Patients with vocal cord dysfunction complaint of severe long-term cough, occasional changes in vocal quality, and increased breathing difficulty. There are a handful of things that trigger this constellation of symptoms. Number one: talking, shouting, singing, screaming, yelling, karaoke. The second is perfumes, odors, and smells and changes in temperature going from hot to cold or cold to hot. Finally, foods less than pH 4 - meaning very acidic foods like sodas, bottled iced teas, citrus, tomato sauce, vinegar, and wine can all exacerbate this condition.
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