LARYNGITIS:
THE DISC JOCKEY DISEASE
By Jessica Faller-Berger
The Inflammation of the vocal cords results in laryngitis.
This is especially troublesome for disc jockeys. Laryngitis
can be either acute or chronic. Chronic laryngitis manifests
itself as an incessant tickling of the throat, huskiness
of the voice and painfulness of speech. Whether the laryngitis
is acute or chronic, swollen vocal cords force the laryngeal
mucous membranes to “outpouch”. The person
with acute laryngitis might be waylaid by a fever, dry
cough, and difficulty swallowing. On the whole, this is
not a grave condition. Unless attributed to serious morbidity,
laryngitis is usually self-limiting. If you heed laryngitis’
silent warning to rest, you can expect your voice and
general well being to return in 5 to 10 days.
Laryngitis evolves from numerous causes. Two of the most
common of these are vocal abuse and upper respiratory
tract infection. The latter usually results from a
virus. Examples of vocal abuse include long periods of
shouting and screaming. However, one weekend of talking
a blue streak might also do the trick. Those at high risk
for laryngitis include B-Movie Queens, sports fans, DJ’s,
socialites, and auctioneers. Vocations aside, allergies
and sinusitis can also bring about laryngitis.
A lesser acknowledged cause of laryngitis is gastroesopheageal
reflux disorder (GERD). Individuals with GERD suffer from
a lower esophageal sphincter (named Les) who has
decided to take a vacation from his job. Instead of holding
down the door between the stomach and the esophagus, Les
allows hydrochloric acid imbued gastric juices to sneak
up into the voice box. The voice box is not lined with
velvet, but with another delicate substance- mucous membranes.
Renegade gastric acid burns these membranes. This results
in the raspy phonation we associate with laryngitis. Gastric
juices especially love escaping to the voice box while
the patient sleeps. However, staying awake for days on
end will not solve the problem.
In fact, the night life itself has been implicated as
a contributing factor to laryngitis. The combined irritants
of air pollution, cigarette smoke, cold drafts and alcohol
can trigger laryngeal lassitude. This might feature large
in a night-lifestyled individual. Club-hopping in winter
covers all the aforementioned risks. Abusing already distressed
vocal cords only adds insult to injury.
A more serious cause of laryngitis is a benign or malignant
tumor of the vocal cords. By taking up space on the vocal
cords, tumors disrupt the normal vibrational mobility
of the larynx, rendering the speaker practically speechless.
Alternately, parents should be made aware that laryngitis
may herald the onset of a potentially fatal childhood
disease, acute epiglottitis. Any child who has laryngitis
accompanied by a sore throat, fever, drooling,
and a croupy cough should be evaluated immediately.
The best laryngitis treatment eradicates the cause. As
mentioned, sometimes laryngitis results from underlying
pathology. Because of the remote possibility that laryngitis
could be the symptom of a more serious disease, this article
can not advise you about treatment modalities. More important
than listing the obvious home remedies like lozenges,
topical anaesthetics, hot steam, clean air, extra fluids
and a short term vow of silence, we’ll talk
about when it is important for you to call your doctor.
View the onset of a sore throat as a red flag.
Heed the warning. A sore throat may mean that your immune
system is on alert. When an upper respiratory infection
strikes, the tonsils operate as a first line of defense
and you feel the call to action. Most people do not require
medical intervention for a sore throat with laryngitis.
However, laryngitis alone demands a physician’s
attention if you are a person living with HIV/AIDS, cancer,
sickle cell anemia, organ transplant, steroid therapy,
or kidney dialysis. In rare instances, a persistent
sore throat indicates pharyngeal cancer. Notwithstanding,
you should call the doctor if laryngitis is accompanied
by any of the following: wheezing, earache, rash, bloody
sputum, chest tightness, difficulty breathing, extreme
trouble swallowing, fever over 101, and stiff neck with
migraine headache.
In many ways, a sore throat and laryngitis are a helpful
warning to the individual that they have pushed themselves
too hard. If this is you, quit talking, retire
early, and treat yourself well. These simple responses
to early laryngitis might be enough to thwart a worsening
condition. And now, a little information on prevention.
Your nose is a humidified air treatment corridor. Not
only does it hold rings, it also filters bacteria, warms
the cold, and moisturizes dry air. So, breathing through
your nose rather than your mouth actually helps to prevent
laryngitis. A lifestyle that includes plenty of fruits
and vegetables while avoiding cigarettes and excess alcohol
helps to prevent laryngitis. If you’ve been diagnosed
with GERD, don’t eat before bedtime, and sleep with
your head elevated. Whispering is worse for your vocal
cords than talking, so pass notes to communicate.
And remember, dead air is always acceptable for the DJ
with laryngitis.
©
2010 Jessica Faller Berger. All rights reserved. Any use
of these files electronically or otherwise is strictly
prohibited.