Severe Hoarseness

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Specializes in School Nursing.

Any of you Pulmonary Nurses who have any ideas...I would be so grateful for help !

I had a 3 week episode of bronchitis. It is about 75 % better now, but I am left with a lingering severe hoorificeness.

I was on 2 antibiotics, 7 days of Prednisone to no avail.

I sound horrible and it is a strain to talk. The ENT said I have a few vocal cord nodules from the trauma of the coughing. What can I do to get my voice back ? And how long must it take. It has been over 5 weeks now and the voice is not coming back ?

Thanks for any and all help !

Specializes in Telemetry, ICU, Resource Pool, Dialysis.

I'm not a pulmonary nurse, but last year I had some kind of bug over a couple of days that left me with no voice at all. It took a good 2 weeks for my voice to completely go back to normal. If your vocal cords are damaged, I would think it would take quite a while to heal. Did the ENT say anything about not talking except when absolutely needed? I would think that the less irritation caused by using your voice, the quicker they will heal. Wish you luck!

Hope you are feeling better.

I am an RN with Vent and trach experience for over 20 years.

Here are a few ideas that you might find helpful.

1. Hot and Cold

For the throat and you might consider applying alternating hot and cold to dilate and constrict the blood vessels there. The rationale is to bring new O2 and nutrients to the site as heat dilates blood vessels, then use cold and resulting constriction to force the swelling and toxins away. I recommend 2-3 minutes of heat followed by the same of cold.

A quick -easy way to fix a hot pack is to put a damp washcloth in the microwave for 2 minutes, then wrapping it inside a dry towel.

For a cold pack you might try a package of frozen veggies wrapped in a damp washcloth to maximize thermal transfer. Continue alternating back and forth for about 20 minutes. You may need to reheat your washcloth to maximize the thermal dynamic range.

If this treatment seems helpful, you could repeat it several times a day PRN. The treatment should bring relief, but remember that the throat is still injured and this treatment with a reduction in inflammation provides your neck a greater opportunity to heal. The healing occurs after the treatment so try to rest after each one.

2. Herbs and Vitamins

Licorice tea contains a natural expectorant, cortisone and diuretic. I have experienced major benefit its use. You might try a cup or two a day and monitor results. If you take it along with a decongestant the tea loosens mucus from the membrane. It should help you start getting rid of lung and sinus mucus in 2-3 days. (When I feel a cold coming on I take licorice tea and cough syrup. For me it stops 90 percent of colds before they get a toehold.)

When I was just out of college, I had a bout of tonsillitis. A Naturopath mentioned that Vitamins E, D and B liquefied lymphatic fluid. I tried it and it relieved all symptoms. You might access a medicinal herb book and review the list of herbs and their therapeutic application. The philosophy behind AROMATHERAPY and Essential oil is intriguing. I haven't experienced this first hand, but believe they are worth checking out. Acupuncture also could be a viable option.

3. Allergies & Sensitivities

You might be experiencing a reaction to something. Consider examining your diet. Try avoiding all dairy products for a week. Wheat products bother many people. You may be challenged with processed or fast foods. Try avoiding fried food and you might consider avoiding meat. Consider eliminating artificial sweeteners and preservatives from your diet. Avoid MSG. (I worked briefly at an allergy-testing center and found out that allergies can mimic everything from rashes to arrhythmias and psychiatric disorders.)

I have a challenge processing pork rennin, which is an ingredient in jellybeans and gummy bears. I find if I eat just one jellybean I will have intense prolonged dry coughing spells almost every half hour for about three days.

You also might have issues with laundry soap, bath soap, shampoo, hairspray or makeup. Possibly household cleaning chemicals, air freshener spray. Pet hair... .... Allergy testing may be something to consider.

You may be reacting to something in the air. Diesel fumes exhaust pesticides, pollen... (One client was reacting to a chemical they were pouring on a forest fire miles away.)To eliminate airborne particles I recommend an ozone machine.

3. Fresh Air

I have a major challenge working in a hospital setting at night. I found out that air-conditioning systems often filter and recalculate the same air. During the day, real air sneaks in when the outside doors open. At night we were 'SOL'.

4. Internal Toxins

You might consider going on a cleanse to eliminate waste and tune up your system. A Google search for colon and liver cleanse will give you further resources. You can do some things to assist your lymph system pump toxins out of your body. Chances are, a daily massage would be helpful. For lung congestion, CPT could help.

You may consider an alternative to deodorant. Consider a powder (without Aluminum) that doesn't block your pores. If you still feel that toxicity is your challenge you might try eliminating heavy metals from your body. A fast and cleanse helps release heavy metals from the tissues, but there is a high probability that you have deposits of mercury in your teeth.

5. Environmental Exposure

You may be reacting to issues related to work. As for long-term effects, nitrous oxide is not a carcinogen or a mutagen. However, chronic exposure can mess up the vitamin B12 in your system, which can lead to impaired DNA synthesis and poor cell growth. Chronic users can end up with something akin to pernicious anemia. Those most in peril are hospital operating-room staff who are exposed to small amounts of leaked gas over long periods, although 24-hour exposure to a high concentration will also do the job.

Other

Might as well consider exercise and rest patterns as well as the emotional state that you are in.

Well, I'll quit annoying everybody now. This does not begin to cover the possibilities, but are a reflection of my experience. Hope you find something in there that is helpful.

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