instruction: hello doctor it hurts to talk because I had screamed and lost my voice I screamed again the next day before my voice was back and that is when it hurt my doctor said I had laryngitis but that was like a month ago he gave me some antibiotics to take and keep quiet for 10 days which I did I still cannot talk fully I do not have hoarse my normal speaking is clear but I cannot talk louder or in higher pitches it kind of feels like there is a lump in my throat
output: hello when you had screamed some micro bleeding and abrasion of vocal cords would have occurred the same would have caused you pain and loss of voice temporarily the doctor would have tested laryngitis now you are possibly suffering from mild inflammation and edema of the region due to the said trauma the same makes you feel that there is a lump in the throat you need some supportive treatment for another few weeks I would suggest you take a proton pump inhibitors medicine like rabeprazole 20 my or pantoprazole 40 my twice daily in empty stomach for 15 days you also would have to take anti inflammatory medicines like trypsin chymotrypsin rutopside combination in an empty stomach twice daily for a week and then once daily for next week you should take antacid syearup like mucaine gel one teaspoon after each meal you are advised to avoid masala curries spicy food alcohol and smoke until you are better this way we help the tissues heal properly and vibrate normally do revert back if you need any further support or clarification