Hoarse or lost voice (laryngitis) Reo whango, reo ngaro rānei (mate paeoro)

Hoarse or lost voice happens when there is a problem with your vocal cords, which are the moving parts of your voice box (larynx). This can make your voice sound croaky, strained or weak.

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Causes of hoarse or lost voice

Hoarse or lost voice (laryngitis) is usually caused by a virus. Often, it is part of another illness, such as:

  • influenza (the flu)
  • tonsillitis
  • a sore throat.

Rarely, it is caused by a bacterial infection.

If your hoarse voice lasts longer than 3 weeks, it might be due to something else, such as:

  • irritated vocal cords (with overuse of your voice)
  • an allergy
  • stomach acid, if it escapes upwards from your stomach (called reflux, heartburn or indigestion)
  • a lump on or near your vocal cords.

Symptoms of hoarse or lost voice

Laryngitis can make your voice sound:

  • croaky
  • strained
  • weak.

Other symptoms of laryngitis are:

  • a sore throat
  • dry cough
  • mild fever
  • a constant need to clear your throat.

Treating hoarse or lost voice

Laryngitis usually gets better by itself within a week, without any treatment.

You do not usually need antibiotics as they do not work against a virus.

If your hoarse voice does not go away within 3 weeks, you should see your healthcare provider.

Self care with hoarse or lost voice

There are some things you can do when you have a hoarse or lost voice.

  • Rest your voice — speak softly and as little as possible.
  • Do not whisper — whispering can strain your voice.
  • Drink plenty of fluids (water is best).
  • Take simple pain relief tablets such as paracetamol or ibuprofen.
  • Avoid smoking.