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Common causes of dysphonia fall into a few main categories: Functional causes (very common): These happen when the voice is used in ways that strain the vocal cords, such as: Talking or yelling for long periods Poor vocal habits or frequent throat clearing Muscle tension dysphonia , where voice muscles work too hard Structural causes: Physical changes to the vocal cords can affect vibration, including: Vocal nodules , polyps, or cysts Swelling from laryngitis , allergies, or acid reflux Scarring or injury to the vocal cords Neurological causes: Conditions that affect nerves or muscle control may change how the vocal cords move, such as: Vocal cord paralysis Parkinsons disease or stroke Medical or environmental causes: Other health and lifestyle factors can also play a role: Respiratory infections Smoking or irritants Hormonal or autoimmune conditions Because the voice depends on breathing, muscles, nerves, and tissue working together, even small changes can affect how you sound

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