• Vocal Overuse or Misuse: Frequent yelling, speaking loudly for long periods, or speaking incorrectly can strain the vocal cords.
  • Acid Reflux: Gastroesophageal reflux disease (GERD) can irritate the vocal cords when stomach acid reaches the throat.
  • Infections: Viral or bacterial infections (such as a cold or laryngitis) can lead to temporary voice changes.
  • Smoking and Alcohol Use: Both can irritate the vocal cords and contribute to long-term damage.
  • Allergies: Allergic reactions can cause throat irritation, leading to hoarseness or other voice changes.
  • Neurological Disorders: Conditions like Parkinson’s disease, stroke, or multiple sclerosis can affect the muscles and nerves that control the voice.
  • Thyroid Problems: Disorders of the thyroid can affect voice quality and cause hoarseness.
  • Trauma or Injury: Direct injury to the voice box or neck, including surgery, can lead to voice problems.
  • Psychological Factors: Stress, anxiety, or emotional strain can sometimes contribute to voice issues.