Treatment FAQ

why did i lose my voice after asthma treatment

by Korey Haley III Published 2 years ago Updated 1 year ago
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An asthma flare can cause you to lose your voice. It could also just be your allergies and PND or irritation from coughing. Advair

Fluticasone-Salmeterol

This product is used to control and prevent symptoms caused by asthma or ongoing lung disease.

discus (realy any dry powder inhaler) has larger particles than MDI inhalers that land on the vocal cords and irritate them causing you to be hoarse.

Full Answer

Can asthma attack cause loss of voice?

Thanks for your Reply! It's very common with asthma attacks to lose your voice. When you are having trouble breathing, your lungs are not the only part of your respiratory system that experience inflammation, your whole throat, including vocal cords experience physical stress. I often lose my voice during and after an asthma attack.

Is there a link between asthma and vocal cord dysfunction?

Both asthma and vocal cord dysfunction can make breathing difficult. Signs and symptoms of either condition can include coughing, wheezing, throat tightness and hoarseness, but they're two separate disorders.

Can inhalers change the sound of Your Voice?

These inhalers may leave small amounts of medicine on the vocal cords, or cause dryness, irritation, or swelling of the vocal cords. This can change the sound of the voice and cause hoarseness, a breathy voice, a croaking voice, or complete loss of the voice. Throat bleeding or pain when talking is possible.

Why do I Lose my Voice when I take a shower?

I take warm/hot showers too and have found that I'm not coughing up half a lung afterwards. An asthma flare can cause you to lose your voice. It could also just be your allergies and PND or irritation from coughing.

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Can asthma cause you to lose your voice?

Both asthma and vocal cord dysfunction can make breathing difficult. Signs and symptoms of either condition can include coughing, wheezing, throat tightness and hoarseness, but they're two separate disorders. Vocal cord dysfunction is the abnormal closing of the vocal cords when you breathe in or out.

Why Does asthma affect my voice?

Normally our vocal cords open to allow air to move in and out of our lungs, but with vocal cord dysfunction, the vocal cords close when we breathe in, blocking most air flow and causing shortness of breath, which is classically confused with asthma. Patients often describe the frightening sensation of suffocating.

Can asthma cause croaky voice?

ILO and asthma often go together. You might notice you feel breathless, you're wheezing, or that your chest feels tight. You might also notice your throat feels tight, your voice is hoarse, or your breathing sounds high pitched.

Can inhalers cause vocal cord dysfunction?

The physical changes that are seen in the larynx of patients using inhaled fluticasone range from minimal to severe. Mild physical findings include edema and erythema. Moderate changes include mucosal thickening and vocal cord bowing.

Can asthma make it hard to talk?

One of the symptoms of an asthma attack is that it's very hard to breathe. People who are very breathless might struggle to talk, eat or sleep.

How long do vocal cords take to heal?

You need to allow time for your vocal folds to heal before returning to full voice use. If you are a singer or do use your voice a lot, you may need four to six weeks of careful voice use for a full recovery, he says.

Can inhaled steroids cause laryngitis?

Conclusions: Steroid inhaler laryngitis is a form of chemical laryngopharyngitis induced by topical steroid administration. Symptoms and physical findings mimic laryngopharyngeal reflux, but only respond completely to discontinuation of the inhaled steroid therapy.

How can you tell the difference between asthma and vocal cord dysfunction?

VCD is sometimes confused with asthma because some of the symptoms are similar. In asthma, the airways (bronchial tubes) tighten, making breathing difficult. With VCD, the vocal cord muscles tighten, which also makes breathing difficult. Unlike asthma, VCD is not an allergic response starting in the immune system.

Can inhalers irritate your throat?

There's a simple reason why some people have the side effects of hoarseness, cough, and sore throat from using an inhaler. It's because the inhaled steroid isn't fully inhaled. Instead, some of the medicine sits in the mouth and throat, causing irritation. Inhaled steroids aren't designed to go into your mouth.

Can steroids cause voice loss?

Some people who use inhaled steroids may develop a hoarse voice. This is referred to as dysphonia. This can occur due to the drug's effect on the muscles of the vocal cords.

Do steroids make your voice hoarse?

Common side effects include corticosteroid induced laryngitis and oropharyngeal candidiasis. The latter has been reported in up to four percent of patients receiving fluticasone treatment, when given at a dose of 1.5–2 mg daily.

What are the side effects of steroid inhalers?

Side effects of steroid inhalersa sore mouth or throat.a hoarse or croaky voice.a cough.oral thrush – a fungal infection that causes white patches, redness and soreness in the mouth.nosebleeds.

What is the difference between vocal cord dysfunction and asthma?

What's the difference between vocal cord dysfunction and asthma? Both asthma and vocal cord dysfunction can make breathing difficult. Signs and symptoms of either condition can include coughing, wheezing, throat tightness and hoarseness, but they're two separate disorders.

What is the term for the abnormal closing of the vocal cords when you breathe in or out?

Vocal cord dysfunction is the abnormal closing of the vocal cords when you breathe in or out. It's also called laryngeal dysfunction, paradoxical vocal cord movement disorder or paradoxical vocal fold motion. Like asthma, vocal cord dysfunction can be triggered by breathing in lung irritants, having an upper respiratory infection or exercising.

Can vocal cord dysfunction be caused by breathing?

Like asthma, vocal cord dysfunction can be triggered by breathing in lung irritants, having an upper respiratory infection or exercising. However, unlike asthma, vocal cord dysfunction isn't an immune system reaction and doesn't involve the lower airways. Treatment for the two conditions also is different. Your doctor may suspect vocal cord ...

Can vocal cord dysfunction be misdiagnosed as asthma?

Because they have similar triggers and symptoms, it's common for vocal cord dysfunction to be misdiagnosed as asthma.

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Adverse effects

  • Inhaled steroids (IS) for the treatment of asthma have become a standard in the U.S. and many countries around the world. They are an essential cornerstone in the management of persistent asthma. Adverse effects of IS are minimal, but a small percentage of patients may experience dysphonia (hoarseness, weakness or loss of voice), throat irritation, cough or candida overgrowt…
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Symptoms

  • Many patients who have hoarseness related to IS describe a subtle onset which began months or years after starting the inhaler. There is increased risk of voice change with higher doses or strengths of inhaled steroid. It's often very frustrating when you have established a good routine of daily inhalations and have reaped the rewards of good asthma control, but later learn the won…
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Mechanism

  • Studies on asthma patients using inhaled steroids who complain of hoarseness have revealed a mechanism for the disorder. Many patients have a myopathy (muscle disease) of the laryngeal muscles (voice box muscles) which prevents them from closing properly when talking. Others have mucosal inflammation of the voice box. Studies on asthma patients tak...
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Causes

  • Laryngitis is a form of inflammation of the voice box and is a common cause of hoarseness or raspy voice. Viral or bacterial based upper respiratory tract infections are common causes of this disorder.Gastrointestinal reflux disease (GERD) may also cause laryngitis. All steroidal inhalers may potentially cause oropharyngeal (mouth and throat) candidiasis (another source of inflamm…
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Treatment

  • The first step is to consult your doctor about the hoarseness. He/she will consider all possible factors and determine your treatment course.
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Results

  • Here are some tips and points to discuss with your doctor: Review your inhaler technique with your doctor or nurse. Poor inhaler technique allows for a greater deposition of inhaled steroid on the mouth and tongue.
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Prevention

  • Discuss whether a change in controller medication or decrease in the dose or strength of the inhalant would be an option. Some health experts have reported a reduction in hoarseness after backing down the dose, but this is not always effective. There is a particular inhaled steroid which is inactive until it reaches the surface of the lung (after inhalation). It seems to be an ideal inhala…
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Diagnosis

  • Ask your doctor whether there are any signs of oral thrush when you are examined. This requires thorough inspection of the mouth, tongue and throat. Sometimes treatment of this fungal overgrowth may resolve your voice change. If attempts to solve hoarseness continue to fail ask about seeing an ear, nose and throat doctor (otolaryngologist) for a more comprehensive throat …
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Management

  • Hoarseness is an occasional adverse effect associated with inhaled steroids. In many cases the problem can be resolved while maintaining good asthma control but it takes some adjustments under the guidance of your asthma care provider. We are fortunate to have several options to consider in the management of this adverse effect.
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