Summary about Disease
Vocal cord nodules, also known as singer's nodules or screamer's nodules, are benign (non-cancerous) growths on the vocal cords. They are callus-like formations that develop on the middle of the vocal cords, typically in pairs. These nodules interfere with vocal cord vibration, leading to changes in voice quality.
Symptoms
Hoarseness
Breathiness
A raspy or scratchy voice
Voice fatigue
Pain while speaking
A feeling of something stuck in the throat
Reduced vocal range
Sudden voice breaks
Causes
Vocal cord nodules are primarily caused by chronic vocal abuse or misuse. Common causes include:
Excessive yelling or shouting
Singing with poor technique
Speaking in a noisy environment
Chronic coughing or throat clearing
Speaking at an abnormally low or high pitch
Other factors that strain the vocal cords
Medicine Used
There is no specific medicine to get rid of vocal cord nodules. Treatments generally focuses on reducing inflammation and promoting vocal cord healing. Often, doctors may suggest some of the medicines mentioned below:
Anti-inflammatory medications: In some cases, anti-inflammatory medications such as corticosteroids may be prescribed for short-term use to reduce swelling and inflammation of the vocal cords.
Muscle relaxants: These may be prescribed to relax the muscles in the larynx and reduce tension in the vocal cords.
Mucolytics: These medications help to thin mucus secretions in the throat and make it easier to clear the throat without straining the vocal cords.
Is Communicable
No, vocal cord nodules are not communicable. They are not caused by an infectious agent and cannot be spread from person to person.
Precautions
Vocal rest: Avoid talking or singing for a period of time to allow the vocal cords to heal.
Vocal hygiene: Drink plenty of water, avoid caffeine and alcohol, and use a humidifier.
Vocal training: Work with a speech therapist or vocal coach to learn proper vocal techniques.
Avoid irritants: Avoid smoking, secondhand smoke, and other respiratory irritants.
Manage reflux: If you have acid reflux, manage it with medication and lifestyle changes.
How long does an outbreak last?
Nodules do not have an "outbreak" in the traditional sense. The duration of symptoms and the time it takes for nodules to improve varies depending on the severity of the nodules, the individual's adherence to treatment, and the underlying cause of the vocal abuse or misuse. With proper voice therapy and adherence to precautions, some nodules can resolve in several weeks to months. Chronic or severe cases may require longer-term management or surgical intervention.
How is it diagnosed?
Medical History and Physical Exam: The doctor will ask about your symptoms, vocal habits, and medical history.
Laryngoscopy: A procedure where the doctor uses a scope with a light and camera to view the vocal cords. This can be done with a flexible scope through the nose or a rigid scope through the mouth.
Stroboscopy: A special type of laryngoscopy that uses a strobe light to visualize the vocal cord vibration in slow motion.
Timeline of Symptoms
The onset of symptoms is usually gradual. It often follows a period of vocal abuse.
Early stages: Mild hoarseness, voice fatigue after prolonged speaking or singing.
Progression: Hoarseness becomes more persistent, vocal range decreases, and voice breaks may occur.
Chronic stages: Significant hoarseness, difficulty projecting the voice, and pain while speaking.
Important Considerations
Early intervention: Seeking medical attention early can help prevent the nodules from becoming larger and more difficult to treat.
Voice therapy is key: Voice therapy is often the first line of treatment and is essential for learning proper vocal techniques.
Surgery is not always necessary: Surgery is usually reserved for cases where voice therapy is not effective.
Prevention is important: Practicing good vocal hygiene and avoiding vocal abuse can help prevent nodules from forming in the first place.