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Is Coughing Bad for Voice?

Published in Voice Health 3 mins read

Yes, coughing can be bad for your voice, especially if it's frequent or forceful.

Coughing and throat clearing, though seemingly innocuous, can be traumatic to the delicate vocal cords. Repeatedly slamming your vocal cords together during a cough can lead to several issues.

Why Coughing is Harmful

  • Vocal Cord Trauma: Each cough forces the vocal cords to collide with significant force. This repetitive impact can cause swelling, irritation, and even small injuries.
  • Vocal Cord Nodules/Polyps: Over time, chronic coughing can contribute to the development of nodules (callus-like growths) or polyps (fluid-filled lesions) on the vocal cords.
  • Voice Changes: Damage from coughing can manifest as hoarseness, a breathy voice, reduced vocal range, or vocal fatigue.
  • Muscle Tension Dysphonia (MTD): Coughing can lead to increased tension in the muscles surrounding the larynx (voice box), contributing to MTD, which further impairs vocal function.

Addressing the Underlying Cause

It's crucial to address the reason you're coughing. Common causes include:

  • Allergies: Nasal drip can cause throat irritation and a reflexive cough.
  • Infections: Colds, flu, bronchitis, and pneumonia often cause coughing.
  • Acid Reflux (Laryngopharyngeal Reflux - LPR): Stomach acid can irritate the larynx, leading to coughing.
  • Asthma: Airways inflammation can trigger coughing.
  • Environmental Irritants: Smoke, dust, and pollution can irritate the airways and cause coughing.

Protecting Your Voice

Here are some steps to protect your voice while managing a cough:

  • Stay Hydrated: Drink plenty of water to keep your vocal cords lubricated.
  • Avoid Throat Clearing: Consciously try to resist the urge to clear your throat. Instead, try sipping water.
  • Steam Inhalation: Inhaling steam can help soothe irritated airways.
  • Rest Your Voice: Avoid excessive talking or singing when you're coughing.
  • Consult a Doctor or Laryngologist: If your cough is persistent, consult a doctor to identify the underlying cause and receive appropriate treatment. A laryngologist (ENT doctor specializing in voice) can assess your vocal cords and recommend voice therapy if needed.

Long-Term Voice Health

Protecting your voice during periods of coughing is crucial to prevent long-term damage. Seeking medical advice early and adopting healthy vocal habits will support your vocal health.

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