Voice Hoarseness After Diving: Causes and Solutions for Divers - Diving Medicine

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Voice hoarseness after diving can be a concerning issue for many divers, especially if it persists for an extended period, as you described. Based on your situation, it appears that your hoarseness may be linked to several factors associated with diving, such as pressure changes, potential infections, and possibly even vocal strain.


Possible Causes of Hoarseness After Diving
1. Pressure Changes: When diving, the pressure changes can affect the larynx (voice box) and vocal cords. If you are not equalizing your ear pressure properly, it can lead to strain on the vocal cords, resulting in hoarseness.

2. Environmental Factors: Diving in certain water conditions, such as polluted or cold water, can lead to irritation of the throat and vocal cords. This irritation can manifest as hoarseness or a scratchy throat.

3. Infections: Given your history of recurrent ear infections (middle ear and outer ear), it is possible that you may be more susceptible to upper respiratory infections. These infections can lead to inflammation of the vocal cords, causing hoarseness.

4. Vocal Strain: If you are shouting or speaking loudly while diving (to communicate with dive partners), this can lead to vocal strain. Additionally, if you are holding your breath and straining your voice while underwater, it can contribute to hoarseness.

5. Allergies or Sensitivities: If you have developed sensitivities or allergies, especially in the context of cold weather or water, this could also lead to throat irritation and hoarseness.


Recommendations for Improvement
1. Rest Your Voice: After diving, try to minimize speaking or using your voice until the hoarseness resolves. This will allow your vocal cords to recover.

2. Hydration: Drink plenty of fluids to keep your throat moist. Staying hydrated can help soothe irritated vocal cords.

3. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that could exacerbate throat irritation.

4. Warm-Up Exercises: Before diving, consider doing some gentle vocal warm-up exercises to prepare your vocal cords for the strain of speaking underwater.

5. Consult a Specialist: Given your recurring symptoms and history of ear infections, it may be beneficial to consult an ENT (ear, nose, and throat) specialist. They can perform a thorough examination of your vocal cords and throat to rule out any underlying issues.

6. Consider Diving Techniques: Work on your equalization techniques to ensure that you are not straining your voice while diving. Proper equalization can help reduce pressure-related strain on your vocal cords.

7. Limit Diving Frequency: If you find that your hoarseness persists despite taking precautions, consider reducing the frequency of your dives until the issue is resolved.

8. Monitor for Other Symptoms: If you experience additional symptoms such as persistent cough, difficulty breathing, or severe throat pain, seek medical attention promptly.


Conclusion
In summary, voice hoarseness after diving can stem from various factors, including pressure changes, environmental irritants, infections, and vocal strain. By taking proactive measures to rest your voice, stay hydrated, and consult a specialist, you can help mitigate these symptoms. Additionally, improving your diving techniques and being mindful of your vocal health can contribute to a more enjoyable diving experience without the discomfort of hoarseness. If symptoms persist, it is crucial to seek medical advice to ensure there are no underlying health concerns.