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Persistent Hoarseness: Causes, Treatments, and When to See a Doctor


Question
I have been hoarse for the last seven days.  No sore throat, no congestion, just hoarse.  This has happened in the past and last over a month.  My internist referred me to an ENT so said it was caused by a combination of my allergy medicine (Claritin and Flonase) and my asthma medicine (Advair).  He gave me a prescription for Guaifenesin DM (1200 mg/60 mg) to "counteract it".  I have been taking it twice a day for the last week, but no change.  Do you have any ideas or suggestions?  Thanks!

Answer
hoarseness has a few causes.... gastric reflux, esp some acid coming up at night.  Also allergies, as you are treated for.... I would check a mini cat scan of sinus'.  Also, could be a mild fungal infection from the advair use... the steroid sometimes suppresses immune response and that can occur.  Mycelex troche, or nystatin oral suspension if your doc thinks that could be a cause.  Overall, it is usually a mild upper respiratory infection or allergies though..... good luck with it