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Everyday care

My voice goes hoarse after talking all day. Why?

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Talking all day means your vocal folds come together and vibrate again and again; teachers in one study started voicing about 1,800 times an hour at work. Loud talking over noise, a dry throat and few breaks tire them. A US guideline advises a check if hoarseness lasts 4 weeks.

When you talk all day, the two small bands of tissue in your voice box that make sound, the vocal folds, do a great deal of work. The US National Institute on Deafness and Other Communication Disorders (NIDCD) explains that they snap together and vibrate each time you speak, and lists teachers, sales people and others who talk for work as making great demands on their voices. In a 2007 study that recorded teachers for two weeks, their voice was in use 23% of the time at work. Talking loudly over noise, a dry throat and few breaks add to the load. A 2018 US clinical guideline says the voice box should be checked if hoarseness lasts 4 weeks without going away or getting better.

What happens in my throat when I talk all day?

Your voice starts in the larynx, or voice box, which sits between the base of the tongue and the top of the windpipe.

How the voice is made

NIDCD explains that when you are not speaking, the vocal folds stay open so you can breathe. When you speak, they snap together while air from the lungs blows past, making them vibrate. The vibrations become sound, which the throat, nose and mouth shape into your voice. Each sentence means the folds coming together and parting again and again.

How much a working voice is used

Researchers in the United States have measured this with small devices that record how often a person's voice is in use.

Study Who was measured What they found
Titze, Hunter and Švec, 2007 31 teachers, all waking hours for 2 weeks Voice in use 23% of the time at work, 13% after work and 12% at weekends; about 1,800 starts and stops of voicing an hour at work and 1,200 outside work
Hunter and Titze, 2010 57 teachers, 2 weeks each Voicing at work more than twice that outside work, around 30% per hour on average; loudness at work about 1 dB higher and steady through the day; pitch higher at work and rising through the day

In the 2010 study by Eric Hunter and Ingo Titze, the authors pointed out that talking after work is added to a voice that has already been working hard all day. Both studies involved small groups of US teachers, so they show a pattern rather than a figure for every job.

Pushing, dryness and noise

MedlinePlus, from the US National Library of Medicine, says that talking too much, screaming, constantly clearing your throat or smoking can make you hoarse. The voice-care leaflet from the Department of Communication Sciences and Disorders at Ramathibodi Hospital, Mahidol University, lists overusing the voice among the reasons, says it is often seen in people who use their voice for work, and describes habits such as shouting, talking over loud noise, forcing the voice, talking at a pitch that is too high or too low for a long time, tensing the neck and shoulders, and breathing in through the mouth while talking, which brings dry air and dust into the throat.

Dryness matters too. A 2010 review by Mahalakshmi Sivasankar and Ciara Leydon found that when the body or the surface of the vocal folds is dried out, aerodynamic and acoustic measures of speakers' voice production go up. The same review says that strong evidence on how well hydration measures work is still lacking.

Who gets a tired, hoarse voice most often?

People who talk for a living, and women more than men, according to several surveys.

What the surveys found

Study Who was asked Finding
Roy and colleagues, 2004 2,531 adults in Iowa and Utah, USA (1,243 teachers) A voice problem at the time: 11.0% of teachers, 6.2% of others. Ever in their life: 57.7% of teachers, 28.8% of others
Hunter and Banks, 2017 640 US teachers (518 women, 122 men) Compared with adults without voice problems, about 3 times as likely to report a tired voice or avoiding talking, and more than 3 times as likely to report physical discomfort when talking
Banks, Bottalico and Hunter, 2017 506 US women teachers The number of students a classroom held affected how much vocal tiredness teachers reported; the age effect was largest at around 40 to 45

In the 2004 survey by Nelson Roy and colleagues, women had had voice problems more often than men over their lifetime (46.3% compared with 36.9%), and being aged 40 to 59 was also linked with having had one. The survey by Hunter and Banks found women teachers reported more vocal tiredness than men. The 2018 US guideline says hoarseness affects nearly one-third of people at some point in their life.

What these numbers can and cannot tell you

All three surveys asked people to describe their own voice, and all were done in the United States. They show that a tired voice is common among people who talk for work. They cannot tell you the reason for your own hoarseness; only an examination can.

Which everyday habits strain the voice?

Many jobs in Thailand ask a lot of the voice: teaching, selling at a market or shop counter, tour guiding, call centres, coaching and leading meetings. The habits below come from NIDCD and Ramathibodi Hospital's advice.

Habits that add strain

Habit Why it matters, according to the source Where it happens in Thai working life
Talking over noise NIDCD says trying to talk above noise strains the voice Classrooms with fans running, markets, restaurants, construction sites
Talking for hours without a break Ramathibodi advises against talking for many hours in a row Back-to-back classes, all-day sales shifts
Shouting or whispering NIDCD says talking too loudly and too softly can both stress the voice Calling across a school field, whispering in the library
Talking from the throat without breath support NIDCD says this puts great strain on the voice Long sentences until you run out of breath, which Ramathibodi also advises against
Breathing in through the mouth in cold, dry rooms Ramathibodi says this brings dry air into the throat Air-conditioned offices, malls and classrooms
Clearing the throat often MedlinePlus lists constant throat clearing as a cause of hoarseness A habit during long meetings or calls
Cradling the phone between head and shoulder NIDCD lists this among things to avoid Long calls at a desk or shop counter

How can I look after my voice during a long day of talking?

NIDCD and Ramathibodi Hospital both give practical advice for people who use their voice a lot. These are everyday habits for anyone who talks a lot.

During the working day

  • Take vocal naps. NIDCD suggests resting your voice throughout the day. Short quiet breaks between classes, calls or customers count.
  • Sip water. NIDCD advises drinking plenty of water, and Ramathibodi suggests sipping water often when your throat feels dry.
  • Let the equipment do the work. NIDCD suggests a lightweight microphone and speaker in classrooms, exhibit areas and exercise rooms.
  • Move closer instead of louder. Ramathibodi advises standing close to the person you are talking to so you do not need to shout.
  • Breathe from the chest. NIDCD says to support your voice with deep breaths rather than relying on your throat alone.
  • Stop when your throat feels dry. Ramathibodi advises that people who use their voice a lot should stop talking for a while when their throat feels dry.

After work and at home

Situation What NIDCD and Ramathibodi suggest
Your voice already feels hoarse or tired Avoid speaking or singing while it is hoarse or tired (NIDCD)
A noisy room, TV or hairdryer in the background Avoid talking over the noise (NIDCD, Ramathibodi)
Air-conditioned or dry rooms NIDCD suggests a humidifier at home, with about 30% humidity
Coffee, tea, alcohol or fizzy drinks NIDCD: balance caffeinated drinks and alcohol with plenty of water; Ramathibodi lists them among things to avoid for the voice
Smoke Avoid smoking and second-hand smoke (NIDCD, Ramathibodi)
Tiredness NIDCD says physical tiredness has a negative effect on the voice, so get enough rest

NIDCD also suggests not using alcohol-based mouthwash and asking your doctor which medicines may dry out the vocal folds if you have voice problems. If your throat is also sore, see Sore throat: what should I eat, and what should I skip?

When should I get my hoarse voice checked?

Hoarseness after a long day that settles with rest is common. Hoarseness that stays is a reason to have the voice box looked at.

What the US guideline says

The 2018 clinical guideline by Stachler and colleagues, written for doctors, says the voice box should be examined, usually with a small camera, if hoarseness lasts 4 weeks without going away or getting better. It lists situations where it should be checked sooner:

  • a lump in the neck
  • difficulty breathing or noisy breathing
  • recent surgery on the head, neck or chest
  • a recent breathing tube
  • a history of smoking
  • relying on your voice for work, which the guideline lists as a group that may need to be seen sooner

Who can help

NIDCD says an ear, nose and throat (ENT) doctor can find the cause of a voice problem and may refer you to a speech-language pathologist, who can help you use your voice in a healthy way. In Thailand, hospital ENT departments examine the voice box, and Ramathibodi Hospital's leaflet notes that speech therapists assess the voice by listening and with instruments.

Do not wait if breathing is hard

If you are struggling to breathe, or your breathing has become very noisy, get medical help straight away rather than waiting to see whether it settles.

What to tell the doctor

  • how long your voice has been hoarse, and whether it gets better after a weekend or holiday
  • how many hours a day you talk for work, and in what kind of noise
  • whether you smoke
  • any medicines you take regularly

Frequently asked questions

Why does my voice go hoarse after talking all day?

The US National Institute on Deafness and Other Communication Disorders (NIDCD) explains that your voice comes from two bands of tissue in the voice box, the vocal folds, which snap together and vibrate as air from the lungs passes. A long day of talking means a great deal of this work. MedlinePlus lists talking too much, screaming and constantly clearing your throat among things that can make you hoarse, and Ramathibodi Hospital's voice-care advice adds talking over loud noise and talking for hours without a break.

How much do teachers actually use their voice?

A 2007 study that recorded 31 US teachers for two weeks found their voice was in use 23% of the time at work, compared with 13% after work and 12% at weekends, with about 1,800 starts and stops of voicing an hour at work. A 2010 study of 57 teachers found voicing at work was more than twice that outside work, and that the voice was pitched higher at work and rose in pitch through the school day, while loudness at work was about 1 dB higher and stayed steady through the day.

Are teachers more likely to have voice problems?

In a 2004 telephone survey of 2,531 adults in two US states, 11.0% of teachers had a voice problem at the time, compared with 6.2% of other adults, and 57.7% of teachers had had one at some point, compared with 28.8%. Women reported voice problems more often than men. A 2018 US guideline says hoarseness affects nearly one-third of people at some point in life.

What can I do during a long day of talking?

NIDCD suggests taking vocal naps to rest your voice through the day, drinking plenty of water, avoiding talking in noisy places, using a microphone in classrooms and similar rooms, supporting your voice with deep breaths, and not screaming or whispering. Ramathibodi Hospital advises sipping water when your throat feels dry, standing close to the person you are talking to, and not talking for many hours without a break.

Is whispering better for a tired voice?

No. NIDCD advises avoiding the extremes of your vocal range, such as screaming or whispering, because talking too loudly and too softly can both stress your voice. If your voice is hoarse or tired, NIDCD advises avoiding speaking or singing while it is hoarse or tired.

When should I see a doctor about a hoarse voice?

A 2018 US clinical guideline says the voice box should be examined if hoarseness lasts 4 weeks without going away or getting better, or sooner if there is a lump in the neck, difficulty breathing or noisy breathing, recent surgery on the head, neck or chest, a recent breathing tube, or a history of smoking. It also lists people who rely on their voice for work among those who may need to be seen sooner. An ear, nose and throat (ENT) doctor can examine the voice box.