
    Gargle warm salt water
    Simply mix 1/2 tsp. of table salt in a glass of warm water, stir thoroughly and gargle for three minutes, then spit. You can swallow just a bit of the water so it coats the inside of your throat. The idea is to coat your vocal cords with warm salt water. This helps reduce swelling and pain through the process of osmosis. Avoid actually drinking the salt water, especially if you are on a low- sodium diet for high blood pressure. The pain should significantly decrease after using the salt water. Do this a maximum of three times a day.
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  2. 2
    Rest your voice
    Speak only when necessary, and remember that most cases of vocal cord nodules occur because of vocal abuse. Rest your voice at least once a day. If speaking hurts too much, carry a paper and pen so you can still communicate with people around you.
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  3. 3
    Control your voice
    If your throat problem is not very serious, you can just practice altering your pitch, loudness and breath support. For example, if you speak in a high or loud voice, it will do you good to refrain from speaking in high notes or talking too loud. You can also enlist the help of a speech language pathologist to train your voice and reduce new occurrences. In some cases, proper speech therapy can get rid of vocal nodules within 12 weeks.
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Seek Professional Advice

Keep in mind that when left untreated or ignored for a long period of time, vocal cord nodules can lead to a permanent loss of voice. While mild throat irritation is normal from time to time, long-term or severe pain is not. If your symptoms persist, you should visit an otolaryngologist for a check-up. Listed below are things to expect when visiting a doctor for treatment.

  1. 1
    Initial screening
    Your doctor will examine your throat to view the current situation of the nodules.
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  2. 2
    You will be asked several questions regarding your recent affairs and present lifestyle. This can pinpoint the cause of the nodules.
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  3. 3
    Depending on the severity of your case, your doctor will either prescribe medication or advise you on how to locally treat your throat nodules. He or she may also point out things that you should or shouldn't do to prevent any recurrence in the future.
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  4. 4
    In some advanced cases, surgery may be advised by your doctor. Most cases of vocal cord nodules go away on their own with proper rest and therapy. Sometimes, these nodules can be very developed, which is usually caused by continued voice abuse and disregard for the situation. When this happens, there is no amount of voice therapy that can heal the voice. Here are two types of surgeries that remove the nodules.
    1. Phonosurgery (voice surgery). This is the careful incision and removal of a nodule from the vocal cord. The surgeon will remove the growth or lesion from the vocal cord, while at the same time preserving the healthy vocal cord tissue next to the affected area. This surgery is performed to restore and save the natural sound and vibration of the vocal cords. During the procedure, the doctor will either sedate you or simply numb the area, depending on your current state.
    2. Microlaryngoscopy. This is considered the most precise means of operating on the vocal folds, as it also allows the use of two essential and up-to-date apparatuses in voice surgery, which are the microscope and microscopic instruments. This surgery is done through a laryngoscope, and a tool is inserted via the mouth without making any skin incisions. Microlaryngoscopy requires the use of general anesthesia; however, patients can usually go home the same day after the procedure. The surgery takes approximately one hour to complete.
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Possible Side Effects of Surgery

Here are a few of the more common side effects associated with vocal cord surgery:

  1. 1
    Numbness and tingling of the tongue
    This is a temporary side effect due to anesthesia.
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  2. 2
    Pain and swelling
    While pain and swelling are limited with a microlaryngoscopy, it's always possible to experience those symptoms. Your doctor will prescribe the appropriate pain medication to keep it under control.
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  3. 3
    Scarring is always possible with surgery, but proper post-operative care can help prevent their occurrence.
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  4. 4
    Post-operative bleeding is a possibility, but your doctor will provide you with all of the details of how to control this condition.
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  5. 5
    Dental trauma
    There is always the risk of minor oral cavity or dental trauma during microlaryngoscopy surgery, but your doctor can help you weigh the risks and benefits of receiving the operation.
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Post-Operative Care

Proper care promotes proper healing and faster recovery. Your doctor will provide you with a comprehensive care guide, but here are a few important factors to consider:

  1. 1
    Voice rest
    For the first few days after surgery, absolutely no talking or whispering. You can then resume quiet speaking up to the first four or five weeks after surgery. No yelling, screaming or singing before six weeks after surgery. Limit talking in social situations until this point.
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  2. 2
    Quit smoking
    Smoking restricts healing and irritates the throat, and it even contributes to the growth of nodules. Try nicotine patches, or ask your doctor about other good methods of quitting.
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  3. 3
    Control acid reflux
    Since stomach acid can negatively impact healing, take acid reflux medications and avoid acidic, spicy or greasy foods which can trigger heartburn.
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  4. 4
    Avoid coughing and clearing your throat
    This causes irritation which can slow down the healing process.
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  5. 5
    Avoid heavy lifting or strenuous activities
    Take it easy and get plenty of rest for at least one week following surgery.
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  6. 6
    Eat soft foods and drink plenty of liquids
    Broth, water and juice are all good choices to stay hydrated. Soft foods such as yogurt, ice cream, pudding, soup, mashed potatoes, rice, noodles, soft-cooked vegetables, soup and tofu are all good choices.
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  7. 7
    Avoid alcohol
    Don't drink any alcoholic beverages for at least one week after surgery.
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How to Prevent Vocal Cord Nodules

  1. 1
    Stop vocal abuse
    Most people develop vocal cord nodules because they don't properly use their voices. Avoid shouting as much as possible. If you have to move closer to the person you're speaking with, then do that instead. If your job requires frequent speaking or singing, enlist the help of a voice therapist to train you on proper use of the voice.
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  2. 2
    Stop smoking
    Smoking contributes to the development of vocal cord nodules. When you smoke, tar and other dangerous chemicals pass through your throat. Smoking can greatly irritate the area, thus leading to blisters and nodules.
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  3. 3
    Exposure to too many allergens (i.e. pollen, dust, mites, etc.) can trigger allergies, which may cause a persistent sore throat that can lead to nodules. Install an air purifier in your home, change your furnace or air conditioner filter every three months, avoid known allergens and keep your house as clean as possible. As an extra precaution, use a mask. It's always better to be safe than sorry.
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Tips, Tricks & Warnings

  • When in doubt, avoid experimenting with home remedies. Seek professional advice.
  • Eat healthy. A well-balanced diet packed with lean proteins, fruits, vegetables and healthy grains can help keep your body in top shape. This reduces the chance of you having vocal cord nodules.
  • Exercise. A fit and healthy body is more equipped to fight off bacteria and viruses that cause throat irritation.
  • If you decide to go through with vocal cord surgery, ask your doctor to explain all of the possible risks and side effects, so you know exactly what to expect.

Questions and Answers

Is it possible to have a permanent loss of voice after vocal fold nodule surgery?

Unfortunately, yes, it is possible to have a permanent loss of voice after vocal fold nodule surgery, if you do not follow the medical advice given by your doctor. After the surgical removal, you are required to rest for several weeks. This means no talking, humming, throat clearing, laughing, lifting moderate to heavy weight lifting objects, crying, whistling, singing, groaning, holding your breath, and/or whispering. If you try to do these things, your vocal cords will likely come in contact with each other, which will make the condition worse. It can cause further injury, which may result in delayed recovery or worse, loss of voice. The vocal cords are very sensitive after the surgery. This should be taken into consideration you should carefully heed the advice given to you by your speech therapist and your doctor.

You do not want to delay your recovery, do you? If you do not want this to happen, then you should drink plenty of water after the surgery - 64 ounces per day. If you have to say something, write it on a piece of paper or communicate through any other means, as long as you are not using your voice. Coffee, alcohol, ibuprofen and aspirin, smoking or secondhand smoke, and strong chemical fumes should be avoided in order to recover quickly and get rid of possible infection in the vocal cords.

Yes it is possible due to these following factors: 1. The surgical materials used in the surgery. If the surgical materials that were used in the vocal nodule surgery were not properly sterilized, infections may occur resulting to loss of voice. 2. The cleanliness of the surrounding. The surgical procedure vocal nodule surgery can be performed even at a private medical clinic which only takes for a few minutes to hours. The cleanliness of the surroundings may also add to the success rate of the surgical procedure minimizing the risks of infections resulting to permanent loss of voice. 3. The caliber of the surgeon. Another factor is how good the surgeon is in performing vocal nodule operations. There are some surgeons that's only been recently practicing vocal nodule operations and there are some surgeons that are very well-versed in these type of operation. If you are planning to undergo a vocal nodule operation, I suggest choosing the surgeon who has the most experienced and a well known surgeon to minimize the risk of losing your voice. 4. Post operative care. This is also one of the most important factor. Before undergoing a vocal nodule surgery, I suggest for you to know first all the post operative care procedures to properly take good care of your throat after the vocal nodule surgery this is to prevent or to minimize infections and injury to the affected part resulting to loss of voice.

In performing a surgical operation, there is always a risk involve, but these risks can be properly minimized by knowing the right medical place who has a complete and clean medical facility and choosing the most experienced surgical doctor to perform the said vocal nodule operation in order for you to not to loss your voice after the operation.

What happens if you ignore vocal cord nodules?

If you ignore vocal cord nodules, you will feel pain in your throat. If you keep talking, humming, whispering, whistling, or doing other things that will make the vocal cords move, the nodules will come into contact with each other. If this happens, the vocal cords will be injured. In addition to the injury of the vocal cords, you will not be able to speak well, and if you do, you will feel discomfort and pain. You also need to be careful about eating because of your strained vocal cords. You cannot drink coffee or alcohol, or smoke cigarettes. The nodules should be treated medically, possibly even surgically, so that they won't get even worse.

If they are bad enough and require surgery, ignoring them can make it much worse on your throat and voice in general. Now if they are smaller it is possible them might go away on their own with rest and some minor treatment. I would recommend going to a doctor and having him tell you if they require surgery or not, then you can go from there. Its best to never ignore health problems.

Does gargling with salt water for vocal cord nodules actually work?

Gargling with salt water cannot treat vocal cord nodules. However, it can soothe the symptoms brought by the nodules. Some people can feel the efficacy of gargling with salt water, and some cannot. There are no scientific studies that gargling with salt water is bad for the health, so if you think gargling with salt water can ease the pain you are having, then go for it. You should always see your doctor for medical checkups to know if your nodules have become severe. If they are, gargling with salt water cannot help you treat it. Surgical removal is required for severe vocal cord nodules. If your vocal cord nodules are not chronic, then you are only required to take some medications. Herbal medications including gargling with salt water can help reduce the symptoms you are experiencing.

If you are referring to the treatment of vocal cord nodules, the answer is no because these vocal nodules are masses of tissues that already formed a hard-like characteristics because of the presence of fibrous scar tissues. If you are referring to the treatment of the symptoms of vocal nodules, gargling with salt water is very effective because of these reasons: 1. Salt water has an antibacterial effect. Vocal nodules formed in the vocal chord because one of its causative factors is bacterial infection. By gargling thoroughly with salt water, these bacteria present in the vocal cord will be reduce significantly. 2. Salt water has a soothing effect. Gargling with a warm salt water greatly helps soothe the pain in vocal cord caused by the vocal nodules. To sum it up, gargling with warm salt water works best in managing the symptoms of vocal nodules.

Can vocal nodules go away on their own?

Vocal cord nodules are small lumps that grow in vocal cords, which are responsible for vocal issues. These nodules will just go away on their own, if you rest your voice and avoid overusing it. As long as you know how to take care of your voice, you will have no more vocal problems. However, they will return if you do not heed some helpful advice from a voice care professional. If you feel like you have vocal cord issues, then do not try to force yourself to sing or shout out loud. This will just make the situation worse. Rest your voice for few weeks and you will just be fine.

They can most likely go away on their own with rest and proper care. It will be hard for you to tell on your own whether or not they will go away. Its always best to seek medical advice from a trained Doctor. The Doctor will be able to let you know if surgery or some other treatment will be needed.

See more questions like this: How long does it take for vocal nodules to go away

How to get rid of vocal nodules naturally?

As we all know now, vocal cord nodules occur due to vocal misuse and overuse. You can avoid the development of vocal cord nodules naturally by learning to sing properly and changing the way you sing. You may want to attend some singing lessons with a professional singer and teacher, for you to sing correctly and avoid vocal cord problems in the future. Homeopathic and herbal remedies can also help dissolve vocal cord nodules. Also, vocal rest is a helpful remedy for vocal cord nodules. However, for large vocal cord nodules, surgical removal is advised.

Check with your doctor for the vocal nodule size. If it is big, it needs to be removed by your doctor. However, if it is small, all you need to do are the following:

  • Rest your voice completely (no singing, talking or even whispering) for a couple of weeks.
  • Take ginger tea.
  • Sleep on time.
  • Eat healthy foods.
  • Refrain from drinking cold beverages.
  • Stop smoking.

See more questions like this: Foods to eat to get rid of vocal cord nodules

How to remove tar from vocal cords?

Smoking is one vice that seems to not have any necessary benefit attached to it but still remains to be extremely addictive. Some people think that lifestyle and work demands incredulously becomes too stressful and is somehow dissipated by smoking; while others think that it's a way to be accepted in a social circle. Both passive and active smoking exposes an individual to different harmful and carcinogenic toxins such as nicotine, ammonia, benzene, and tar; to name a few. These hazardous chemicals significantly increases a person's chances of developing wide range of life-threatening diseases such as throat cancer, lung cancer, and pancreatic cancer; among others.

Tar formation on the vocal cords or folds causes sudden changes in the voice. Hoarseness of the voice and persistent coughing(popularly coined as "smoker's cough")are particularly observed in smoking individuals. Tar coating can precipitate edema or swelling in the vocal cords which weigh it down thus causing vocal changes.In fact, some singers who smoke attribute their raspy and deep voices to habitual smoking; which should not be counted in as an advantage because vocal changes can actually be a tell-tale sign of an otherwise serious condition such as throat cancer.

Here are effective treatment options for removing tar from your vocal cords:

  • Salt Therapy -
    Virtual.marian salt therapy.jpg
    This is a non-invasive alternative treatment which makes use of salt for regular breathing to flush out harmful toxins in the body such as tar in the vocal cords. The treatments are done in specialized spas. Salt is dubbed to be a powerful antiseptic that can effectively boost the immune system while eradicating harmful agents and bacteria. This effectively drains the mucus buildup and rid the vocal cords of irritants or tar that cause vocal cords nodules. This has a pronounced high success or efficacy rate than most other treatments.
  • Diet Modification -
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    Fill your plate with fiber-rich food such as fruits and vegetables. The vibrant the colors are - the better for your health; so-to-speak. This provides essential nutrients and vitamins that can strengthen the body's defense as well as remove tar buildup or harmful components in the body. You can try out exciting recipes to make healthy meals and desserts for the whole family.
  • Water Therapy -
    Virtual.marian girl drinking water.jpg
    Drink more water or up to the required 8 glasses per day requirement to ensure that your are properly nourished and hydrated to go about with daily activities. Water is essential for total body functioning and to rid the system of harmful chemicals such as tar.

Smoking contains various harmful chemicals that may put your respiratory system at risk for certain diseases. One of these harmful compounds is tar which causes inflammation and irritation on the airway passages and even put you at risk for developing respiratory cancers like vocal cord cancer or lung cancer. Below are the tips to remove the tar from the vocal cords naturally:

  • Stop smoking. One of the best way to reduce the formation of tar from the vocal cords is to stop adding tar into the vocal cords. Once you stopped smoking, your body will be able to properly increase its regenerative healing properties slowly removing the tar physiologically.
  • Eat vegetables and fruits especially onions and garlic. These vegetables and fruits gives your body enough vitamins and nutrients strengthening your immune system and the onion and garlic both have antibacterial and cleansing properties which helps in removing the tar from the vocal cords.
  • Exercise. In every wound healing, exercise is one of the best natural remedy because it enhances the blood circulation of the body promoting faster wound healing and expulsion of harmful toxins in the body.
  • Gargle with saltwater. Gargling with a glass of warm water with a teaspoon of salt will also help in removing tar from the vocal cords because salt has a anti-inflammatory effect and it easily scrubs the tar from the throat removing it naturally.
  • Water therapy. Try to increase your fluid intake to about 8 to 10 glasses of water a day to help in the lubrication of the throat and expulsion of toxins in the body.

The above mentioned tips are some of the best methods to properly remove tar from the vocal cords naturally.

How does ibuprofen help vocal nodules? #17?

Anti-inflammatory drugs like ibuprofen can be used to relieve the pain and swelling of vocal cords, but should be taken in moderation because they may cause some bleeding and lead to platelet dysfunction. Acetaminophen (Tylenol) is also recommended for pain relief.

The drug Ibuprofen is indicated to properly manage swelling (anti-inflammatory), fever (antipyretic) and pain (analgesic) and it is classified as one of the NSAID drugs (non-steroidal anti-inflammatory drug).

The drug Ibuprofen can be properly use in vocal nodules to manage the symptom of neck or throat pain primarily caused by the hoarseness of voice and it is not indicated to properly manage or to treat the vocal nodule itself. The reason behind it is that the vocal nodule is actually a scar tissue that has already formed fibrous scar tissues which is not reversible unlike ordinary inflammation of tissues which renders the Ibuprofen drug useless in managing the nodule. Additionally, Ibuprofen is indicated to manage swelling mostly associated to joint and musculoskeletal disorders like arthritis.

Therefore, the logical answer to your query is that the drug Ibuprofen can be use in the vocal nodule to properly manage the pain in the throat or neck and cannot be use to treat the vocal nodule itself.

I have 2 small vocal nodules since 2 years they will be temperament or they can disappear?

What can I do to dissolve them are any medicines will be effective

With proper vocal cord rest, most nodules go away on their own. These are the things that you should do to make your nodules go away.

  • Speak only if necessary.
  • Avoid drinking cold beverages.
  • Avoid smoking
  • If possible, avoid singing until your nodules go away.
  • Get enough rest/sleep.

Please do these things for at least a month. If your nodules don't disappear on their own, please visit your doctor. Your doctor will examine the current situation of the nodules on your throat and give you proper medication.

Natural remedy to dissolve vocal cord polyp?

Vocal cord polyp is an abnormal tissue growth which can be differentiated from vocal cord nodules by the following:

  • Vocal cord polyp mostly appear on one side of the vocal cord unlike vocal cord nodule which usually appear in pair in the vocal cords.
  • Vocal cord polyp can be caused by several factors like voice abuse, infection, allergy or hormonal disorder unlike vocal cord nodule which is mostly voice abuse.
  • Vocal cord polyps usually are inflamed blister-like tissue growth while vocal nodule mostly contain fibrous tissues.

Natural remedies to dissolve vocal cord polyps are:

  • Voice rest. One of the causes of vocal polyp is voice abuse similar to vocal nodule. Complete voice rest for about 3 to 5 days for the first few weeks can reduce the inflamed size of vocal cord polyp.
  • Ginger tea. Ginger tea is best in reducing bacterial infection and inflammation which is one of the best herbal tea in naturally dissolving vocal cord polyp.
  • Vocal hygiene. Gargling with warm water and salt two times a day will help clean the throat and reduce infection and inflammation.
  • Diet. Eat plenty of fruits and vegetables which are a source of essential minerals, vitamins and antioxidants which helps in strengthening the body's immune system and removes harmful toxins in the body.
  • Water therapy. Increase your daily fluid intake to up to 12 glasses to prevent dehydration and drying in the mucus lining of the vocal cords.
  • Avoid caffeine and carbonated drinks. Carbonated drinks may irritate the vocal cord polyp because of its acidic content and the caffeine dehydrates the body because of its diuretic effect.

The above home-remedies are the most common natural remedies in dissolving vocal polyp.

Is it curable? Can I get my original voice again?

Hyper laryngitis early vocal nodules

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How do I get rid of them? I went to the doctor and he wants me to get speech therapy but I really don't want to go?

I went to the doctor today and he wants me to get speech therapy but I really don't want to. I do not think it's mandatory anyways. I am a 13 years old and a professional singer at the moment. I have many shows. Usually back to back and my voice has been very sore for about 6 months now. I have been managing. You probably know how hard it is to get back in the industry once people completely forget about you. So, I've been trying hard not to give up any gigs I get the opportunities for. I'm not looking for home remedies. I am looking for real solutions. I do not want to schedule another appointment. For me, with my doctor, that's just another thirty bucks down the hole. He's no help. I need help; mainly techniques to keep my voice healthy. But in the first place, how do I completely get rid of the vocal nodules. My doctor told me though, that I shouldn't give it complete vocal rest because then my range will go down but that I should give it some sort of rest and keep my throat fresh practice-wise. He told me that they will eventually go away if I properly rest my voice. They are temporary as of now. How do I completely get rid of them; and when I do, how do I know?

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I have vocal nodules I have little difficulty to speak, when I speak Whenever I try to speak I feel chest pain, I feel that I have to stop to breathe again. The funny thing is, whenever I try to breathe I cannot breathe comfortably. I have to give lots of pressure to the nose, thus most of the time I breathe from my mouth?

Whenever I try to speak I feel chest pain, I feel that I have to stop to breathe again. The funny thing is, whenever I try to breathe I cannot breathe comfortably. I have to give lots of pressure to the nose, thus most of the time I breathe from my mouth.

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I think I have vocal nodes because I have had a distortion in certain parts of my range for years. I have learned through voice training how to warm up voice proper with exercises but the distortion is still there on certain notes. I can't afford the operation because they say without good insurance it can be thousands and you have to pay up front. Are there any tutorials or anything I can follow everyday like exercises that are tailored to this type of voice therapy?

Scratchy kind of distorted on higher pitches even at lower volumes using exercises technique I was taught.

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How can I get rid of vocal cord nodule through medication & natural treatment? My doctor advised me to avoid gargle & do steaming instead. Which one is better-gargling or steaming?

I was diagnosed with mild vocal nodule an year ago. My laryngologist prescribed me deflezacort- 6mg & levocetrazine+montelukast and suggested voice rest for three days. I was cured of it in 7 days with proper speech rest. But it has recurred & even after 7-day medication is persisting. What should I do & how can it be avoided? In the article gargles are recommended while my doctor asked me to refrain from the gargle & take steam instead. Which one is better? I have tried: Deflezacort-6mg twice daily & Levocetrazine+ Montelukast once a day along with steaming & voice rest for three days. I am a teacher by profession; so, can't take longer rest. I think it was caused by speaking loudly in one of the sessions along with allergy.

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See more questions like this: Vocal polyp; I have a vocal polyp, is it normal for neck pain into ear. Also have a sore throat; doctor said from GERD

I am very upset with myself, I had a exceptional voice quality...I lost it through, acid reflux and I used to smoke (quit years ago) but, I thought I would regain?

I am trying to learn to sing properly, and get rid of nodules, I visited several specialists that told me it could take years to regain my voice. I had teenagers to raise I told them of course I hollered how many moms don't ? anyway I am seeking all the advice to correct damages...

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Whispering voice due to weak air capacity in lungs?

My son Naitik age of 7 years old, before 2 months his voice is clear enough but after that voice became hoarseness. we think get well in few days and given home remedies but not result shown too much. then we refer ENT doctor said,swelling in voice box and recover within 10 days. then he suggest for speech therapy. speech therapist said air pressure is not enough to fold the vocal cord properly and it will take time. now spirometer through lungs exercise is going on and little improvement is there but still breathy voice is not clear completely.. please advise on same. It is very critical situation as a parent, when your child got problems like voice not clear. I have tried: So many times visit to hospital for the same.but no result. I think it was caused by: Doctors are better judge and master rather then me or I don't have a option.

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How do I get rid of them without surgery no matter the severity?

I'm 14. I have vocal nodules. I was diagnosed about 5 months ago. I haven't been to my ENT since. He said they weren't that bad back then. Then, my voice kind of got better but not it's worse than ever because now I am starting to experience voice pain. What do I do? I posted my question above. The article talks about how to prevent it rather than how to recover. It does cover that too but it talks mainly about surgery. I want to know if there are ways to recover without surgery at all no matter the severity of the nodules because at the moment, I don't know how bad they are. I have tried: Hot water, vocal rest (didn't work out; I'm a performer and I have shows every weekend. They are professional shows so I get paid and cannot cancel. I am taking part in almost 3 contests nationwide by the end of April but I cannot cancel them). I think it was caused by: Abuse, trauma. I think I am misusing or abusing my voice. I need to sing loud on stage and things so yeah.

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