Presentation
Avoid Voice Exertion When Laryngitis Is Present The voice should not be used excessively during laryngitis in the absence of evaluation by an ear-nose-throat (ENT) specialist (otolaryngologist). [voicefoundation.org]
Most patients with vocal disorders resulting from chronic laryngitis present with various symptoms that are present in different inflammatory conditions, making it a challenge to define the cause of the symptoms, since more than one cause can coexist.18 [scielo.br]
(Evidence-based recommendations for the approach of patient who presents with hoarseness.) Tulunay, O. “Laryngitis: diagnosis and management”. Otolaryngol Clin North Am. vol. 41. 2008. pp. 437-51. [infectiousdiseaseadvisor.com]
See a doctor if the symptoms persist for longer or present severely. Symptoms in children Symptoms of laryngitis in children can differ from symptoms in adults. [medicalnewstoday.com]
Care of the voice should be recommended to all presenting with vocal difficulties as this provides symptomatic relief and is good practice to carry forward, even as laryngitis resolves. [youtube.com]
Entire Body System
- Amyloidosis
These include:[1][5] Wegener’s granulomatosis Amyloidosis Relapsing polychondritis Systemic lupus erythematosus Rheumatoid arthritis Diagnosing chronic laryngitis Because laryngitis is usually acute, meaning that it goes away on its own after around two [ada.com]
- (Chronic: smoking, GERD, LPR) Neoplasm (Premalignant: dysplasia) - (Malignant: Squamous cell carcinoma) Trauma (Iatrogenic: surgery, intubation) - (Accidental: blunt, penetrating, thermal) Endocrine (Hypothyroidism, hypogonadism) Haematological (Amyloidosis [en.wikipedia.org]
- Relapsing Polychondritis
These include:[1][5] Wegener’s granulomatosis Amyloidosis Relapsing polychondritis Systemic lupus erythematosus Rheumatoid arthritis Diagnosing chronic laryngitis Because laryngitis is usually acute, meaning that it goes away on its own after around two [ada.com]
Respiratoric
- Respiratory Distress
Decongestants and pain medicines may relieve the symptoms of an upper respiratory infection. Laryngitis that is not caused by a serious condition often gets better on its own. In rare cases, severe respiratory distress develops. [medlineplus.gov]
This leads to the classic "seal-like" bark cough associated with symptoms of croup include croup, a hoarse barky cough, fever, and some respiratory distress when the infant or child works harder to breathe and draw air in through the inflamed voice box [medicinenet.com]
In cases of respiratory distress, as in laryngotracheitis, the use of oxygen is necessary. Particularly in this condition, there are better outcomes with the use of dexamethasone within the first 24 hours. [infectiousdiseaseadvisor.com]
In rare cases, vocal cord inflammation can cause respiratory distress, which requires immediate medical attention. [healthline.com]
- Aspiration
[…] pneumoniae, Chlamydophila pneumoniae Secondary syphilis if left untreated Leprosy (in 30–55% of those with leprosy, larynx is affected; in tropical and warm countries) Irritants Inhalation of irritating substances (e.g., air pollution, cigarette smoke) Aspiration [unboundmedicine.com]
This process can also lead to aspiration pneumonia and its accompanying symptoms (fever, cough, shortness of breath) when the food is aspirated deep into the lungs and causes irritation and inflammation of lung tissue. [medicinenet.com]
- Dyspnea
Laryngeal edema, although rare, may cause stridor and dyspnea. Clinical evaluation Sometimes indirect or direct laryngoscopy Diagnosis of laryngitis is based on symptoms. [msdmanuals.com]
Key symptoms of the disease include: Hoarseness Aphonia Itchy Throat Odynophagia Dyspnea Fever In summary, the inflamed larynx does not phonate, swallow, or breathe well. [infectiousdiseaseadvisor.com]
[…] symptoms in this form of laryngitis are usually present for less than one week, however they can persist for 3-4 weeks.[1] This form of laryngitis might also be accompanied by upper respiratory tract symptoms such as: sore throat, odynophagia, rhinorrhea, dyspnea [en.wikipedia.org]
Gastrointestinal
- Overeating
The symptoms of hoarseness or loss of voice develop over a short period and may be accompanied by swollen neck glands, sore throat, or fever. In some mild infections, the only symptom is hoarseness. [uspharmacist.com]
[…] that involved endotracheal tubing Laryngitis symptoms over three weeks (chronic laryngitis). [southerncross.co.nz]
The American Association of Pediatrics does not recommend the use of over-the-counter cough medicines for children. Honey is a safe and effective alternative. [healthfully.com]
You can give your child over-the-counter cough medicines, although their effect is usually very limited. Antibiotics do not work because the infection is caused by a virus. Steam inhalation Breathing may be easier, if the air is humid. [hus.fi]
Laryngitis can either be short-lived (Acute Laryngitis) or it can last over a long period of time (Chronic Laryngitis). [vcdiseases.fandom.com]
- Dysphagia
Fever, malaise, dysphagia, and throat pain may occur in more severe infections. Laryngeal edema, although rare, may cause stridor and dyspnea. [msdmanuals.com]
Dysphagia, odynophagia Dry irritating cough which worsens at night. General symptoms of dryness of throat, malaise, and fever. Diagnosis can usually be made based on history. Local Examination of larynx further confirms the diagnosis. [ncbi.nlm.nih.gov]
[…] on the cause of the laryngitis, include throat pain, pain when swallowing, fever, chills, cough, runny nose, stuffy nose, sneezing, nasal congestion, enlarged lymph nodes (swollen glands), a sensation of fullness in the throat, difficulty swallowing (dysphagia [medicinenet.com]
Even though acute laryngitis usually relives without the need for medical attention, it is important for an affected person to see a doctor promptly if they: Experience swallowing problems (dysphagia) Cough up blood Have trouble breathing Have a persistent [ada.com]
32022701 2019 25 Reaction to Clindamycin Causing Laryngitis and Esophagitis. 61 Rutt AL...Wang CE 31569974 2019 26 A review for the neuroprotective effects of andrographolide in the central nervous system. 61 Lu J...Huang C 31181444 2019 27 Prevalence of Dysphagia [malacards.org]
- Odynophagia
Dysphagia, odynophagia Dry irritating cough which worsens at night. General symptoms of dryness of throat, malaise, and fever. Diagnosis can usually be made based on history. Local Examination of larynx further confirms the diagnosis. [ncbi.nlm.nih.gov]
Key symptoms of the disease include: Hoarseness Aphonia Itchy Throat Odynophagia Dyspnea Fever In summary, the inflamed larynx does not phonate, swallow, or breathe well. [infectiousdiseaseadvisor.com]
[…] hoarseness.[1][15] The symptoms in this form of laryngitis are usually present for less than one week, however they can persist for 3-4 weeks.[1] This form of laryngitis might also be accompanied by upper respiratory tract symptoms such as: sore throat, odynophagia [en.wikipedia.org]
- Nausea
English 86 other side effects were uncommonly observed (more than 1 in 1000 patients and less than 1 in 100 patients): itching, increased sweating, unusual taste in the mouth, hot flushes, migraines memory impairment, chills, diarrhoea, nausea, vomiting [mymemory.translated.net]
The symptoms of uncomplicated GERD are: heartburn, regurgitation, and nausea. Effective treatment is available for most patients with GERD. [medicinenet.com]
- Diarrhea
Pigmentation Hiatal Hernias Fever Blisters Epilepsy Cracked Feet Clogged Pores Chilblains Breast Infection Blood Circulation Blood Blisters Blind Pimple Bacterial Vaginosis Anemia Mouth Ulcers Hyperthyroidism Ringworm Palpitations Cough Obesity Hair Loss Fever Diarrhea [play.google.com]
Calcium and aluminum can cause constipation, while magnesium antacids can cause diarrhea. Patents with kidney disease should avoid magnesium and aluminum antacids. [medicinenet.com]
Jaw & Teeth
Musculoskeletal
- Arthritis
Vocal cord nodules/polyps (“singer’s nodes”) Local cancer Iatrogenic: inhaled steroids such as those used to treat asthma, surgical injury, endotracheal intubation injury Idiopathic Neuromuscular disorder (e.g., myasthenia gravis); stroke Rheumatoid arthritis [unboundmedicine.com]
[…] weeks.[1] Acute cases usually occur as part of a viral upper respiratory tract infection.[1] Other infections and trauma such as from coughing are other causes.[1] Chronic cases may occur due to smoking, tuberculosis, allergies, acid reflux, rheumatoid arthritis [en.wikipedia.org]
Other diseases such as rheumatoid arthritis or systemic lupus erythematosus (SLE). Certain medicines - for example: Steroid inhalers. Antihistamines (often used for hay fever or allergy). [patient.info]
These include:[1][5] Wegener’s granulomatosis Amyloidosis Relapsing polychondritis Systemic lupus erythematosus Rheumatoid arthritis Diagnosing chronic laryngitis Because laryngitis is usually acute, meaning that it goes away on its own after around two [ada.com]
Neurologic
- Hyperactivity
Pontes-Arruda A 31567786 2019 8 A case report of Talaromyces marneffei Oro-pharyngo-laryngitis: a rare manifestation of Talaromycosis. 61 Wongkamhla T...Jitmuang A 31805893 2019 9 Vocal Characteristics of School-Aged Children With and Without Attention Deficit Hyperactivity [malacards.org]
Workup
Laryngitis Treatment Based on your diagnosis after a complete workup, an individual treatment plan will be developed. [hopkinsmedicine.org]
Microbiology
- Staphylococcus Aureus
Bacteria that can lead to chronic laryngitis include:[4] Methicillin-sensitive staphylococcus aureus Methicillin-resistant staphylococcus aureus Pseudomonas aeruginosa Serratia marcescens Good to know: Chronic laryngitis caused by MRSA and Pseudomonas [ada.com]
This type is caused by an overgrowth of infectious bacteria, such as methicillin-resistant Staphylococcus aureus (MRSA). Bacterial laryngitis is more contagious than viral laryngitis. [healthline.com]
aureus.[1] Other possible causes include burns and trauma to the area.[1] Epiglottitis has been linked to crack cocaine usage.[11] Graft versus host disease and lymphoproliferative disorder can also be a cause.[4] Diagnosis[edit] Diagnosis may be confirmed [en.wikipedia.org]
- Pseudomonas
Bacteria that can lead to chronic laryngitis include:[4] Methicillin-sensitive staphylococcus aureus Methicillin-resistant staphylococcus aureus Pseudomonas aeruginosa Serratia marcescens Good to know: Chronic laryngitis caused by MRSA and Pseudomonas [ada.com]
Treatment
Other infectious or irritating causes may require specific treatment. [msdmanuals.com]
Laryngitis Treatment Based on your diagnosis after a complete workup, an individual treatment plan will be developed. [hopkinsmedicine.org]
"Laryngitis: Types, Causes, and Treatments". Otolaryngologic Clinics of North America. 41 (2): 419–436. doi:10.1016/j.otc.2007.11.011. PMID 18328379. ^ Ferri, Fred F. (2016). Ferri's Clinical Advisor 2017: 5 Books in 1. [en.wikipedia.org]
SIGNS, CAUSES AND TREATMENTS INFLAMMATION OF YOUR LARYNX (VOICE BOX): SIGNS, SYMPTOMS, AND TREATMENT OPTIONS ACUTE LARYNGITIS VS CHRONIC LARYNGITIS: SYMPTOMS, DIFFERENCES, DIAGNOSIS, AND TREATMENT [houstonent.com]
Prognosis
Prognosis As this is a self-limiting condition, it carries a good prognosis. If patient sticks to above-mentioned therapy, the prognosis for recovery to a premorbid level of phonation is excellent. [ncbi.nlm.nih.gov]
This disease has a good prognosis in babies and infants. Sinus Infection (Sinusitis) Sinus infection (sinusitis) is caused by allergies, infection, and chemicals or other irritants of sinuses. [medicinenet.com]
[…] the central nervous system. 61 Lu J...Huang C 31181444 2019 27 Prevalence of Dysphagia in Patients With Non-neoplastic Vocal Fold Pathology. 61 Hamdan AL...El Hage A 29884508 2019 28 Acute supraglottic laryngitis complicated by vocal fold immobility: prognosis [malacards.org]
Less frequently used treatments include intralesional injections or laser resection.[1] Prognosis[edit] Acute[edit] Acute laryngitis may persist, but will typically resolve on its own within two weeks.[1] Recovery is likely to be quick if the patient [en.wikipedia.org]
Etiology
References:[1][3][5][6][7] Treatment The following modalities are used to treat both acute and chronic laryngitis: References:[1] Laryngitis Summary Definition Etiology Clinical features Subtypes and variants Diagnosis Laryngoscopy Treatment [amboss.com]
Etiology The etiology for acute laryngitis can be classified as infectious and non-infectious. The infectious form is more common and usually follows the upper respiratory tract infection. [ncbi.nlm.nih.gov]
Etiology and Pathophysiology Misuse or abuse of voice Infectious Viral: influenza A, B; parainfluenza; adenovirus; coronavirus; rhinovirus; human papillomavirus; cytomegalovirus; varicella-zoster virus; herpes simplex virus; respiratory syncytial virus [unboundmedicine.com]
Patients who develop acute laryngitis from an infectious etiology rather than vocal trauma may ultimately injure their vocal folds. [emedicine.medscape.com]
When the etiology of acute laryngitis is infectious, white blood cells remove microorganisms during the healing process. The vocal folds then become more edematous, and vibration is adversely affected. [medscape.com]
Epidemiology
Etiology, epidemiology, pathogenesis and clinical picture. 61 Mazurek H...Zielnik-Jurkiewicz B 31680234 2019 46 [Acute and chronic laryngitis in the subjects engaged in the voice and speech professions]. 61 Stepanova YE...Mal'tseva GS 30938347 2019 47 [malacards.org]
System(s) affected: pulmonary; ears, nose, throat (ENT) Synonym(s): acute laryngitis; chronic laryngitis; croup or laryngotracheitis (in children) Epidemiology Predominant age: affects all ages Children more susceptible than adults due to increased risk [unboundmedicine.com]
Epidemiology Acute laryngitis usually affects individuals aged 18 to 40 years of age. However, it may be seen in children as young as 3 years of age or above. [ncbi.nlm.nih.gov]
Epidemiology and Prevention of Vaccine-Preventable Diseases (13 ed.). Public Health Foundation. p. Chapter 8. ISBN 9780990449119. Archived from the original on 20 July 2016. Retrieved 14 July 2016. ^ Des Jardins, Terry (2015). [en.wikipedia.org]
Self-reported impact of dysphonia in a primary care population: an epidemiological study. Laryngoscope. 2010;120:2022-32. [ Links ] 16 Hamdan AL, Sibai A, Youssef M, Deeb R, Zeitoun F. [scielo.br]
Pathophysiology
Etiology and Pathophysiology Misuse or abuse of voice Infectious Viral: influenza A, B; parainfluenza; adenovirus; coronavirus; rhinovirus; human papillomavirus; cytomegalovirus; varicella-zoster virus; herpes simplex virus; respiratory syncytial virus [unboundmedicine.com]
Pathophysiology An acute form of laryngitis resolves within 2 weeks. Infectious form is characterized by congestion of larynx in early stages. As the healing stage begins, white blood cells invade at the site of infection to remove the pathogens. [ncbi.nlm.nih.gov]
"Pathophysiology and treatment of muscle tension dysphonia: a review of the current knowledge". Journal of Voice. 25 (2): 202–7. doi:10.1016/j.jvoice.2009.10.009. PMID 20400263. ^ a b c d e f g Reiter R, Hoffmann TK, Pickhard A, Brosch S (May 2015). [en.wikipedia.org]
Prevention
Prevention Prevention can be achieved by moderate use of the voice, and taking care to avoid catching or spreading viruses. Giving up smoking may also help to avoid laryngitis. [ada.com]
Voice therapy consists of: Voice education Healthy use of the voice Instruction in proper voice technique and use of the breathing muscles Prevention You may not be able to prevent some of the illnesses and disorders that can cause laryngitis. [winchesterhospital.org]
People who regularly use their voice should receive training from a voice coach to prevent injuring their larynx Avoiding regularly clearing your throat. [southerncross.co.nz]
Prevention You can take these steps to help prevent chronic laryngitis: Don’t smoke. Avoid secondhand smoke. Stay well hydrated to help keep your vocal cords moist. Avoid alcohol or drink in moderation. [2minutemedicine.com]
How Can You Prevent Laryngitis? General healthy habits can help prevent chronic laryngitis. Avoiding contact with others who have a cold or the flu and washing your hands will limit your chances of catching a virus. [houstonent.com]