Response

Hoarseness is common among individuals who frequently speak loudly, such as teachers, singers, and coaches. It can also stem from medical conditions including the flu, sore throat, laryngitis, pharyngolaryngeal reflux, gastroesophageal reflux, vocal cord cysts or polyps, vocal cord paralysis, and laryngeal cancer.

If you are experiencing hoarseness, particularly due to a sore throat, laryngitis, or vocal overuse, it is advisable to avoid coffee. Caffeine acts as a mild diuretic, reducing moisture in the upper respiratory tract's mucous membranes. Vocal cords require adequate moisture to vibrate effectively during speech. When the laryngeal mucosa dries, friction between the two vocal cords increases, impeding the healing of inflammation and prolonging hoarseness.

Coffee can also mildly irritate the pharyngolaryngeal mucosa, leading to increased coughing and throat clearing, which hinders voice recovery. For individuals with gastroesophageal reflux or pharyngolaryngeal reflux, coffee consumption can elevate stomach acid secretion, exacerbating hoarseness symptoms.

Doctor Phat is consulting a patient. *Photo: Tam Anh General Clinic District 7*

Beyond coffee, individuals with hoarseness should limit strong tea, alcohol, tobacco, and other stimulants. It is crucial to avoid excessive or loud talking, throat clearing, staying up late, and managing stress. Additionally, refrain from consuming spicy or fried foods, high-fat meals, overeating, or eating late in the evening, particularly if you experience reflux. Keep your neck warm, drink sufficient warm water, and take regular breaks if your work involves extensive speaking. Daily gargling with physiological saline solution can help cleanse the throat, reduce inflammation, and support recovery.

Hoarseness resulting from vocal overuse or mild inflammation often resolves within a few days with proper rest and treatment. However, if symptoms persist for more than two weeks without an apparent cause, it is advisable to consult an ear, nose, and throat (ENT) specialist for an endoscopic examination, diagnosis, and appropriate treatment.

Dr. Truong Tan Phat

Head of Ear, Nose, and Throat Department

Tam Anh General Clinic District 7