APPENDIX II – Vocal Health


It is normal to have bouts of vocal fatigue, but when the fatigue continues for several days that should be a warning. Several things can lead to vocal fatigue: overuse or incorrect singing, stress, exhaustion, dehydration, illness. Learn to identify what causes your vocal fatigue. Hydration is very important for singers – drink plenty of water and have a humidified environment. Be aware of medication you are taking and how the voice is affected, especially allergy or other sinus medication, which can be drying.

Signs of vocal problems:

  • Vocal fatigue for several days
  • Loss or disturbance of tone, especially in the upper register and soft singing
  • Intonation problems
  • Hoarseness or breathiness
  • Loss of vocal control
  • Loss of Range
  • Difficulty phonating

Causes of vocal problems:

  • TMJ/TMD (temporomandibular dysfunction)
  • Reflux – acid indigestion
  • Stress – emotional, psychological, physical
  • Illness
  • Hormonal conditions – PMS, thyroid conditions, menopause, pregnancy, puberty
  • Vocal nodules
  • Ulcers, Polyps, Cysts, Hemorrhaging


MAINTAINING VOCAL HEALTH is an informative resource from University of Michigan Health.


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Vocal Techniques for the Instrumentalist Copyright © by Amy Rosine is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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