Hoarseness makes your voice sound rough, scratchy, or weak and is usually caused by irritation of the vocal cords. Most commonly, it is due to a cold or overuse of the voice. In the vast majority of cases, your voice recovers on its own within a few days. If the hoarseness persists, it makes sense to have it evaluated.
Possible causes
Laryngitis
An infection or irritation causes the vocal cords to swell, making the voice rough and quieter.
Voice overuse
Loud or prolonged speaking and singing can overload the vocal cords and lead to hoarseness.
Irritants
Smoke, dry air, or dust irritate the mucous membranes of the larynx and dry them out.
Irritation from stomach acid
Rising stomach acid can irritate the larynx and contribute to persistent hoarseness.

Typical steps at the doctor's office
- 1At the ENT practice, the throat and larynx are examined to assess the vocal cords.
- 2For persistent hoarseness, a more detailed examination of the larynx, such as with magnifying optics, may be added.
- 3Treatment depends on the cause and can range from resting the voice to voice therapy to treating a source of irritation.
What you can do yourself
- Rest your voice and do not whisper, as this also strains the vocal cords.
- Drink plenty of fluids and keep the mucous membranes moist.
- Avoid dry and smoky environments.
- Humidify the air in your rooms, especially during the heating season.
If hoarseness lasts longer than about three weeks or keeps coming back, it is advisable to have it evaluated at an ENT practice. This is especially true if no cold is apparent.

Frequently asked questions
- Is whispering easier on the voice?
- No, whispering also strains the vocal cords. It is more sensible to use your voice as little as possible.
- Why am I hoarse after a concert?
- Loud speaking or singing for an extended period overloads the vocal cords. Usually, your voice recovers after a few days of rest.
Not sure whether you should go or whom to see? Describe your symptoms — we'll find the right practice in your area.
