Geriatrics·Geriatrics
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Hoarseness is a change in your voice that makes it sound rough, scratchy, or strained. In older adults, it often happens because the vocal cords (the parts of your throat that produce sound) naturally age and thin out.
Key facts
Yes, hoarseness is very common as we get older.
It mainly affects people over 65, due to natural aging changes in the voice box (larynx).
Your doctor will ask about your symptoms and examine your throat. They may refer you to an ear, nose, and throat (ENT) specialist.
The doctor will gently examine your throat. A laryngoscopy is quick and not painful. You may be asked to speak while the doctor looks at your vocal cords.
Treatment depends on the cause. Many cases improve with rest and simple changes. Your doctor may recommend voice therapy or medication for reflux.
Hoarseness can be frustrating, but most people can manage it well. Use a microphone when speaking to groups, and take voice breaks. Stay hydrated and avoid dry, smoky environments.
A balanced diet with plenty of water helps keep vocal cords moist. Avoid spicy foods if you have reflux. Gentle exercise is fine; rest your voice during exertion.
Not all hoarseness can be prevented, but you can lower your risk. Protect your voice by avoiding strain, staying hydrated, and not smoking.
The outlook for hoarseness in older adults is generally very good. Most causes are treatable, and simple changes can bring back a clear voice. Even when the cause is age-related, voice therapy can help you communicate comfortably.
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Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 16, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.
Treatments may include voice therapy (exercises to improve voice), medications for acid reflux (such as proton pump inhibitors – your doctor will decide), or treatment for any underlying condition like Parkinson's. In some cases, a small injection to plump up the vocal cords (injection augmentation) can help if the vocal cords do not close properly.
Surgery is rarely needed. It may be considered for vocal cord growths or structural problems that do not get better with other treatments.
Hoarseness can affect social life and make you feel self-conscious. It may lead to frustration or sadness. Talk to your doctor if you feel down – support is available.