Have you ever noticed how someone’s voice turns a little hoarse when they are smoking? This isn’t a coincidence. In fact, the connection is so strong that global musicians such as Adele, Lady Gaga, Sam Smith, Miley Cyrus, and even Vishal Dadlani went public with their fear of losing their signature voice quality because of their years-long habit of smoking. But what is the link?
“Cigarette smoke irritates and inflames the delicate tissues of the larynx, commonly known as the voice box,” explains Dr Neetu Jain, senior consultant, pulmonology and sleep medicine, at PSRI Hospital, Delhi. This inflammation changes the way the cords vibrate, resulting in the classic smoker’s voice – lower, hoarser, and raspier.
According to her, even one cigarette can cause irritation, dryness, and temporary swelling in the throat. While occasional smoking doesn’t typically result in permanent damage, repeated exposure may cause chronic inflammation, thickened vocal cords, and, in some cases, the formation of nodules or polyps. In extreme instances, it can lead to “permanent scarring, precancerous changes, or even laryngeal cancer.”
E-cigarettes or vapes are no better alternative in this context. Dr Jain points out that the heat, chemicals, and flavoring agents present in them can still cause dryness, inflammation, and hoarseness, to a lesser degree. The long-term effects, however, “are still being studied” and remain unknown.
If you’ve been experiencing hoarseness, don’t panic; the damage is often reversible in the early stages. “If you quit smoking, inflammation usually decreases within weeks to months, and the vocal cords regain some of their natural flexibility,” assures Dr Jain. Sadly, this doesn’t apply to cases where significant scarring or growths have developed, leading to permanent voice damage.
So, when exactly should you start worrying? Voice hoarseness isn’t the only indicator of voice box damage. “Frequent throat clearing, a slightly lower pitch, a rough or gravelly tone, and reduced vocal stamina – especially when speaking or singing for long periods – are classic early signs,” Dr Jain explains. As soon as you start experiencing these symptoms, it is highly recommended to stop smoking to nip the problem in the bud.
DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.
