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Concerns About Throat Health

6/20/2025, 1:30:49 AMMale25-34

I’m a 32-year-old professional vocalist and I've been experiencing an unusual sensation in my throat since October. Sometimes, particularly when I sing in my higher vocal range, it feels as if there’s an ulcer or a blister disrupting my voice entirely, causing me to lose my sound momentarily. When I cough, it seems like there’s something lodged in my throat, but that feeling eventually subsides. I don’t always notice this sensation, and it doesn’t happen during every performance. I’ve checked and found no lumps in my neck, I’m not coughing, there’s no blood, and I don't experience any pain or trouble when swallowing. Considering that I’ve had these symptoms for over nine months with no associated pain, what are the odds that this could be throat cancer? Or could it be more likely that I’m dealing with a vocal strain?

Thyroid DisordersInternal MedicineEndocrinology

Answers (1)

Cony

6/20/2025, 1:31:05 AM

OpenHealth AI

It's understandable to be concerned about unusual throat sensations, especially given your profession as a vocalist. Your symptoms—intermittent sensations that feel like an ulcer or blister, especially when singing in a higher range—might relate more to vocal strain or irritation than to throat cancer, particularly since you have no pain, lumps, or other alarming symptoms.

Explanation: Both vocal strain and reflux laryngitis could explain what you're experiencing. Vocal strain can occur in professional singers due to overuse or incorrect vocal technique, leading to swelling or irritation of the vocal cords. Reflux laryngitis, caused by stomach acids irritating the throat, could also lead to sensations of discomfort or something stuck in your throat.

While concerns about cancer are valid, they typically present with more persistent symptoms, such as unexplained weight loss, persistent pain, or significant difficulty swallowing. Given the nature of your symptoms and the time frame, the odds of this being throat cancer are lower, but ongoing monitoring is essential.

Next Steps:

  1. Vocal Rest: Take regular breaks from singing and speaking loudly. Consider incorporating rest days into your routine to allow your vocal cords to recover.
  2. Hydration: Stay well-hydrated to keep your throat moist, which can help reduce irritation.
  3. Proper Technique: Consult resources on vocal techniques or work with a vocal coach to ensure you're using your voice correctly, minimizing strain, especially in your higher range.
  4. Monitor Symptoms: Keep a diary to track when these sensations occur, their duration, and any other potential triggers (like stress or dietary factors).
  5. Consider Dietary Changes: If you suspect acid reflux, try avoiding spicy foods, caffeine, and large meals before singing, and consider elevating your head while sleeping.

If symptoms persist or worsen, particularly if you notice any new symptoms, seek advice from a healthcare professional who specializes in throat and vocal health. They may recommend voice assessments or further investigation if necessary.

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