vocal nodules singers hoarseness Homeopathic treatment

Vocal cord nodules are benign (noncancerous) growths on both vocal cords that are caused by vocal abuse.It is otherwise called as Singer's nodes or Teacher's nodes, as they are common with them due to continuous use of voice.Vocal problems and strain usually stem from poor vocal technique and health issues like dehydration, stress, acid reflux and allergies among other Nature warns initially by hoarseness of voice about the overuse or abuse of voice. Even then, if proper care is neglected, vocal nodules come as penalty.Over time, repeated abuse of the vocal cords results in soft, swollen spots on each vocal cord. These spots develop into harder, callous-like growths called nodules. The nodules will become larger and stiffer the longer the vocal abuse continues.

Polyps can take a number of forms. They are sometimes caused by vocal abuse. Polyps appear on either one or both of the vocal cords. They appear as a swelling or bump (like a nodule), a stalk-like growth, or a blister-like lesion. Most polyps are larger than nodules and may be called by other names, such as polypoid degeneration or Reinke's edema. The best way to think about the difference between nodules and polyps is to think of a nodule as a callous and a polyp as a blister.Homeopathy, the remedy is selected on the basis of symptoms of the patient, including physical, mental (emotional states, depression, anxious, etc) and family history. Homeopathy treats the patients, rather than the diseases or its effects. Homeopathy acts neurologically and helps the brain attain calmness. So it can give a permanent solution. It gives psychological support to withstand emotional conditions. Homeopathy, with its dynamic approach, can cure sleeplessness wonderfully. The major credit point with Homeopathy is its nil side-effects and also its effective cure which is permanent without any persistent usage of drugs or dependency or habit-forming.

Pathophysiology of Vocal Cord

 Vocal cord plays the voice / sound. Vibration of vocal cords usually allows air from lungs then and there, according to need of expected sound that has to be produced. While any one attempt to strain with speaking or singing, when there is infection or odema, vocal cords may get rubbed hard against each other to get pressure abrasions or injury . This friction occurred with vibration of vocal cord usually causes scratchy, hoarse voice and pain .
Uncared and constant or recurrent abrasions usually get healed with formation of stronger epithelial cells, i.e., small bead like vocal nodules. This thickening or formation of node is a protective reaction to safeguard the parts to prevent further injury. For example- in the hands of farmers or rowers, the thickening of skin is formed at the base of the fingers and feet to prevent blister formation during frictions.


Most common cause of vocal cord palsy is idiopathic (30%). Vagus nerve originates from posterior fossa and passes through jugular foramen along with IX and XI cranial nerve to neck and traverses in relation to thyroid gland and tracheoesophageal groove. Left vagus nerve dips down in mediastinum and is in relation to left atrium. The patient present with hoarseness of voice and associated symptoms (depending on the site of involvement).

Vocal nodule commonly occurs after repeated voice strain for eg

  • speaking loudly  ,
  • laughing,
  • singing loudly,
  • shouting,
  • screaming
  • crying, etc 

which use to injure vocal cord repeatedly.

The other triggers which cause vocal nodules to get injured commonly are

  • recurrent laryngitis (sore throat),
  • tonsillitis, adenoids,
  • post nasal drip,
  • violent cough / sneeze,
  • sinusitis,
  • oesophageal gastric reflux (acidity), etc.

It may also be from chewing peppermint continuously,Pollution in cities,Cigratte,Surgical injuries, inhaling mosquito repellents and nasal decongestants too.

Symptoms of vocal nodes

In case of vocal nodules, voices may be low pitched, creaky, scratchy, hoarse & husky. Further, there may be
Tickling sensation in the throat
Sensation of foreign material in the throat
Voice struck in the throat / inability to produce expected clear sounds .
Fleeting sound while straining to make high pitched sound
Induction of cough with difficulty in breathing (occasionally)

a "rough" voice
a "scratchy" voice
shooting pain from ear to ear
a "lump in the throat" sensation
neck pain
decreased pitch range
voice and body fatigue
Unless otherwise vocal nodules are properly cared, it will sustain or increase the intensity of the hoarseness in course of time to mute the voice totally.

Self Care Measure:Home tips

In most cases, it an acute condition that heals with time and has no serious consequences. But you can get rid of the pain and inflammation and restore your voice more quickly with some easy and simple natural remedies.
Apple Cider Vinegar
Apple cider vinegar has antimicrobial properties that help fight infections and thus can be used to treat laryngitis.
• Mix two tablespoons of raw, unfiltered apple cider vinegar and a tablespoon of honey in half a cup of water. To increase the effectiveness of this remedy, you can add a little cayenne pepper too. Drink it twice a day.
• Prepare a solution by mixing one tablespoon of raw, unfiltered apple cider vinegar in a glass of warm water. Gargle with the solution several times a day until you get relief.
 Onion Syrup
Onion syrup acts as a natural expectorant and is an effective natural cure for larynx inflammation.
1. Cut up three to four medium-sized onions. Simmer the pieces in four cups of water until the solution thickens to a syrup-like consistency.
2. Mix five tablespoons of the onion syrup in a glass of warm water. Add one tablespoon of honey and a few drops of lemon juice.
3. Sip the mixture slowly.
Fresh ginger is good for your throat because it soothes the the inflamed mucous membranes of the larynx.
• Boil thinly sliced fresh ginger root in a covered pan of water for 10 minutes. Strain the liquid and allow it to cool to room temperature. You can also add some lemon juice and sweeten it with honey. Drink this ginger tea several times a day.
• You can also try sucking on a few candied gingers throughout the day or simply eat a few thin slices of fresh ginger root.
Warm Salt Water
Warm salt water helps kill bacteria and promotes healing of your inflamed vocal cords and sore throat.
Just add one-half teaspoon of salt to a cup of warm water and gargle with it. Do this several times a day.
 Lemon Juice
e the acidic nature of lemon juice can kill bacteria and viruses, and relieve various symptoms of laryngitis. Plus, it helps loosen mucus.
1. Squeeze the juice of a lemon into a glass of warm water.
2. Add one-half teaspoon of sea salt (if you do not have sea salt then just use table salt)
3. Gargle with this solution several times a day.
Additional Tips
• When dealing with laryngitis, it is suggested to speak softly, but do not whisper as that would put more strain on the vocal cords.
• Give rest to your larynx.
• Avoid clearing your throat.
• Drink adequate water to stay hydrated but avoid alcohol and caffeine intake.
• Do not smoke and also avoid second-hand smoking.
• Avoid upper respiratory infections.
• Use a humidifier or vaporizer to add moisture to the air.
• Get vocal therapy which helps analyze the way you use your voice so that you can correct any abnormal speech patterns.

Homoeopathic Treatment:

Homeopathy is more effective than any other system of medicines in clearing vocal nodules or polyps. Homeopathic treatment can do wonders by removing disease completely if treatment is started at the earliest and vocal nodule is not so big or can provide dramatic relief by shrinking nodules (if it is big).
Regarding homeopathic treatment, homeopathy gives importance to the individual symptoms / patient’s feelings with respect to disease than for the disease symptoms itself. Symptom presentations may also differ from person to person depending upon the cause and intensity. For some, there will be betterment on continuous use of voice (better in evening than in morning). For some, it may get worsened with usage (better in morning and worst in evening) and for some others, clearing the throat can give some relief. Homeopathy stands here with individualization to treat the disease / tendency at its root level by strengthening our vital force. Homeopathy can be considered as a tremendous breakthrough to combat it surgically. Homeopathy can also switch off the hoarseness smoothly and effectively at the earliest. Even though, its process may not be incidental, it provides recovery in slow phase in a permanent manner.

HOMOEOPATHIC Medicines(Remedies) for vocal cords

Besides some of the following ingredients, the product contains Dr Gurpreet Singh Makkar(punjab,India), Research based, highly effective medicines

Causticum:- Hughes says that there is no better remedy in catarrhal aphonia than Causticum. It has dryness of the larynx and sensitiveness extending to the chest. There is hoarseness with rawness and scraping in the chest under the middle of the sternum, with a dry, hollow and unsatisfactory cough. It finds a curative sphere in the hoarseness of speakers and singers, which is worse mornings and much aggravated in cold weather. It is a paretic hoarseness accompanied by a cough which does not seem sufficient to bring up the phlegm, and in these cases the 12th or 13th potencies act well. In chronic hoarseness Sulphur will sometimes act when Causticum fails. Arnica has hoarseness from fatigue of the pharyngeal muscles, and a gargle of arnicated water will often refresh and strengthen the throat after long speaking and relieve the sense of thirst. The Causticum patient will have such a complete loss of voice that he cannot speak aloud.

Phosphorus:- Evening hoarseness with great sensitiveness and dryness in the larynx is characteristic of Phosphorus. It tires and hurts the patient to talk; the voice is rough and hoarse, and the expectoration is scanty; using the voice brings on the cough. The soreness of Phosphorus is in the larynx , with Causticum it is under the sternum. In paralytic aphonia secondary to laryngeal catarrhs Phosphorus and Rumex stand pre-eminent. Farrington gives Ammonium causticum a first place in hoarseness associated with burning and rawness in the larynx and pharynx.

Aconite:- In the beginning of a laryngitis in children there is no better remedy than Aconite ; there is fever, chilliness, dry skin and hoarseness and the patient will awaken at night with a croupy cough. Belladonna has dryness, constriction, and soreness in the larynx, talking is painful and the voice is husky and hoarse. Ivins claims that Ferrum phosphoricum, if given early, is the only remedy needed; it certainly seems to control the inflammatory condition and hold in check the progress of the disease. Meyhoffer mentions AEsculus as a very useful remedy in catarrhal inflammation of the larynx and pharynx. Houghton considers Ferrum phosphoricum as one of the greatest of temporary voice toners; he says that it enables singers to control the voice in its entire compass when suffering from hoarseness.

Hepar sulphur:- Laryngitis in children after exposure to dry, cold winds; there is a croupy cough and hoarseness, worse mornings, the patient is very sensitive to the slightest draft, the larynx is painful and dry. It is also a remedy especially adapted to laryngeal troubles of professional singers, and brilliant cures have been made with it. Sulphur corresponds to chronic cases, with morning loss of voice following suppression of eruptions; voice is hoarse, rough and deep. Kali bichromicum has dryness of the larynx; the voice is rough and hollow and the expectoration stringy. Ivins recommends the 12X. Arsenicum corresponds to laryngeal tuberculosis, with ulceration and burning. Dr. Mitchell considers Hepar the most effective of all remedies in chronic laryngitis. Its action is prompt in the hoarseness of professional singers. Ipecac. Dr. Cartier advocates this remedy in complete aphonia from a cold or congestion of the vocal chords claiming it to be superior to Causticum in inflammatory aphonia. He uses the 6 or 3X potencies every half hour until the voice returns. It has a remarkable efficacy also in relieving hoarseness.

Spongia:- Besides the dry, harsh, barking, croupy cough and suffocative spells of this remedy it is useful in laryngeal phthisis with burning and stinging in the larynx and a sensation as if a plug were there, with great sensitiveness; swallowing is painful. Sambucus is useful for a spasm of the larynx occurring with laryngitis, and when oedema is present with difficult almost impossible respiration Apis will prove useful. Chlorine is, however, the specific for that dangerous condition known as oedema of the glottis. Drosera suits laryngeal phthisis with great hoarseness, excretion of tough mucus, paroxysmal cough after midnight. Both voice and cough have a deep bass trumpet sound. Verbascum is similar, but extends lower than the larynx. Iodine has great usefulness in the early stage of membraneous laryngitis; with fever, dry skin, dry cough, and great difficulty in respiration. It follows closely after Aconite.

Arum triphyllum:- For the hoarseness of singers and orators there are a few remedies of great importance; among them is Arum triphyllum. It is useful when the voice suddenly gives out and goes to a higher key. A cracked voice from overuse and hoarseness. Selenium is a remedy frequently necessary to clear the voice; it has hoarseness appearing as soon as the patient commences to sing, or even after long use of the voice; a characteristic is expectoration of much transparent mucus from the larynx in the morning. Graphites has inability to control the vocal cords, the patient gets hoarse and the voice cracks on beginning to sing. a very useful remedy for singers. Argentum metallicum has burning and rawness in the larynx, worse from talking and using the voice, it is useful for an alteration in the timbre of the voice in singers and speakers. It has copious exudation in the larynx looking like boiled starch, which is easily hawked up. Benzoin IX was recommended by Dr. T. F. Allen for hoarseness accompanied by a sensation of rawness extending from the larynx to the pit of the throat, but not into the trachea. Mercurius solubilis. Two doses a day is frequently specific in hoarseness. Baryta carbonica has hoarseness, with great relaxation of the muscular structures of the throat.

Carbo vegetabilis:- This remedy suits a painless hoarseness, particularly that which is brought on by exposure to damp evening air. It is, of course, worse evenings, though it may appear in the morning on walking, aggravated in moist, cool weather. Eupatorium perfoliatum has hoarseness in the morning, with chest soreness and aching of the body; a soreness and aching of the body; a soreness in the larynx rather than a rawness. Senega is another useful remedy for hoarseness; the throat is so dry that it hurts the patient to talk. It suits sudden aphonias and those accompanied by accumulation of mucus on the chest which is difficult to raise. Gelsemium is the first remedy for aphonia from a laryngeal paralysis, or loss of voice during menses, and hysterical hoarseness. Nux moschata has aphonia from hysteria or changing emotions. Opium has aphonia from fright and Platinum should be considered in hysterical aphonia as well as in any other hysterical conditions. Plumbum in old cases should not be forgotten. Gelsemium is, by the way, of great value in laryngismus stridulus.

Bromine:- Perhaps the next remedy in order is Bromine. Its indications are a deep, hoarse voice, and every attempt at inspiration produces coughing; the breathing is hoarse, rasping and whistling and there is rattling in the larynx, and when the child coughs the larynx sounds full of mucus. With Bromine the child is suddenly roused out of sleep as if choking and a drink of water often relieves the spasmodic condition. The sensation as if some of the membrane were loose in the larynx giving rise to this rattling, is very characteristic of this drug. There is also marked prostration. Antimonium tartaricum has this rattling down than Bromine. Bromine follows Hepar well when Hepar is unable to remove the exudation. Great suffocation so that the child wants to be carried from room to room is a good indication. Bromine follows iodine well. Preparations of Bromine soon decompose, so it becomes necessary to have them made fresh; prepare with distilled water, one drop of pure Bromine to six ounces of water. The higher homoeopathic attenuations never deteriorate nor lose their power.

Kali muriaticum:- Clinically, Kali muriaticum has been found a very useful remedy in croup. It corresponds to croupous exudations, it has expectoration of gray fibrinous slime or phlegm from the mucous membrane. The cough is dry, hard and croupy,harsh and barking. It forms with Ferrum phosphoricum the principal tissue remedy treatment of croup.

Kaolin:- This is a remedy little used or thought of in croup. It has some good symptoms, however. It is useful for membranous croup when it extends downwards, and one of its characteristic symptoms is intense soreness along the trachea and upper part of the chest. The patient does not want anything to touch him because the chest is so sore. Ammonium causticum is considered by some specific in membranous croup.

Iodine:- Iodine, in its provings, not only presents all the symptoms peculiar to croup, such as hoarseness, dry, rough, deep cough, painful larynx, whistling respiration, sensation of obstruction in larynx, but in the record of poisonings we have the formation of pseudo-membrane on epiglottis, vocal chords and the parts of the larynx beneath them. Experienced teaches that its curative actions is all the more favorable the firmer the consistency of the morbid product is, hence Iodine is less indicated for mucous than for membranous formations. It may be employed in all stages of croup. Given in the beginning, it may cut short the attack, and after 1 exudation has taken place it diminishes this either directly by absorption, or by rendering it more fluid it become more easy to expectorate; and when exudation has existed for some time and the patient is exhausted it has the effect of rousing the organism to general reaction. The special indications for its use are the dry, short, barking cough with wheezing, sawing respiration, dyspnoea and imminent suffocation. The cough may have lost the peculiar metallic tone and become muffled and indistinct. There is constant desire to change position, and it acts especially well in dark-complexioned children. Use the IX dilution, three drops every fifteen minutes. Croup caused by long continued damp weather,with more fever than with Bromine, are good indication for Iodine. It comes in after Hepar when in spite of that remedy the exudation forms itself into membrane. Some practitioners pin their faith remedy in the IX dilution, especially when the case is a severe one.

Kali bichromicum:- This remedy is suitable to children with short, fat necks, and it is indicated in true membranous croup. The cough is metallic, the fauces and tonsils are red and swollen, breathing is labored and the larynx is sensitive. The child has smothering spells and awakens choking. The formation of a thick membrane takes place, and the tendency of the disease is to extend downward, becoming croupous bronchitis. There is violent wheezing, and the expectoration is of tough and stringy mucus. It offers the most hope of removing the false membrane. Cowperthwaite places this remedy before all others in membranous croup. When the spasm o;f the throat is very severe, Lachesis will sometimes be indicated. Mercurius proto-iodide has been successful in certain cases and if diphtheria is suspected Mercurius cyanatus.

Sanguinaria:- This remedy may be useful in croup. There is the formation of a false membrane with dryness, burning and swollen feeling in the throat and a wheezing, whistling croupy cough. Dryness and burning are the keynotes of Sanguinaria.

Advise:- Homeopathic Treatment requires strict individualization. 

Homeopathic Herbal Tips are idea to help people to recognize potential of homeopathic medicines.None of Homeopathic medicine should be used without consent of Qualified Physician.You can take medicine from professionally Qualified physician after full case taking for more detail please follow link .

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About Dr. GS Makkar

Dr. GURPREET SINGH MAKKAR is a dynamic homeopath from India(pb). He is an ardent student of classical Homeopathy. He is a registered doctor degree holder (B.H.M.S.) from Sri Guru Nanak Dev Homoeopathic medical college(S.G.N.D Barewal Ludhiana,PUNJAB, India.
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