Laryngitis Homeopathic Approach

From Steven Guptha

DEFINITION:

This is defined as an acute inflammation of the laryngeal mucosa of the mild form ,often occurring as a manifestation of the generalized upper respiratory tract infection

ETIOLOGY:

It occurs primarily as a viral infection
Common viruses involved are influenza, rhino, adeno viruses, etc
It may be followed by secondary bacterial invasion

PRECIPITATING FACTORS:

• Allergy
• Winter and early spring
• Voice abuse
• Irritants-smoking, chemical fumes, excess alcohol, tobacco, acid reflex
• Trauma: thermal, chemical, mechanical, etc

PATHOLOGY:

1. Vasodilatation and hyperemia of the laryngeal mucosa
2. Generalized extra cellular edema
3. Sticky muco purulent exudates
4. Formation of pseudo membrane
5. Superficial abrasions or ulcerations
6. Perichondritis in the purulent form

CLINICAL FEATURES:

Severity is variable. In professional voice users even the minimal catarrh may give rise to severe symptoms
Children can be worst affected
SYMPTOMS:
GENERAL:
• Fever
• Malaise
• In rare cases toxaemia can also occur

IN ADULTS:

• Hoarseness usually followed by the upper respiratory tract infection or voice abuse
• Complete loss of voice in severe cases
• This is known as aphonia
• Dysphonia -difficulty in speaking
• Pain in the throat on swallowing and speaking
• Voice fatigue
• Painful irritant dry cough

IN CHILDREN:

• Symptoms are more severe than in adults
• Patients may have dysphagia due to involvement of epiglottis and arytenoids
• Dyspnoea and breathing difficulty may be present in very severe forms

SIGNS:

1. Raised temperature
2. Husky hoarse voice
3. Generalized nasal and pharyngeal congestion
4. Congestion and edema of epiglottis
5. This is more severe in children
6. Thick inspissated mucous secretions

MANAGEMENT:

• Bed rest
• Avoidance of alcohol and cold weather
• Voice rest
• Steam inhalation for the temporarily relief from the complaints

HOMOEOPATHIC APPROACH:

CAUSTICUM:

Dryness of the larynx and sensitiveness extending to the chest
Hoarseness and rawness and scraping in the chest
There is dry unsatisfactory dry hallow cough
Hoarseness of speakers and singers
This is worse in the mornings and cold weather
Complete loss of the voice that he cannot speak loud

PHOSPHORUS:

Evening hoarseness with great sensitiveness and dryness in the larynx
It hurts and tires the patient to talk
Voice is rough and the expectoration is scanty and the use of voice brings on the cough
The soreness lies in the larynx
Paralytic aphonia secondary to the laryngeal catarrhs

HEPAR SULPH:

Laryngeal affections in children after the exposure to the dry , cold winds
There is croupy cough and hoarseness and worse in the mornings
Patient is very sensitive to the slightest draft of air
Laryngeal troubles in the professional singers
Voice is rough , hoarse and deep

AURUM TRIPHYLLUM:

Hoarseness of the singers and orators
Voice suddenly gives out which is the guiding feature of thus remedy
A cracked voice from over use and hoarseness
Expectoration is transparent mucous from the larynx worse in the mornings
 
CARBO VEG:

This remedy suits a painless hoarseness
This is particularly brought on by the exposure to the damp evening air
This is worse in the evenings, though it appears in the mornings on waking and worse in the moist cool weather
Soreness in the larynx with the sensation of rawness

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