None — BACKGROUND: Although the passion of Samantha Trattner's life, it was her vocal chords that were negatively impacting her health. Vocal chord dysfunction is a hidden, yet common and usually unsuspected, condition of the throat in which one experiences a closing or choking sensation that can strike at any age. Vocal chord dysfunction (VCD) is also known as paradoxical vocal fold-motion which is characterized as an abnormal adduction of the vocal chords during the respiratory cycle. (Source: Medline Plus)
CAUSES: VCD "episodes" can be triggered suddenly, or come on gradually. Many different things can trigger an episode. The primary causes for a VCD episode are believed to be gastroesophageal reflux disease (GERD), extra-esophageal reflux (EERD), exposure to inhaled allergens, post nasal drip, exercise, or neurological conditions that can cause difficulty inhaling only during waking. This disorder has been observed throughout the lifespan, from infants through old age, with the observation of its occurrence in infants leading clinicians to believe that a physiological cause is likely, such as reflux or allergy. ( Mayo Clinic)
DISTINGUISHING VCD: VCD is often characterized as being similar to asthma and is commonly treated with high-dose inhaled or systemic corticosteroids, bronchodilators, multiple emergency room visits, hospitalizations, and, in some cases, intubation. Patients with VCD can be distinguished from those with asthma because the localization of airflow obstruction to the laryngeal area. Limited opportunity exists however, when determining whether a patient has asthma or VCD because both groups have symptoms of wheezing, cough, and dyspnea. When Samantha was in middle school she was diagnosed with asthma but in high school her symptoms worsened. She was hospitalized and then diagnosed with VCD. ( Source: Mayo Clinic)
SPEECH THERAPHY: Speech therapy involves teaching the patient vocal cord relaxation techniques and breathing exercises. These procedures have proved to be very successful and are combined with psychological support in difficult cases. A speech therapist effectively teaches and communicates a comprehensive speech therapy plan with appropriate breathing exercises. If the patient can not find a knowledgeable speech therapist, they can be taught a breathing relaxation exercise with the use of a simple handout. (Source: Medline Plus)
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