Search the Archive
Search Field:
Search Term:
Media Type:

Top 10 Related Articles by Date Published
Allergies and the Voice
C. Gaelyn Garrett, M.D, Medical Director, Vanderbilt Voice Center, Associate Professor, Department of Otolaryngology, Vanderbilt University Medical Center
go wife cheaters men who have affairs
click here go link
i dreamed my wife cheated on me reasons women cheat infidelity signs
i dreamed my wife cheated on me why women cheat on men infidelity signs
why do men cheat all wife cheat click here
website read link
dating a married man website women who cheated
link go generic viagra cialis levitra cheap
what makes married men cheat open i want an affair
unfaithful wives reasons wives cheat on husbands catching a cheater
why do men cheat click here click
women want men online click here
why people cheat in relationships website read
i cheated on my husband cheat on my wife why does husbands cheat
open redirect abortion pill how many weeks
abortion pill pittsburgh information on abortions what s the abortion pill
abortion websites read abortion pill nyc
misoprostol and mifepristone link otc abortion pill
abortions pills read click
otc abortion pill read here how to order the abortion pill online
online do all women cheat why married men have affairs
wifes that cheat all women cheat open
why women cheat on their husbands click here go
click here i cheated on my husband open
hiv symptoms in women causes for aids hiv aids causes
android app to spy phone spy spy app for phone
best phone spy software free spyware apps for cell phones the best android phone
why do i want my wife to cheat on me wife cheated on me now what cheat on your spouse
my fiance cheated on me site women who like to cheat
adult jokes dirty jokes blonde jokes pick up lines humor stories funny adult teacher sex stories adult intimate sex stories
adult stories anal oral sex stories
abortion at 18 weeks aborting
will my wife cheat again married looking to cheat
buy viagra 100mg viagra without a doctor prescription buy sildenafil 100mg
valtrex pill imitrex 100mg
coupons for drugs click coupon
online viagra coupons prescription drugs discount cards


Editor's Note: Advisory Note:
Patient education material presented here does not substitute for medical consultation or examination, nor is this material intended to provide advice on the medical treatment appropriate to any specific circumstance.
online open My boyfriend cheated on me
go why people cheat in relationships men who have affairs
what makes married men cheat open i want an affair
read here redirect click here
unfaithful wives reasons wives cheat on husbands catching a cheater
open link read
married and want to cheat how to cheat husband wives who cheat
go website reasons people cheat
cheats open my boyfriend cheated on me quotes
after effects of abortion pill how abortion pill works negative side effects of birth control pills
link women want men why do men cheat
married cheat women affair open
can abortion cause infertility against abortion articles aspiration abortion cost
when your wife cheats site i love my wife but i want to cheat
what is it like to have an abortion vacuum abortion
sms spyware for android free sms spy app how to spy text messages
dapoxetine pill link inderal 20mg
lasix pill amoxicillin 500mg

Healthy voice use should first begin with a basic understanding of voice production. Normal voicing begins with airflow from the lungs moving past the vocal folds (also known as vocal cords), triggering vibration and resultant sound. The sound is then modulated by the structures above the vocal folds, which include the tongue, mouth, lips, and nasal and sinus cavities, producing what we recognize as the human voice. The vocal folds vibrate very quickly, from 80 to 800 times a second, depending on the vocal pitch. You can imagine that a significant amount of friction can be produced by this amount of vibration, unless there is something to reduce that friction, which, in this case, is mucus lubrication provided by glands in and around the larynx.

Normal mucus is a thin consistency and is clear and glistening. Alterations in the usual thin consistency can affect the protective mechanism of the mucus on the vocal folds. Any vocalist who has visited a laryngologist (an ENT physician/surgeon who specializes in voice disorders) has probably been counseled on the importance of mucus lubrication. We encourage our professional singers and voice users to maximize water intake and minimize caffeine intake to enhance mucus consistency. Keep in mind that water you drink does not directly lubricate the vocal folds but keeps the body well hydrated. Alternatively, a person who is dehydrated will produce thick, sticky mucus that may interfere with normal vocal fold vibration. Caffeine also contributes to dehydration and should be avoided as much as possible. Certain medical conditions also cause alterations in mucus consistency. The most common of these is allergy.

Allergies can also cause other symptoms within the vocal tract, such as nasal congestion, throat irritation, and cough. Depending on the specific allergens involved, these symptoms can be seasonal or year-round. Often, the symptoms of allergy can be mistaken for an upper respiratory infection. The presence of fever or discolored mucus is more commonly associated with infection, either viral or bacterial.

Many different types of medications are available to treat allergies and the symptoms of allergy. One approach is to prevent the release of histamine, the substance that triggers the symptoms of an allergic reaction. Both prescription and over-the-counter antihistamines are available. Common side effects of antihistamines are sedation (more common with over-the-counter antihistamines) and drying of the mucous membranes. A prescription topical antihistamine nasal spray is also available which may minimize the systemic drying effect.

Decongestants are another class of medication frequently used in the treatment of allergy. Rather than preventing the allergic symptom from occurring, decongestants are used to treat nasal congestion once it has already occurred. Decongestants can also be used to treat congestion associated with other non-allergic conditions such as cold symptoms and sinus infections. Decongestants are available in both pill form and in topical preparations. Topical nasal sprays affect just the area within the nasal cavity. These sprays should not be used for more than two to three days to prevent rebound nasal congestion and possible mucosal overdrying and irritation. Oral decongestants also treat nasal congestion but can also affect other mucosal surfaces because of their systemic effect. All decongestants work by causing shrinkage of the dilated blood vessels involved in mucosal swelling. Keep in mind, however, that blood vessels bring nutrients to tissue and therefore, excessive use of decongestants should be avoided. Decongestants can also cause thicker mucus throughout the vocal tract.

An alternative to the antihistamines and decongestants for allergy treatment is immunotherapy, or allergy shots. Allergy testing will identify the specific allergens, commonly dust mites, mold, grasses and trees, and animal dander. Immunotherapy is designed to "reprogram" the body's response to an allergen, minimizing symptoms. Unfortunately, this process of immunotherapy may take months or years to make a significant impact on allergies and usually requires weekly or bi-weekly injections.

Other medications are often recommended for allergy sufferers. Topical nasal steroid sprays reduce the inflammation within the nasal cavity, thereby reducing nasal congestion and overproduction of mucus. The effects of these sprays are not specific to allergies and are also used for people who have recurrent sinusitis and hypersensitivity to environmental irritants. One disadvantage of the nasal steroids is that they must be used on a daily basis and may take one to two weeks for onset of action. I recommend them for people who have chronic symptoms for at least several weeks out of the year. They are safe for year-round use if indicated.

Mucolytics may also be beneficial in the treatment of allergy. They reduce the consistency of mucus, optimizing its lubricating effect. The main mucolytic is guaifenesin and it can be found in many of the over-the-counter cold and allergy medicines. Mucolytics can help counteract the drying effects of allergy medication as well as the drying effects of the allergy itself. This medication can also be used for general mucus optimization, even in the absence of allergy or infection. Guaifenesin alone is available over-the-counter, and there are no significant side effects.

Professional singers and voice users who suffer significant allergy symptoms will probably benefit from allergy treatment. For these, the drying effects on the mucosal surface of the vocal folds and the thicker mucus are outweighed by the benefits provided by the various medications. Maximal hydration is even more important in this case. The use of allergy medicine should, however, be symptom directed with as little medicine as possible. For example, combination antihistamine-decongestant medications are available in a single pill form. If your allergy symptoms do not consist of nasal congestion, you might overmedicate yourself unnecessarily and cause excessive drying of the vocal fold and nasal mucosa. An antihistamine alone would be a better choice and may prevent nasal congestion from occurring.

As outlined above, allergy symptoms can often be managed with over-the-counter medications. Many times, however, a medical evaluation is indicated. Most primary care physicians, usually a medical internist or family practitioner, can manage routine allergy symptoms. Medical specialists in allergy who have additional training are another option, especially if allergy testing is indicated. Most general otolaryngologists (ear, nose and throat specialists) are also trained in allergy, though not all practices will offer allergy testing and immunotherapy. Otolaryngologists are able to examine the entire vocal tract, including the nasal cavity, oral cavity and laryngeal structures. This is helpful if symptoms do not respond to routine treatment and further evaluation is indicated.

In summary, allergies can have a significant adverse effect on the quality of the speaking and singing voice. However, many options are available to address the symptoms of allergy. In most cases, the side effects of the medications can be managed and are fewer than the benefits gained by the symptom relief.

online open My boyfriend cheated on me
husband cheated on me click open
go why married men have affairs
go why married men have affairs
why women cheat with married men I cheated on my wife when a husband cheats
click viagra without viagra without prescription new zealand
buy cheap viagra generic viagra baku az rx-health genaric viagra cealis ect
link viagra vs cialas vegetable viagra
viagra switzerland online buy viagra uk online open
what makes married men cheat how can people cheat i want an affair
looking for affair I cheated on my girlfriend my boyfriend cheated on me with my mom
why do men cheat cheat on wife click
click here read link
women who cheat on husband how many people cheat reasons people cheat
redirect why wife cheat dating for married
go website reasons people cheat
how many women cheat on husbands want my wife to cheat how many people cheat
open how do i get an abortion abortion pill how many weeks
cytotec abortion pill for nausea go
open how much are the abortion pills non surgical abortion
online read here why wifes cheat
my wife emotionally cheated on me women cheat because women who cheat on husbands
read reason women cheat why do husbands have affairs
website redirect what makes husbands cheat
why women cheat on their husband cheat husband unfaithful husband
looking for affair online why men have affairs
gonorrhea symptom where can i get free std testing how can you get an std
hiv symptoms in women signs of aids in men hiv aids causes
buy viagra 100mg viagra without a doctor prescription buy sildenafil 100mg

About the Author:
cytotec abortion pill buy online open online purchase abortion pill
go why people cheat in relationships men who have affairs
click here go link
why women cheat with married men how many people cheat when a husband cheats
why do men cheat unfaithful wives click here
website read link
buy cheap viagra buy online viagra overnight in canada genaric viagra cealis ect
how often can someone take viagra generic pack viagra online
women cheat because why do women cheat on their husbands percent of women that cheat
unfaithful wives link catching a cheater
women who cheat with married men website why husband cheat on their wife
go website reasons people cheat
how to catch a cheat click here
looking to cheat read here cheaters caught
open morning after pill abortion abortion pill how many weeks
abortion websites read abortion pill nyc
open how much are the abortion pills non surgical abortion
online cheat on your wife why wifes cheat
wifes who cheat why are women unfaithful wife cheated
why women cheat on their husbands online go
looking for affair online why men have affairs
hiv symptoms in women signs of aids in men hiv aids causes
reasons why women cheat on their husbands my husband almost cheated on me
hot malayalam sex stories adult baby girl stories
sex crime stories indian sex stories
pro abortion facts how much are abortions abortion papers
apps to monitor text messages best spyware app for android app spy text messages
walgreens deals this week rx coupons coupons for prescription medications
dapoxetine pill link inderal 20mg
discount coupons for viagra read 2016 viagra coupon
330 Seventh Avenue, New York, NY 10001
Tel: 212.796.8620 • Fax: 212.796.8621

Privacy PolicyReturns Policy
2014 Form 990FY15 Audited Financial Statement
© Copyright 1995-2016 OPERA America Inc.

Technical issue with the website? Let us know.