My 74 yr old father has advanced Alpha One Antitrypsin deficiency, suffering from both emphysema and liver cirrhosis. He is on chronic oxygen, has limited mobility and for years has been on inhalers. Recently he has been sleeping in until 11am. When he awakens his voice is strong, by 4pm it is nearly gone, but not just a voice loss he also has a change, sounding almost like a duck. When he lies down for a couple hours, his voice is restored. Why might this be? His only recent med change is he was started on nadolol for cirrhosis.
Melissa Kim M.S., CCC-SLP replies...
It is possible that it is simply a matter of fatigue that is contributing to your father's voice difficulties as the day progresses; however, the only way to pinpoint the true reason for this vocal decline is to be evaluated by an Ear, Nose, and Throat physician.
Good luck to you both!