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PATIENT INFORMATION · VOICE & SWALLOWING

Laryngitis

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What is laryngitis

Laryngitis is inflammation of the larynx, or voice box, usually resulting in a hoarse voice, loss of voice, or throat discomfort. It is commonly caused by a viral infection, but can also result from overuse of the voice, irritation (such as from smoke or acid reflux), or, less commonly, bacterial infection.

Symptoms of laryngitis

  • Hoarseness or loss of voice.
  • Dry or sore throat.
  • Tickling sensation in the throat.
  • Weak voice or whispering.
  • Dry cough.
  • Difficulty speaking.

Causes of laryngitis

  • Viral infections (most common).
  • Voice strain (e.g. shouting or prolonged speaking).
  • Smoking or exposure to irritants.
  • Acid reflux (laryngopharyngeal reflux).
  • Allergies.
  • Less commonly, bacterial infections.

Is it contagious

Viral laryngitis can be contagious, particularly in the early stages when symptoms resemble a cold. Good hand hygiene and avoiding close contact can help prevent spread.

Treatment

Most cases of laryngitis get better on their own within 1–2 weeks. Treatment focuses on relieving symptoms:

  • Rest your voice – avoid speaking or whispering too much.
  • Stay hydrated – drink plenty of fluids.
  • Avoid smoking and smoky environments.
  • Keep the air comfortably humid if this helps. Avoid leaning over bowls of hot or boiling water because of the risk of scalds.
  • Suck lozenges or chew gum to keep the throat moist.
  • Treat any underlying cause such as reflux or allergies.

Antibiotics are rarely needed unless a bacterial infection is confirmed.

When to see a doctor

See your GP if symptoms have not improved after 2 weeks or keep returning. Persistent unexplained hoarseness needs assessment rather than repeated self-treatment.

Get urgent advice for severe pain, difficulty swallowing, coughing up blood or feeling very unwell. Call 999 for severe breathing difficulty or noisy breathing with distress.

Preventing laryngitis

  • Avoid straining your voice.
  • Stop smoking and avoid secondhand smoke.
  • Stay well hydrated.
  • Manage acid reflux with diet and medication if needed.
  • Practise good hygiene to reduce infection risk.

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