Saturday, November 8, 2014

"... and now I'm hoarse too"

Persons with asthma can have plenty of symptoms that they have to deal with, whether it’s shortness of breath, chest tightness, a noisy chest, or troublesome cough. At the same time nasal allergies can cause a stuffy or drippy nose, sneezing, or frequent throat clearing from post-nasal drip. And then we frequently hear about a hoarse voice. It often comes and goes and can be a considerable frustration, especially for those who do a lot of speaking in their work. The voice quality changes; people notice that your voice doesn’t sound the same, and sometimes it seems like more work to generate a normally loud voice. What is causing this problem on top of everything else?

There are a number of potential causes, just as in persons without asthma, such as trauma from repetitive coughing, gastroesophageal reflux disease (GERD) causing stomach acid to splash onto the vocal cords, or polyps forming along the vocal cords. But an important consideration in persons with asthma is hoarseness as a side effect from use of the medications, inhaled steroids. Examples include the inhaled steroids taken alone (Flovent, Pulmicort, Qvar, Asmanex, Alvesco, and Aerospan) as well as the inhaled steroids taken in combination with long-acting bronchodilator medicines (Advair, Symbicort, and Dulera).

You probably know that it is a good idea to rinse your mouth after using these inhalers in order to prevent a throat infection referred to as “thrush” or oral candidiasis, caused by the yeast, Candida. You cannot, however, rinse down to the level of your vocal cords, which sit behind your “Adam’s apple” in the middle of your neck. Some of the steroid medication that you are inhaling will settle on the vocal cords on its way down onto your bronchial tubes, with the possibility of causing irritation and voice weakness. This is an undesirable effect of the steroid medication – an “inhaled steroid-induced laryngitis.” It is more common when the medication is delivered by metered-dose inhaler rather than dry-powder inhaler, and it is probably more common when the dose of medication is higher. It occurs with all of the inhaled steroids, but not commonly with inhaled bronchodilators alone (such as albuterol), so it seems to be an effect of the medication, not the propellant or powder being inhaled.

No one knows exactly in what way the inhaled steroids affect the vocal cords to cause hoarseness. Some have thought that they cause a weakness of the muscles involved in bringing the cords together during speech; others have thought that there is irritation to the surface membrane that covers the cords. Occasionally, one can find candida infection of the vocal cords. The inhaled steroids do not cause throat cancer or permanent injury to the vocal cords.

Inhaled steroids are the cornerstone of long-term asthma treatment. They reduce symptoms, make the bronchial tubes less hypersensitive to the triggers of asthma, and help to prevent asthma attacks. Their increasingly widespread use is probably the reason for the reduction in asthma hospitalizations and deaths observed in the United States over the last 2 decades. Hoarseness is a frustrating side effect that affects some people who use these highly-effective medicines, even when they are doing everything right in their use.

What can be done? If you can safely omit use of your inhaled steroid for a period of time, your voice quality will return to normal. Sometimes it takes only a few days, sometimes a few weeks. You can try adding a spacer to your metered-dose inhaler or switching from a metered-dose inhaler to a dry-powder inhaler for delivery of your inhaled steroid. There is no good evidence that one inhaled steroid has fewer effects on the voice than any other, although there is some theoretic reasoning to suggest that ciclesonide (Alvesco) might cause less hoarseness. If your hoarseness is severe and persistent, it would be good to have a direct examination of the vocal cords performed by an otolaryngologist (ENT doctor), to exclude alternative reasons for your hoarseness. Meanwhile, we continue to seek better medicines to treat asthma -- effective and free of side effects.

28 comments:

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    ReplyDelete
    Replies
    1. Having herpes is not the end of life there many treatment to cure herpes infection with the help of Dr Edidia herbal product.
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  2. Hi Partners Asthma Center,

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    I know it's tough as i have seen how bad it can be. Therefore, i want to help them as much as i can.

    If you like to help the asthma community and participate in a link exchange, I would be happy to do so!
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    I hope it helps. Thank you so much.

    Cheers,
    Xing Tingkai

    ReplyDelete
  3. Hi, I have been on Symbicort for less than a month. I'm only taking it for a cough. When the cough goes away I will stop it. Will this cause voice damage? Or affect my voice in any way? And if it does, will it be permanent. That's the main thing. The permanent question. Thanks :)

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  4. Emphysema Treatment ought to include, obviously, eliminating exposure to emphysema-bringing about poisons. This includes more than the evasion of tobacco smoke. You ought to look at your everyday life and check for different wellsprings of poisons.

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  5. People of any age develop this common issue from time to time notwithstanding abuse of Vocal Cord Nodules. Herbal treatment does not concentrate solely on one herb. Vocal Cord Nodules Herbal Treatment is a mix of a few herbs, Herbs Solutions By Nature are offering Nedeton, a home herbal supplement made out of natural ingredients that are gotten from valid herb retailers.

    http://www.herbs-solutions-by-nature.com/Vocal-Cord-Nodules.php/

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  6. Glutathione can be regulated orally or through supplements, intravenously, or transdermal creams. You can also try a Vocal Cord Nodules Natural Treatment, for example, cinnamon, aloe vera, honey, garlic, ginger, or peppermint.

    ReplyDelete
  7. HOW I WAS CURE WITH HERBS
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    ReplyDelete
  8. As a sign of gratitude for how my husband was saved from asthma , i decided to reach out to those still suffering from this.
    My husband suffered asthma and it was really tough and heartbreaking for me because he was my all and the symptoms were terrible, we tried various therapies prescribed by our neurologist but none could cure him. I searched for a cure and i saw a testimony by someone who was cured and so many other with similar body problem, and he left the contact of the doctor who had the herbal cure to asthma . I never imagined asthma has a cure not until i contacted him and he assured me my husband will be fine. I got the herbal medication he recommended and my husband used it and in one months he was fully okay even up till this moment he is so full of life. asthma has a cure and it is a herbal cure contact the doctor for more info on drwilliams098765@gmail.com on how to get the medication. Thanks for reading my story

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  10. Hi. Im n asthma patient since i was 4years old. I rarely have asthma attack when i reach 20th. Since last year, i realized i have been using inhaler a lot. And now i lost my voice. I dont have cough, no sore throat. Just vojce hoarseness. Is there any way that i can get my voice back 😣

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  11. Just wanted to say a huge thank you to Dr Williams for everything he have done in my life. I have been in tears for so many years now, having found that my husband is suffering from asthma , lesion after some years of being under extreme stress., . I spent 24 hours freaking out and finally calmed down after reading some testimony on here about Dr Williams herbal medicine to asthma . The moment came and I mumbled out to my husband about Dr Williams product (with a few tears) and he was AMAZE – . He was just worried about his health, been free from this , that was how will order for Dr Williams product on line , after my husband finish taking Dr Williams medicine for just within a period of one month. Will went to the doc together who confirmed that he was asthma free.
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  12. I was diagnosed with stage 3 breast cancer in August of 2010. A precious friend told me about Dr Itua Herbal Center in West Africa,She gave me his contact number and email address,I contacted him quickly so he give me guaranty that his herbal medicine will cure my cancer and i will be heal forever I said Okay.I ask him about the process for the cure,he ask me to pay for the fees which i did and within 7 working days he sent me the herbal medicine then he instructed me on how to drink it for two weeks to cure.I told Gomez my friend about the herbal medicine so he gave me go ahead to drink it.So after drinking it for two weeks i was cured I'm so grateful and i promise i will recommend anyone with cancer to him and that what i'm doing.
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  13. It was during my research on HIV/Herpes that I stumbled upon the Hiv/Herpes information; information which is quite easy to find when doing a search for STD on google. I was into conspiracy at the time thought of HIV/Herpes Cured' being a conspiracy was something Ignorance though,I found pretty interesting about herbal medicine. I asked questions about the Herbal cure's on official HIV/Herpes websites and I was banned for doing so by moderators who told me that I was parroting Hiv/Herpes propaganda. This reinforced my belief that there is a cure for Hiv/Herpes Then i found a lady from germany name Achima Abelard Dr Itua Cure her Hiv so I send him a mail about my situation then talk more about it and send me his herbal medicine I drank for two weeks.And today I'm Cured no Hiv/Herpes in my life,I searched for Hiv/Herpes groups to attempt to make contact with people in order to learn more about Hiv/Herpes Herbal Cure's I believed at this time that you with the same disease this information is helpful to you and I wanted to do the best I could to spread this information in the hopes of helping other people.That Dr Itua cure Hiv,Herpes,Hepatitis,Diabetes,Copd,Fibroid,Als, And Cancer. He's a herbal doctor with a unique heart of God, Contact Emal..drituaherbalcenter@gmail.com Phone or whatsapp..+2348149277967.

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  14. Grape seed and green tea are included in the Emphysema Herbal Treatment as they provide antioxidant support and have various general health enhancing properties.

    ReplyDelete
  15. I was diagnose of Herpes 2 years ago, my family doctor told me there is no cure but it can only be controled. Ever since then i have been running heather scepter looking for a solution to my problem because i was going to lose my Job if i dont get better, until i ran into this online testimony of Mrs Stacey who have been cured of Herpes by this herbal Dr in Africa (Dr Azen), i immediately contacted him via his email (Dr.azenherbalcure02@gmail.com), to God be thy glory i bought this Herpes herbal remedy and was cured within 3 weeks of usage, at last this is a break through for all Herpes patients contact this herbal Dr via his email Dr.azenherbalcure02@gmail.com or whasapp +2348106917688

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  16. Hello everyone out there, I'm here to give my testimony about a herbalist doctor who helped me. I was infected with HERPES SIMPLEX VIRUS in 2011, I went to many hospitals to heal myself but there was no solution, so I was thinking how I can get a solution so that my body can be well. One day I was in the river thinking about where I can go to get a solution. so a lady walked towards me telling me why I'm so sad and I open everything by telling her my problem, she told me she could help me, she introduced me to a doctor who uses herbal medicines to cure the SIMPLEX HERPES VIRUS and gave me your email, so I sent you an email. He told me everything I had to do and also gave me instructions to take, which I followed correctly. Before I knew what was happening after two weeks, the SIMPLEX HERPES VIRUS that was in my body disappeared. therefore, if you also have a broken heart and need help, you can also send an email to {oliha.miraclemedicine@gmail.com}or whatsapp him number: +2349038382931 or Facebook page https://www.facebook.com/drolihamiraclemedicine/
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  17. This comment has been removed by the author.

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  18. i was diagnosed with Herpes for 2years ago i lived in pain with the knowledge that i wasn't going to ever be well again i contacted so many herbal doctors on this issue and wasted a large sum of money but my condition never got better i was determined to get my life back so one day i saw mis sanders post on how Dr Ariba saved him from the VIRUS with his herbal medicine i contacted Dr Ariba on his email address draribahomecure555@gmail.com we spoke on the issue i told him all that i went through and he told me not to worry that everything will be fine again so he prepared the medicine and send it to me through courier service and told me how to use it,after 14days of usage I went to see the doctor for test ,then the result was negative,am the happiest woman on earth now. this testimony is real.thanks to Dr Ariba God bless you. you can also reach him on his whatsApp number +2348138140874

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  19. God bless Dr.okosun for his marvelous work in my life, I was diagnosed of HIV since 2015 and I was taking my medications, I wasn't satisfied i needed to get the HIV out of my system, I searched about some possible cure for HIV i saw a comment abou how he cured HIV with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine through UPS SPEED POST. I took the medicine as prescribed by him and 5days later i was cured from HIV, Dr.okosun truly you are great, do you need his help also? Why don't you contact him through you can also reach him on phone:+2347060571038 or hem On that very email dr.okosunspellalter@gmail.com
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    ReplyDelete


  20. Am jeremiah, I am testifying about a great hebal man that cured my wife of hepatitis B and liver cirhosis. his name is Dr oniha. My wife was diagnose of hepatities two years ago, i almost spent all i had then, until i saw dr oniha recommendation online, and i call him, then he told me how to get the herb. You can call him on +2347089275769 or email him at dronihaspell@yahoo.com

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  21. I am bold enough among many others to state that there is now a potent cure to this sickness but many are unaware of it. I discovered that I was infected with the virus 3 months ago, after a medical check-up. My doctor told me and I was shocked, confused and felt like my world has crumbled. I was dying slowly due to the announcement of my medical practitioner but he assured me that I could leave a normal life if I took my medications (as there was no medically known cure to Herpes). I went from churches to churches but soon found that my case needed urgent attention as I was growing lean due to fear of dying anytime soon. In a bid to look for a lasting solution to my predicament, I sought for solutions from the herbal world. I went online and searched for every powerful trado-medical practitioner that I could severe, cos I heard that the African Herbs had a cure to the Herpes syndrome. It was after a little time searching the web that I came across one Dr Itua(A powerful African Herbal Doctor), who offered to help me at a monetary fee. I had to comply as this was my final bus-stop to receiving a perfect healing. My last resolve was to take my life by myself, should this plan fail. At last it worked out well. He gave me some steps to follow and I meticulously carried out all his instructions. Last month, to be precise, I went back to the hospital to conduct another test and to my amazement, the results showed that negative,Dr Itua Can As Well Cure The Following Desease…Cancer,Hiv,Herpes, Hepatitis B,Liver Inflammatory,Diabetis,Fribroid,,Non Hodgkin Lymphoma,Skin Cancer,Uterine Cancer,Prostate Cancer Dercum,Infertility,fibromyalgia,Get Your Ex Back,Als,SYPHILLIS,Genetic disease,Epilepsy, Parkinson's disease..You can free yourself of this Herpes virus by consulting this great African Herbal Doctor via this e-mail: drituaherbalcenter@gmail.com or call and whatsapp him on +2348149277967 He will help you and his herb medication is sure. he has the cure on all disease .You can talk to me on INSTAGRAM..tashamoore219....

    ReplyDelete
  22. God bless Dr Alli for his marvelous work in my life I was hepatitis b carrier, i found it 3 years ago when i need some medical test for apply a job, it scares me a lot, but today i am cured of the deadly illness by Dr Alli who send down the medicine for me, if you are suffering from the same virus, kindly contact him via: allispellhelp1@gmail.com or you whatsApp him on +2348100772528

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  23. Am from united states..Join me as i share the wonderful work of Dr Saibu how he cured my HERPES Disease, that almost took my life, i have lived with this disease and did all i could be cured but no way.i have been searching out on a cure to terminate my HERPES and on my search i found Dr Saibu help on the lives of many people . and after i wrote to him on how to get a cure, he directed me on the steps and he prepared my herbal medicine and after he sent it to me that after using it, i will be cured, and that was how he sent me my medicine and after using it for some days i was found negative by my test result. why not contact him today on his email: drsaibu2@gmail.com and he can still cured..HERPES,HEPATITIS B,CANCER,DIABETICS or add him on whatsapp +2348064438762 .

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  24. HOW I GOT CURED FROM HERPES VIRUS I was diagnosed of HERPES Virus in 2015 and I have tried all I can to get cured but all to no avail, until i saw a post in a health forum about a herbalist man who prepare herbal medication to cure all kind of diseases including HERPES virus, at first i doubted if it was real but decided to give it a try , when i contact this herbalist via his email and he prepared a HERPES herbal cure and sent it to me via UPS delivery company service, when i received this herbal cure, he gave me step by directions on how to apply it, when i applied it as instructed, i was totally cured of this deadly disease within 14 days of usage, I am now free from the deadly disease called herpes, all thanks to Dr Osalu. Contact this great herbal doctor via his email: drosaluherbalhome@gmail.com OR whatsapp him on +2348078668950.

    ReplyDelete