Overuse, misuse, lack of air support, straining, screaming, excessive clearing of the throat, excessive coughing or even choking on a piece of food, if ignored, can lead to
And define "toned down," what with the screaming outbursts. Joe screams a lot, but he's still a cartoon character.
Avoid yelling, screaming, and talking in noisy places and events such as parks and little league games. 3. During workouts, breathe slowly and avoid grunting. 4.