Laryngitis: Causes, Symptoms & Treatment Guide

Laryngitis is inflammation of the larynx (voice box), causing hoarseness or voice loss.

Common Causes

  • Viral URI: Most common (rhinovirus, influenza, RSV, adenovirus).
  • Vocal strain: Overuse (shouting, singing, prolonged talking).
  • Bacterial infection: Less common (Strep, H. flu); may need antibiotics.
  • GERD/LPR: Acid reflux irritates larynx (often silent reflux).
  • Allergies: Post-nasal drip, inflammation.
  • Irritants: Smoking, alcohol, pollution, chemical fumes.

Treatment

  • Voice rest: Speak minimally; avoid whispering (strains cords more).
  • Hydration: Water, herbal tea; avoid caffeine/alcohol.
  • Humidification: Cool-mist humidifier.
  • OTC: Lozenges, analgesics for pain.
  • Treat underlying cause: PPIs for GERD, antihistamines for allergies, antibiotics if bacterial.

When to See a Doctor

  • Hoarseness >2–3 weeks
  • Difficulty breathing/swallowing
  • Coughing blood
  • Neck mass
  • Recurrent episodes

Chronic laryngitis warrants ENT evaluation (laryngoscopy) to rule out nodules, polyps, or malignancy.

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