Does Vaping Cause Laryngitis? What the Science Says

Vaping has become widespread, leading many to question its health impacts, including its connection to voice conditions. This article explores whether vaping can cause laryngitis, an inflammation of the voice box, and how it might affect voice production. It also outlines other common causes of laryngitis.

Understanding Laryngitis

Laryngitis describes an inflammation of the larynx, or voice box. When vocal cords become inflamed or irritated, they swell, preventing normal vibration and clear sound production. This often results in a hoarse or weak voice, or even a complete loss of voice.

Other common symptoms include a sore throat, a dry cough, a tickling sensation, and frequent throat clearing. Most cases are acute and typically resolve within one to two weeks. If symptoms persist for more than three weeks, the condition is classified as chronic laryngitis.

Vaping’s Impact on the Larynx and Vocal Cords

Vaping involves inhaling an aerosol containing various chemicals that can irritate the larynx and vocal cords. E-liquids typically include propylene glycol (PG), vegetable glycerin (VG), flavorings, and often nicotine. When heated and aerosolized, these substances affect vocal structures.

Propylene glycol, a common vape juice ingredient, is hygroscopic, meaning it attracts and absorbs moisture. As this aerosol passes over the vocal cords, it draws moisture from these tissues, leading to dryness and irritation. This dehydration can compromise vocal cord vibration, making them susceptible to irritation and injury.

Inhaling fine particulate matter and chemicals in vape aerosols can trigger an inflammatory response. Exposure to e-cigarette vapor can cause inflammation and swelling of the vocal cord lining, leading to cellular changes.

Specific flavorings such as menthol, cinnamon, or citrus, along with nicotine, can act as direct irritants. Nicotine itself can contribute to tissue irritation and may constrict blood vessels, potentially slowing the healing of vocal tissues. The overall effect of these components can make the vocal cords more fragile and prone to injury.

Identifying Vaping-Related Laryngitis

Laryngitis symptoms in vapers often mirror general laryngitis but can be directly linked to vaping habits. Vapers might experience persistent hoarseness, a chronically weak voice, frequent throat clearing, or a persistent dry cough, particularly after vaping sessions.

A feeling of dryness or scratchiness in the throat that intensifies after vaping is a common complaint. Some vapers report voice fatigue or a reduced vocal range. These symptoms can become more frequent or severe in individuals who vape heavily or use e-liquids with higher concentrations of irritants like propylene glycol or specific flavorings.

Common Laryngitis Triggers and Medical Guidance

While vaping can contribute to laryngeal irritation, many other factors cause laryngitis. Viral infections, such as the common cold or flu, are frequent culprits. Other causes include bacterial or fungal infections, acid reflux (GERD), and excessive voice use or strain. Allergies and exposure to environmental irritants like smoke, pollution, or chemical fumes can also lead to inflammation of the voice box.

If laryngitis symptoms persist for over two weeks, or include severe pain, difficulty breathing or swallowing, or a fever, seek medical attention. Sudden voice loss without a clear cause also warrants a doctor’s visit. For children, high-pitched breathing sounds or increased drooling with fever require immediate medical evaluation.

To manage laryngitis symptoms, rest the voice, avoiding loud talking and whispering. Stay well-hydrated by drinking plenty of fluids, and avoid caffeine and alcohol, which contribute to dehydration.

Using a humidifier can soothe irritated vocal cords. Gargling with warm salt water and sucking on lozenges also provide relief. If vaping is suspected as a cause, discontinuing or reducing its use is advisable to allow the vocal cords to heal.