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Causes of voice problems include: Upper respiratory infections Inflammation caused by gastroesophageal reflux (sometimes called acid reflux, heartburn, or GERD) Vocal misuse and overuse Growths on the vocal folds, such as vocal nodules or laryngeal papillomatosis Cancer of the larynx Neurological diseases (such as spasmodic dysphonia or vocal fold paralysis) Psychological trauma

(Women tend to heed health warnings and take them more seriously than men.) Overcoming Barriers To Relapsing Getting through the first day of quitting is really important, says Aimee Richardson, a health coach and tobacco treatment specialist with Henry Ford Health