Can vocal cord nodules be treated with medication?

Written by Deng Bang Yu
Otolaryngology
Updated on September 02, 2024
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Vocal cord nodules are small, dot-like or nodular protrusions occurring on the free edges of both vocal cords. These protrusions are quite small, and are primarily diagnosed using an electronic laryngoscope in clinical settings. For the treatment of vocal cord nodules, we can use certain medications, such as Huang's Resonant Voice Pills and Qingyin Sanjie Pills, which generally have relatively good effects. However, in clinical practice, we cannot rely solely on medication to treat vocal cord nodules. It is fundamental in the treatment of vocal cord nodules to avoid misuse of the voice. Attention must be paid to the training of correct pronunciation methods. Only through such measures can vocal cord nodules be fully treated, preventing recurrence or further development into vocal cord polyps.

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Otolaryngology
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Symptoms of cancerous changes in vocal cord nodules

The possibility of malignant transformation of vocal cord nodules is very small. If cancerous transformation occurs, the patient will experience persistent hoarseness, as well as symptoms such as difficulty in breathing, difficulty in swallowing, persistent cough, and blood in the sputum. Vocal cord nodules are caused by prolonged improper use of the voice, shouting, or long-term irritation of the vocal cords by acid reflux. If patients do not undergo surgical treatment, the vocal cord nodules may continue to enlarge and undergo cellular mutations, leading to malignancy. At this point, patients may find cauliflower-like neoplasms or ulcers on the surface of the vocal cords. They will experience hoarseness, difficulty breathing, and difficulty swallowing. At this stage, it is necessary to perform a local biopsy. If a malignant tumor is confirmed, localized surgical treatment can lead to improvement.

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Written by Li Mao Cai
Otolaryngology
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How to treat vocal cord nodules?

The main symptom of vocal cord nodules is a hoarse voice, and some people often experience coughing. The cause of vocal cord nodules is related to excessive talking or improper use of the voice, such as in occupations like teachers, salespeople, and singers. Besides voice therapy, another treatment option is nebulizer inhalation, which is used to alleviate symptoms. Commonly used medications include corticosteroids, such as budesonide for nebulizer inhalation treatment, twice a day, one dose each time, but voice therapy is a prerequisite. Without voice therapy and correct voice usage, treatment with medication alone through nebulizer inhalation will not be effective, and the symptoms will not improve significantly. Some patients with vocal cord nodules do not need medication and can fully recover their normal voice and have the nodules disappear just by proper voice therapy and resting the voice for a period. Therefore, voice therapy is the best treatment for this condition.

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Written by Li Mao Cai
Otolaryngology
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What should be noted for vocal cord nodules?

Vocal cord nodules primarily require attention to speaking less and proper pronunciation as these measures address the causes of vocal cord nodules, which are due to excessive speaking and improper voicing. Therefore, these two factors need to be carefully considered. Additionally, in daily life, it's important to avoid environments with smoke and alcohol; do not smoke or inhale secondhand smoke. In terms of diet, consume light meals and avoid spicy and irritating foods. Emotionally, do not be hasty and especially avoid yelling, as there is a significant relationship between vocal cord nodules and emotional agitation or impatience.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord nodules be cured by taking medicine?

Vocal cord nodules are benign occupying lesions occurring on the free edge of our bilateral vocal cords, and they mainly manifest clinically as progressive hoarseness. Clinically, treatment primarily involves medication. The main treatments are some traditional Chinese medicines that clear the throat, such as Huang's Resounding Pills, and some corticosteroid medications can also be used. In addition to medication, clinical treatment of vocal cord nodules also involves attention to proper vocalization techniques and avoiding the misuse of the voice. With a combination of these methods, the vast majority of cases can be cured, meaning that through medication and proper vocal techniques, most can be healed.

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Written by Li Rui
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Can you eat fish with vocal cord nodules?

Patients with vocal cord nodules can eat fish, as fish is a common food and it does not have direct side effects or exacerbate existing symptoms related to vocal cord nodules, nor does it conflict with medications used to treat vocal cord nodules. It is recommended that patients with vocal cord nodules adopt a lighter diet, avoid spicy and irritating foods, and it is advised not to smoke or drink alcohol. Regular check-ups at an otolaryngology department are also recommended. If symptoms like hoarseness occur, it is necessary to combine treatment with traditional Chinese medicine taken orally and nebulization therapy. During the treatment process, regular check-ups are required to observe the treatment effects, and a small number of patients may need surgical treatment. (Please follow the guidance of a professional physician regarding medication usage.)