Vocal Strain: Causes and Solutions for Singers - Otolaryngology

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When singing, the voice can become somewhat hoarse and strained?


I would like to ask the doctor, I really enjoy singing.
Previously, I had no issues singing high notes, but starting from the end of last month, I don't know why, even when I speak normally, singing has become somewhat strenuous.
I also feel a bit hoarse and sometimes go off-key.
Singing high notes has become very difficult.
This situation has lasted for half a month.
What could be the reason for this? Is it possible that I have some kind of illness? Will these symptoms improve, or will they persist? Could these issues be related to my lifestyle or dietary habits?

Ah Hua, 10~19 year old female. Ask Date: 2015/12/03

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is recommended to visit the hospital to check for any changes in the vocal cords.
Generally, it is advised to drink plenty of water, avoid spicy foods, and reduce loud speaking.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/03

More Info


Vocal strain is a common issue among singers and can arise from various factors. Your experience of feeling strained while singing, along with the hoarseness and difficulty hitting high notes, suggests that you may be experiencing vocal fatigue or strain. This condition can be caused by several factors, including improper vocal technique, overuse of the voice, environmental irritants, and even underlying medical conditions.


Causes of Vocal Strain
1. Improper Technique: One of the most common reasons for vocal strain is the use of incorrect singing techniques. This includes not using proper breath support, singing too loudly, or straining to reach high notes without adequate warm-up or technique. Singers should focus on breath control and resonance to avoid straining their vocal cords.

2. Overuse: If you have been singing more frequently or for longer durations than usual, your vocal cords may not have had enough time to rest and recover. Just like any muscle in the body, the vocal cords can become fatigued and require time to recuperate.

3. Environmental Factors: Dry air, allergens, and irritants such as smoke can contribute to vocal strain. Staying hydrated is crucial, as dehydration can lead to a dry throat and vocal cords, making it more difficult to sing.

4. Medical Conditions: Conditions such as laryngitis (inflammation of the larynx), vocal nodules, or polyps can also lead to hoarseness and vocal strain. If your symptoms persist, it may be advisable to consult an ear, nose, and throat (ENT) specialist for a thorough examination.

5. Lifestyle and Dietary Habits: Your daily habits can significantly impact your vocal health. Consuming excessive caffeine or alcohol can lead to dehydration, while smoking can irritate the vocal cords. Additionally, a diet lacking in essential nutrients may affect your overall health, including your vocal performance.


Solutions and Recommendations
1. Rest Your Voice: If you are experiencing vocal strain, one of the most effective remedies is to rest your voice. Avoid singing, shouting, or even speaking loudly for a few days to allow your vocal cords to recover.

2. Hydration: Drink plenty of water to keep your vocal cords hydrated. Herbal teas and warm water with honey can also soothe the throat. Avoid caffeine and alcohol, as they can dehydrate you.

3. Warm-Up Exercises: Before singing, engage in vocal warm-up exercises. Gentle humming, lip trills, and scales can help prepare your voice for singing and reduce the risk of strain.

4. Proper Technique: Consider working with a vocal coach to improve your singing technique. They can provide guidance on breath support, posture, and how to reach high notes without straining.

5. Avoid Irritants: Stay away from smoke, strong perfumes, and other irritants that can affect your vocal cords. If you are in a dry environment, using a humidifier can help maintain moisture in the air.

6. Seek Medical Advice: If your symptoms persist for more than a couple of weeks, it is essential to consult a healthcare professional. An ENT specialist can evaluate your vocal cords and determine if there are any underlying conditions that need to be addressed.


Conclusion
In summary, vocal strain can be caused by a combination of factors, including improper technique, overuse, environmental irritants, and lifestyle choices. By taking proactive steps to rest your voice, stay hydrated, and improve your singing technique, you can help alleviate your symptoms. However, if your condition does not improve, seeking medical advice is crucial to rule out any serious underlying issues. Remember that vocal health is vital for singers, and taking care of your voice will ensure that you can continue to enjoy singing for years to come.

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