Hoarseness is usually caused by a problem in the vocal cords. Most cases of hoarseness are associated with inflammation of the larynx (laryngitis). Persistent hoarseness (hoarseness that lingers for weeks or months) may be caused by a variety of problems ranging from trivial to dangerous.

Almost everyone has experienced laryngitis. The voice box (larynx) is located at the top of the airway to the lungs (windpipe, trachea) and contains the vocal cords. When they become inflamed or infected, they swell.

The most common form of laryngitis is an infectious illness usually caused by a virus and which results in hoarseness. It may also be part of a bacterial infection or part of a common cold, bronchitis or flu. Laryngitis often follows or occurs during an upper respiratory infection and is a self-limiting condition.

Several forms of laryngitis are peculiar to children and can lead to such things as croup.

Since most common laryngitis is viral, treatment with antibiotics is not indicated.

Naturally voice rest helps both the voice and to reduce inflammation of the vocal cords. A humidifier may provide comfort for the scratchy feeling sometimes associated with laryngitis. Consider adding a pint of white vinegar to hot water and using as an inhalation.

Consider gargling with diluted lemon juice and then alternating by gargling with black tea (do not drink the tea)

Seek professional advice if:

· There is difficulty in breathing, swallowing, or if drooling is present in a small child.

· Hoarseness is present in a child less than 3 months old.

· Hoarseness has lasted for more than 1 week in a child or 2 weeks in an adult.