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Respiratory Disorders  (Expert Forum)
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constant throat infection
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constant throat infection

by nichelle299, Nov 07, 2008 12:29PM
Hello my name is michell. I have been having constant throat inections. Two years ago I got some good news about something and screamed very loudly. Every since then my trachea area has been sore and feels like something is always on it. I have been to my ENT clinic and he did a CT-scan, which came back negative with some constrictions..I do have asthma. When I take anibotics it gets fine for a moment, but return to being sore. This isn't normal can someone please tell me what to do?

by National Jewish Health, Nov 12, 2008 10:43AM
You should first answer the following list of 9 questions, in writing and then take the questions and answers to a speech pathologist. You should also share the questions and answers with your your primary care physician.


1 .Did you have a  rhinolaryngoscopy?
2. What did the ENT see?  Did he see you when an active infection was present?  What was the quality of tissue and the vocal fold movement when voicing
3. You use trachea as the place of irritation.  Do you mean the area below the larynx, the upper chest, or the larynx itself?
4. Does someone diagnose an active infection when you report one, and prescribes the antibiotics, and do they view larynx each time.  
5. Were you hoarse after the screaming episode? Was there a change in voice quality after the screaming episode?   Did you recover from this?
6. What is your employment, and what voice demands does this require?
7. Are you exposed to the public, work with children in class room, have small children in your house who may bring home bacterial and/or viral illnesses from school?
8. Do voice problems occur intermittently when you have an active infection, or constantly with greater voice quality problems when active infections occur?
9. What asthma medication do you take?  How long?  Is there myopathy (side effects) in the larynx from this?

From these questions, a plan of action might be
1. See someone, a voice pathologist,  in a good, sound medical center
2. See a laryngologist to explore condition, function  and recommendations to treat the larynx
3. Examine your breathing pattern to see if you are giving enough breath support for the voice
4. If necessary, work with a voice pathologist on the functional aspects of your problem.
5. Could there be an underlying immune system problem or is this functional
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