Gastroesophageal reflux. Affections to the voice

Gastroesophageal reflux is a common medical condition that affects many people. It is characterized by the backflow of acidic stomach contents into the esophagus, which can cause a number of uncomfortable symptoms. However, in addition to digestive problems, gastroesophageal reflux can also have a negative impact on the voice. In this session, we will explore how this condition can affect vocal quality and provide tips for minimizing its effects on public speaking practice.

Gastroesophageal Reflux Mechanism

Gastroesophageal reflux occurs when the lower esophageal sphincter, a muscular structure at the bottom of the esophagus, does not close properly. This allows stomach acid to move up into the esophagus, irritating its lining. This irritation can spread to the vocal cords, causing various voice problems.

Voice impairment

Gastroesophageal reflux can have several effects on vocal quality:

• Hoarseness: irritation of the vocal cords due to stomach acid can cause hoarseness or a harsh, fatigued voice.
• Loss of volume: Direct contact of acid with the vocal cords can cause inflammation, which can decrease the volume and projection of the voice.
• Changes in timbre: Chronic reflux can alter the quality of vocal sound, making the voice sound more nasal, raspy or breathy.
• Difficulty modulating pitch: Irritation and inflammation in the vocal cords can make it difficult to control voice pitch, affecting expressiveness and the ability to convey emotions clearly.

Strategies to minimize the effects of reflux on the voice

Medical treatment: It is essential to seek medical attention for the diagnosis and treatment of gastroesophageal reflux. Medications and lifestyle changes recommended by a healthcare professional can help reduce symptoms and minimize the impact on the voice.

Avoid triggers: Identifying and avoiding foods and beverages that can trigger reflux is key to maintaining vocal health. Some common examples include spicy foods, citrus fruits, coffee, alcohol and fatty foods.

Vocal hygiene: Maintaining good vocal hygiene can help minimize the effects of reflux on the voice. This involves drinking enough water to keep the vocal cords hydrated, avoiding excessive alcohol and caffeine intake, and not straining the voice in case of irritation or hoarseness.

Vocal relaxation techniques: Practicing relaxation and breathing techniques can help reduce vocal cord tension and relieve symptoms related to gastroesophageal reflux. Vocal training with a voice professional may also be beneficial in learning how to use vocal structures more efficiently and minimize the impact of reflux.