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Most acute cases caused by respiratory virus.

  • Rest at home including voice rest (best treatment)

  • Avoid talking, use voice sparingly (hoarseness lasts 3–14 d)

  • Use warm sialogogues (e.g. hot lemon drinks)

  • Avoid whispering

  • Drink ample fluids, especially water

  • Avoid smoking and passive smoke

  • Use steam inhalations (5 mins tds)

  • Humidity helps, esp. hot steamy showers

  • Consider use of cough suppressants, esp. mucolytic agents

  • Use simple analgesics, e.g. paracetamol or aspirin

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