Friday, May 29, 2015

Breathing Issue

I have seen a variety of specialists-diagnosed as having no LPR present (last ENT said there was) by two different specialists, and as having vocal cord dysfunction. Breathing exercises help a little and .5 mg. of Klonopin helps a lot, but doctor wants me off it. Are there other treatments that work for this? Symptoms are no heartburn at all, no problems with food, breathing difficulties, and lump in throat. Occasionally, cords bowed over. Happens every day.

Melissa Kim, M.S., CCC-SLP writes... 

It sounds as though your treatment plan is appropriate, as the typical treatment for Paradoxical Vocal Fold Motion, sometimes referred to as "vocal cord dysfunction," addresses any underlying cause (e.g., anxiety, reflux) in addition to respiratory re-training with a speech pathologist experienced in treating this disorder. 

If the current management strategies have not successfully addressed your symptoms, however, then I would suggest that you seek out another opinion.

Good luck to you!

Tuesday, May 5, 2015

Speech and Language Services



Our pediatric speech-language pathologists at the Milton J. Dance Jr. Head and Neck Center evaluate and treat children of all ages who have difficulty communicating.

Speech

Children who need help with their speech development may be hard to understand. They may have trouble saying sounds and words correctly or may not be speaking at all. At our Center pediatric speech pathologists specialize in helping children with a variety of speech problems including: articulation difficulty, apraxia of speech, phonological processing disorders, stuttering, voice disorders, and speech-resonance issues associated with cleft lip and palate.

Language

Children who need help with language development may struggle with understanding spoken or written information such as directions, questions, and stories (receptive language). They may have trouble using words or symbols to communicate, using correct grammar, or may not speak at all (expressive language). Children with language disorders or delays may also have trouble with social communication (pragmatics) and have trouble interacting with others, making proper eye contact, or staying on topic. Our pediatric speech-language pathologists specialize in helping children who have language difficulty due to these communication barriers.

LEARN MORE

Monday, April 27, 2015

Laryngospasm?

About 3 or 4 minutes AFTER performing highly aerobic dance (this never happens DURING the performance) I experience a severe tickle in my throat, followed by very frightening stridor. Drinking water irritates that tickle, and even air that I inhale irritates it. The worst part of this episode can last as long as 20 minutes. While I have been told that I am actually getting sufficient oxygen, it feels like I can't inhale. I will probably resign from the dance team because of this, even though I love it. Any hope for preventing these unpleasant episodes?

Melissa Kim, M.S., CCC-SLP writes...

I would suggest evaluation by a laryngologist (an Ear, Nose, and Throat physician who specializes in the larynx) for evaluation of possible Paradoxical Vocal Fold Motion (PVFM). PVFM is a disorder in which the the vocal folds behave normally most of the time, but inappropriately close on inhalation during an episode. The cause of PVFM is not always well understood, but triggers may include allergies, acid reflux, anxiety/ panic disorder, or frequent upper respiratory infections - to name a few. In addition to treatment for any underlying cause, therapy with a speech pathologist is crucial to learn techniques to interrupt the inappropriate vocal fold movement and stop an episode.

Best of luck to you!

Wednesday, April 15, 2015

Polyps Removed - Unable to Speak

I had polyps removed one week ago and have not been able to speak since. The doctor told me that I CAN talk, but my vocal cords don't know it yet. (Muscle tension dysphonia). I cannot find a voice therapist who can see me in less than six weeks, and I'm only able to make deep, grunting sounds. Are there any vocal exercises I can do until I see the therapist? The only input I got from my ENT is to hum.

Melissa Kim, M.S., CCC-SLP writes...

You can certainly try to produce any vocalization you would like - I wouldn't recommend any specific exercise. I'm sorry that you're not able to see a speech pathologist sooner; perhaps your physician could offer you another referral.

Good luck to you!

Swelling of Vocal Cords

My vocal cords start swelling after I talk for an hour or more unlike other people. Does post-nasal cause swelling of vocal cords? My doctor suggested that I have anti allergic. Does post nasal cause mild changes in voice? This is the only question I wanted to ask.
Thanks :)

Melissa Kim, M.S., CCC-SLP writes...

Yes, it is possible that post-nasal drip may cause swelling of the vocal folds and associated vocal changes.

Best regards