Hoarseness
Hoarseness
Hoarseness is caused when there is inflammation of the vocal cords in the larynx (laryngitis). Laryngitis is typically caused by a self-limiting viral infection. It is usually associated with a sore throat and a hoarse, diminished voice. Symptomatic advice includes resting the voice. The infection usually settles within a few days and referral is not necessary.
When respiratory infections occur in babies, infants or small children, they can cause croup (acute laryngotracheitis), and severe cases may present with difficulty breathing and stridor. In this situation, referral is essential.
When hoarseness persists for more than three weeks, especially when it is not associated with an acute infection, referral to the GP surgery is necessary. There are many causes of persistent hoarseness, some of which are serious. For example, laryngeal cancer can present in this way and hoarseness may be the only early symptom.