WHAT ARE THE  CAUSES THAT LEADS TO PROBLEMS WITH  THE VOICE  ? 
Structural abnormalities due to any inflammation ( upper respiratory infections,allergies,acid reflux), lesions, neurology or muscular problems can lead on to hoarse or weak voice along with pain or discomfort in the throat. 
Problems can arise due to overuse or abuse of the vocal cords as in professional voice users like teachers or singers ( vocal cord nodules)  and  shifting from high pitch to low pitch as in mimicry . There will be early tiring  of the voice. 
Other problems are due to restricted activity of the vocal cords . 
WHAT ARE THE  SYMPTOMS AND SIGNS ? 
Abnormal vocal cord vibration leads to DYSPHONIA ( impairment of voice) absence of vocal cord vibration results in APHONIA. Vocal cord nodule ( teacher's or singer's nodule) , vocal cord polyp, cyst,  inflammation  due to chronic laryngitis, keratosis, granuloma, papilloma, cancers, cleft , neurological problems  causing vocal cord paralysis ,these are some of the conditions affecting vocal cords. 
WHAT CAN BE DONE? 
Examination of the ENT areas, Endoscopy , Stroboscopy , Radiological evaluation and Biopsy  . 
Treatment depends upon the diagnosis. Voice rest, vocal hygiene, voice therapy, vocal exercises ,laryngeal massages are some of the measures.. Medical management ( for upper respiratory infections, allergic and acid reflux) and in some cases phonosurgery. 
WHAT IS VOCAL HYGIENE ? 
Life style changes and dietary modifications, voice rest, adequate hydration,  to quit smoking and alcohol,  to consume less spicy food, to cut down tea and coffee ,  to have food 3 hours before sleep. 
VOICE IS A PRECIOUS GIFT, DON'T ABUSE OR OVER USE IT. ANY CHANGE IN VOICE WHICH IS LASTING FOR  MORE THAN 3 WEEKS NEEDS ATTENTION. 
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