How Acid Reflux Affects Your Vocal Cords and Singing Ability

Gastroesophageal reflux affects the vocal cords?

Gastroesophageal reflux affects the vocal cords, often causing hoarseness.
I find that my voice becomes hoarse after singing for a short time, unlike before when I could sing for a long duration.
Although my gastroesophageal reflux has improved, my vocal cords are not the same as they used to be.
I can still sing, but I often crack on high notes.
Will the condition of my vocal cords gradually improve, or should I see a specific type of doctor?

mike, 20~29 year old female. Ask Date: 2010/08/12

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, please see Dr.
Chi-Feng Chen from the Department of Otolaryngology at Taoyuan Hospital, Health Bureau.

Reply Date: 2010/08/12

More Info

Acid reflux, also known as gastroesophageal reflux disease (GERD), can significantly impact your vocal cords and singing ability. When stomach acid flows back into the esophagus, it can irritate the lining of the throat and vocal cords, leading to symptoms such as hoarseness, a sore throat, and difficulty in vocal projection. This irritation can cause inflammation and swelling of the vocal cords, which may result in a raspy voice and a reduced ability to sing for extended periods without experiencing vocal fatigue or strain.

The vocal cords are delicate structures that vibrate to produce sound. When they are inflamed due to acid reflux, their ability to vibrate freely is compromised. This can lead to a range of vocal issues, including a loss of vocal range, difficulty hitting high notes, and an increased likelihood of vocal breaks or cracks. Singers often rely on their vocal cords to produce a wide range of pitches and tones, so any impairment can be particularly frustrating.

If you have noticed that your voice has become hoarse or that you are experiencing vocal fatigue more quickly than before, it is essential to address the underlying cause of your acid reflux. While some individuals may experience improvement in their reflux symptoms with lifestyle changes, such as dietary modifications, weight management, and avoiding triggers like spicy foods or caffeine, others may require medical intervention. Over-the-counter antacids or prescription medications that reduce stomach acid production can help alleviate symptoms and protect the vocal cords from further irritation.

In terms of recovery, the healing process for vocal cords can vary from person to person. If the acid reflux is well-managed and the vocal cords are given time to heal, many individuals find that their vocal quality improves over time. However, if you continue to experience issues, it may be beneficial to consult with a specialist. An otolaryngologist (ear, nose, and throat doctor) can evaluate your vocal cords and determine if there is any significant damage or if further treatment is necessary. Additionally, a speech-language pathologist who specializes in voice therapy can provide exercises and techniques to help strengthen your vocal cords and improve your singing ability.

In summary, acid reflux can have a detrimental effect on your vocal cords and singing ability, leading to hoarseness and vocal fatigue. While some individuals may experience improvement with lifestyle changes and medical treatment, others may need to seek specialized care to address ongoing vocal issues. If you are concerned about the state of your vocal cords or if your symptoms persist, it is advisable to consult with an otolaryngologist or a voice specialist for a thorough evaluation and personalized treatment plan.

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