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February 10, 2012

Laryngitis (cont.)

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What is the treatment for laryngitis?

As with any other structure in the body that becomes inflamed, rest is the key to recovery. For laryngitis, this means limiting the amount of talking. If talking is required, the affected individual should avoid whispering and instead talk in a regular voice, regardless of how it sounds. Whispering requires the vocal cords to be stretched tightly and requires more work by the surrounding muscles and delays recovery time.

  • The treatment for viral laryngitis is supportive: plenty of fluids, humidified air, acetaminophen or ibuprofen for pain, and time for recovery.

  • For patients with significant laryngitis, a short course of steroids (prednisone, prednisolone, or dexamethasone) may be used to decrease the inflammation and shorten the course of symptoms. This treatment option is often considered for actors, singers, or other affected individuals who have to make a time sensitive presentation using their voice.

  • Dexamethasone as a single dose given orally (Decadron, DexPak) or by intramuscular injection (Adrenocot, CPC-Cort-D, Decadron Phosphate, Decaject-10, Solurex) may be used to treat croup.

  • The treatment of chronic laryngitis will be determined by the cause of the inflammation or loss of function. Discontinuation of smoking and alcohol use will have a positive effect.

Are there any home remedies for laryngitis?

It is reasonable not to seek medical care for most cases of laryngitis. Home treatment begins with resting the voice and keeping well hydrated. Symptoms may be controlled by exposure to humidified air. Often, the bathroom is the best place to create a highly humidified area.

  • Turn on the hot water in the shower until there is plenty of steam.

  • Make certain that all the hot water is drained from the tub or shower to prevent the risk of burns.

  • Spend 15- 20 minutes breathing the warm moist air to help with symptoms.

A cold water vaporizer may also be used to help with humidity. Avoid hot water vaporizers because of the risk of burns.

Stay well hydrated, especially if the pain makes it difficult to swallow fluid.

Warm water gargles may be soothing. Alternatively, popsicles may offer comfort.

Tylenol and/or ibuprofen may be helpful in decreasing the amount of pain.


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