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Laryngitis

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What is laryngitis?

Laryngitis is an inflammation of the larynx. The larynx, or voice box, is a part of the respiratory system and contains the vocal cords. In laryngitis, the vocal cords become inflamed or irritated. The swelling distorts the sounds produced by the air passing over them, causing the voice to sound hoarse.

Laryngitis can be either acute or chronic. Laryngitis that persists beyond two or three weeks is classified as chronic.

What is the larynx?

The larynx is made up of muscles and cartilage that are bound together by elastic tissues. The larynx helps us speak and breathe.

Air passes in and out of the larynx with every inhalation and exhalation. The air from the lungs passes over the stretched vocal cords and vibrations are modified by the tongue, palate and lips to create speech.

Laryngitis is an inflammation or irritation of the vocal cords. 

Causes

Acute laryngitis

Acute laryngitis is typically caused by a viral infection. It is more common in adults aged between 18-40 years.

Other causes of laryngitis include:

Chronic laryngitis

Laryngitis that persists for more than two or three weeks is considered chronic. Chronic laryngitis is most commonly caused by irritants, such as stomach acid, from conditions such as heartburn.

Other potential causes of chronic laryngitis may include:

Signs and symptoms

The symptoms may vary in severity, according to the underlying cause, but some of the more typical symptoms may include:

If the laryngitis is part of a more widespread infection, other symptoms may be apparent and may include:

The symptoms of acute laryngitis tend to worsen over two or three days, but then start to ease and resolve within a week or so. The croaky voice may persist for longer than a week, as the inflammation may take some time to settle.

Croup

Croup is a type of laryngitis caused by a viral infection and specifically affects young children, typically up until the age of six years. Croup is associated with swelling and inflammation of the larynx and its surrounding structures, including the trachea and airways to the lung.

Symptoms of croup include:

Methods for diagnosis

Diagnosis of acute laryngitis is generally straightforward and involves taking a medical history and performing an examination, typically of the ears, nose and throat. Most cases do not require any further testing in order to confirm the diagnosis.

When the laryngitis is chronic, there may be the need for further testing such as a blood test, X-ray and possibly a laryngoscopy to examine the back of the throat. During a laryngoscopy, a thin tube containing a fiber-optic camera is inserted through the nose and down the back of the throat, to see if the vocal cords are inflamed, and to identify any polyps or nodules.

Types of treatment

Acute laryngitis

Acute laryngitis typically resolves on its own without any intervention. Home care may include:

Severe cases of acute laryngitis may involve a short course of steroids such as prednisolone or dexamethasone to decrease the inflammation and speed recovery, but this tends to be limited for use in people with severe laryngitis that causes breathing difficulties.

It is not common to prescribe antibiotics for acute laryngitis, as most cases are caused by a virus. Taking antibiotics when they are not needed contributes to the problem of antibiotic resistance.

Gargles, throat sprays or lozenges are generally ineffective as they will not reach the larynx, and are better used for other cases of sore throat.

Chronic laryngitis

The treatment of chronic laryngitis depends on the underlying cause. Treatment may include:

Potential complications

Prognosis

Laryngitis that does not have a serious underlying cause is not a serious condition and tends to resolve on its own.

Prevention

You can help to prevent laryngitis by:

10 Most frequently asked questions (FAQs)

What is laryngitis?
Laryngitis is an inflammation of the larynx. The larynx, or voice box, belongs to the respiratory system and contains the vocal cords. In laryngitis, the vocal cords become inflamed or irritated. The swelling distorts the sounds produced by the air passing over them, causing the voice to sound hoarse or to be temporarily lost.
What are the symptoms of laryngitis?
Some of the more typical symptoms may include: a hoarse voice, or losing the voice; difficulty swallowing; a sore throat; a dry throat with the sensation of tickling, and; mild fever.
What causes laryngitis?
There are two types of laryngitis - acute and chronic. Acute laryngitis is typically caused by a viral infection. Laryngitis that persists beyond 2-3 weeks is classified as chronic and is commonly caused by irritants, such as stomach acid or smoke.
Who can develop laryngitis?
Adults between the ages of 18-40 years are most commonly affected by laryngitis.
How is laryngitis diagnosed?
Diagnosis of acute laryngitis is generally straightforward and involves taking a medical history and performing an examination, typically of the ears, nose and throat. When the laryngitis is chronic, there may be need for further testing such as a blood test, X-ray and possibly a laryngoscopy to examine the back of the throat. During a laryngoscopy, a thin tube containing a fiber optic camera is inserted through the nose and down the back of the throat, to see if the vocal cords are inflamed, and to identify any polyps or nodules.
How is laryngitis treated?
Acute laryngitis typically resolves on its own without any intervention. Home care may include: drinking lots of fluids; taking over-the-counter pain-relief medications such as ibuprofen or acetaminophen as recommended; breathing in humidified air, using a humidifier, and; resting the voice. Quiet conversation is generally OK, but whispering makes the larynx work harder, so is best avoided. The treatment of chronic laryngitis depends on the underlying cause. Treatment may include: quitting smoking; reducing alcohol consumption; treating the underlying medical condition, i.e., people with heartburn need to reduce their stomach acid reflux, and; surgical removal of vocal cord nodules or polyps.
Will laryngitis clear on its own?
Most cases of acute laryngitis will resolve on their own. Chronic laryngitis, however, may require changes to lifestyle habits (in cases of underlying causes), use of medications, or surgery if there are vocal cord nodules or polyps.
What can be done at home to treat laryngitis?
Home care includes resting your voice, drinking lots of fluids, taking pain-relief medications, and using an air humidifier.
Is laryngitis contagious?
Acute laryngitis is contagious since it is caused by a viral infection. To avoid an infection, avoid sharing kitchen utensils and maintain good hygiene, such as thorough and frequent hand washing.
Can laryngitis be prevented?
Acute laryngitis may be prevented by maintaining good hand hygiene and avoiding contact with infected people. Ensure your children receive the Haemophilus influenza vaccine to protect them against the flu, which can cause acute laryngitis. Chronic laryngitis may be prevented by additionally altering your lifestyle habits, such as quitting smoking and losing weight.

Related topics

Strep throat

Strep throat, short for streptococcal sore throat, is an infection caused by group A Streptococcus bacteria. Along with soreness, common symptoms include a swollen throat and lymph nodes, chills and fever. It can be treated with pain medications and antibiotics.

Tonsillitis

Tonsillitis is inflammation of the tonsils caused by infection with a virus or bacteria. The tonsils are two small glands, located at the back of the throat. They help fight infections and stop viruses and bacteria from spreading throughout the body.

Anaphylaxis

Anaphylaxis is a very severe form of allergic reaction. Immediate and life-threatening symptoms, including breathing difficulties, can be the result of exposure to an allergen, such as peanuts or eggs. Anaphylaxis is a serious medical condition, but prompt treatment can save lives.

Asthma

Asthma is a common respiratory condition where irritants trigger the airways to become inflamed and narrowed, which makes breathing difficult. During attacks, individuals may notice wheezing, coughing, tightness in the chest and/or shortness of breath. It is important to know how to correctly manage and prevent asthma attacks.

About this article

Title: Laryngitis

Author: Dr Idan Ben-Barak PhD, MSc, BSc (Med)

First Published: 15 Jul 2015

Last reviewed: 17 Jan 2022

Category: Information on Laryngitis

Average rating: 4.5 out of 5 (1556 votes)

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