instruction: hello doctor I am a singer and I have a big problem with my voice I really hope you can help my voice is fine for the 10 months of the year but right when summer starts I completely lose my voice this started last year when I started getting uncomfortable when singing at first just the higher notes that are not even that high for me but by the middle of july my voice was completely gone I went to many doctors but nobody could help me my voice started getting better in september and was completely fine in november now it is again very uncomfortable to sing I suddenly have breathiness where it should not be my voice is not consistent nor reliable I am considering voice therapy but do not want to spend so much money again and not getting help I also struggle a lot with very bad anxiety but I do not feel it getting so much worse in the summer maybe just a little
output: hi I feel you are having seasonal acute laryngitis first and foremost acute inflammation of the vocal cords what we call as acute laryngitis requires proper precautionary measures for a certain amount of time with proper treatment failing which the problems will recur again after a short span of relief my advice to you would be to give absolute voice rest during that period now absolute voice rest means you should not even be saying yes no during the day the vocal cords require time to heal completely and this takes usually 10 to 14 days for things to completely settle down make sure you do not strain your voice during that season you can also follow the advice given and can be considered during the episodes of laryngitis tablet wysolone 20 my once a day after fast for days followed by 10 my for days and finally followed by my for next days this is a steroid and to be taken only when is voice is completely gone and not otherwise drink lots of boiled warm water every hours steam inhalation will also be useful salt gargles to times a day will also bring a lot of benefit absolute voice rest