Nasal Voice Symptoms, Causes & Common Questions

Understand your nasal voice symptoms, including 5 causes & common questions.

  1. Nasal Voice Symptoms
  2. Nasal Voice Causes
  3. 5 Possible Nasal Voice Conditions
  4. Nasal Voice Treatments & Prevention
  5. Real-Life Stories
  6. Questions Your Doctor May Ask
  7. Statistics
  8. Related Articles
  9. References

Nasal Voice Symptoms

When the cold season comes around, you may expect to suffer from a runny nose. A runny nose may cause you to lose basic functioning like smelling or breathing. An often under-appreciated function of the nose is the part it plays in phonation, or your ability to speak. When you speak, air from your lungs vibrates your vocal cords and creates sound waves. These waves then pass through your mouth and your nose, where they're changed to create your unique voice. Anything that restricts the flow of air through your nasal passages can give your voice a squeaky, nasal sound. Colds, allergies, and congestion are classic causes.

Common accompanying symptoms of nasal voice

If you're experiencing a nasal voice, it is also likely to experience the following:

Nasal Voice Causes

Most of the time, a nasal voice is due to congestion of the nasal turbinates. These components are outpouchings of tissue in your nose that help warm and clean the air you breathe. When these become inflamed because of allergies, a cold, or a sinus infection, they change the airflow through your nose and affect the quality of your voice.

Infectious causes

Your nose is the frontline of exposure to common germs. If you get a viral, bacterial, or fungal infection, you may get a stuffy nose and change in your voice [2,3].

Environmental causes

An inflammatory reaction from allergies can cause nasal congestion and nasal voice. Certain medications like aspirin can trigger nasal inflammation in some individuals through a similar mechanism [4,6].

Other causes

Other less common causes of a nasal voice include the following.

  • Masses: Tumors or polyps can block airflow and cause nasal voice and frequent infection.
  • Structure: Any alteration of the internal structure of your nose, such as a deviated septum, can change the sound of your voice.
  • Culture: Some accents are more nasal in sound [5].

5 Possible Nasal Voice Conditions

The list below shows results from the use of our quiz by Buoy users who experienced nasal voice. This list does not constitute medical advice and may not accurately represent what you have.

Acid reflux disease (gerd)

GERD (gastroesophageal reflux disease) in infants refers to the passage of stomach contents into the throat causing troublesome symptoms, such as feeding intolerance, inadequate oral intake of calories and/or poor weight gain. Vomiting or visible regurgitation ...

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Common cold

The common cold is a viral infection of the upper respiratory tract, which includes the nose, mouth, sinuses, throat, and larynx. There are over 200 viruses that can cause upper respiratory infections, and usually the exact virus behind a cold is never known.

The common cold is, of course, very common...

Read more

Nasal Voice Symptom Checker

Take a quiz to find out what might be causing your nasal voice

Acute bacterial sinusitis

Acute bacterial sinusitis, also called bacterial rhinosinusitis or "sinus infection," has symptoms much like viral rhinosinusitis but a different treatment.

Any sinusitis usually begins with common cold viruses. Sometimes a secondary bacterial infection takes hold. Like cold viruses, these bacteria can be inhaled after an infected person coughs or sneezes.

Anyone with viral sinusitis, upper-respiratory allergy, nasal passage abnormality, lung illness, or a weakened immune system is more prone to bacterial sinusitis.

Symptoms include thick yellowish or greenish nasal discharge; one-sided pain in the upper jaw or teeth; one-sided sinus pain and pressure; fatigue; fever; and symptoms that get worse after first improving.

See a doctor right away for severe headache, high fever, stiff neck, or vision changes. These can indicate a medical emergency.

Diagnosis is made with a simple examination in the doctor's office.

Bacterial sinusitis can be treated with antibiotics, but this is not always necessary. Often rest, fluids, and over-the-counter pain relievers and decongestants are enough.

Prevention is done through good lifestyle and hygiene to keep the immune system strong.

Rarity: Common

Top Symptoms: fatigue, headache, cough, sinusitis symptoms, muscle aches

Symptoms that always occur with acute bacterial sinusitis: sinusitis symptoms

Symptoms that never occur with acute bacterial sinusitis: clear runny nose, being severely ill

Urgency: Primary care doctor

Acute viral sinusitis

Acute viral sinusitis, also called viral rhinosinusitis or "sinus infection," occurs when viruses take hold and multiply in the sinus cavities of the face.

It is most often caused by the same viruses that cause the common cold and spreads the same way, through an infected person's coughing or sneezing.

Because children have small, underdeveloped sinuses, this illness is far more common in adults.

Symptoms include clear nasal discharge (not greenish or yellowish,) fever, and pain if facial sinuses are pressed.

If there is rash, severe fatigue, or neurologic symptoms (seizures, loss of sensation, weakness, or partial paralysis,) see a medical provider to rule out more serious conditions.

Diagnosis can usually be made through history and examination alone.

Antibiotics only work against bacteria and cannot help against a viral illness. Therefore, treatment consists of rest, fluids, and fever/pain reducers such as ibuprofen. (Do not give aspirin to children.) Symptoms of viral sinusitis last for about seven to ten days. As with the common cold, the best prevention is frequent and thorough handwashing.

Rarity: Common

Top Symptoms: headache, cough, sinusitis symptoms, sore throat, congestion

Symptoms that always occur with acute viral sinusitis: sinusitis symptoms

Symptoms that never occur with acute viral sinusitis: being severely ill

Urgency: Self-treatment

Digeorge syndrome

DiGeorge syndrome (22q11.2 deletion syndrome), a disorder caused by a defect in chromosome 22, results in the poor development of several body systems. Medical problems commonly associated with DiGeorge syndrome include heart defects, poor immune system function, a cleft palate, complications related to low levels of calcium in the blood and behavioral disorders.

Rarity: Rare

Top Symptoms: hearing loss, trouble swallowing, facial asymmetry, nasal voice, having more than 10 fingers or toes

Urgency: Primary care doctor

Nasal Voice Treatments and Relief

At-home treatments

At-home treatments may relieve some of your nasal voice symptoms.

  • Saline spray: Sprays of intranasal saline can diminish inflammation and resultant nasal voice [7].
  • Steroid spray: Steroid sprays can limit nasal inflammation from allergies.
  • Decongestants: Decongestants such as pseudoephedrine can temporarily limit nasal congestion, but you shouldn't use them for more than three consecutive days.
  • Antihistamines: If your nasal voice is connected to allergies, you can try over-the-counter antihistamines.
  • Neti pot: Consult your doctor, but it may help you to rinse out your nose with a solution of distilled water, salt, and baking soda [8].

When to see a doctor

If you experience frequent episodes of nasal voice or congestion, chronic nasal voice, a worsening nasal voice, or nasal voice or congestion after using certain medications, you should see a physician.

Medical treatments

After consulting your physician, he or she may recommend the following treatments.

  • Imaging and endoscopy: For chronic nasal obstruction or nasal voice, a physician may look inside your nose using X-rays or a special camera (scope). These procedures make sure there are no masses or structural defects causing your nasal voice symptoms [1].
  • Medication: Your physician may prescribe medications that reduce nasal congestion [9].
  • Surgery: In rare cases, nasal voice may be due to a mass or a structural defect in the nasal cavity. An otolaryngologist (ENT physician) can perform surgery to remove these masses or fix these defects [9].

When it is an emergency

You should seek help without delay if you experience any of the following [10-14].

  • Intractable nosebleed
  • Inability to breathe through your nose or mouth
  • Airway swelling
  • Fever
  • Rapidly progressing fever, headache, facial swelling, or green nasal discharge: Especially if you have diabetes

Real-life Stories

Once your story is reviewed and approved by our editors, it will live on Buoy as a helpful resource for anyone who may be dealing with something similar. If you want to learn more, try Buoy Assistant.

Questions Your Doctor May Ask About Nasal Voice

To diagnose this condition, your doctor would likely ask the following questions:

  • Have you been feeling more tired than usual, lethargic or fatigued despite sleeping a normal amount?
  • Do you have a stuffy nose?
  • Do you have a sore throat?
  • Are you experiencing a headache?

If you've answered yes to one or more of these questions

Nasal Voice Symptom Checker

Take a quiz to find out what might be causing your nasal voice

Nasal Voice Symptom Checker Statistics

People who have experienced nasal voice have also experienced:

  • 16% Congestion
  • 5% Mouth Breathing
  • 5% Mucous Dripping In The Back Of The Throat

People who have experienced nasal voice were most often matched with:

  • 50% Acute Bacterial Sinusitis
  • 37% Acid Reflux Disease (Gerd)
  • 12% Common Cold

Source: Aggregated and anonymized results from Buoy Assistant (a.k.a. the quiz).

Nasal Voice Symptom Checker

Take a quiz to find out what might be causing your nasal voice


  1. Sinus Infections and Nasal Disorders. DukeHealth. DukeHealth Link
  2. Ahmed S, Hussain A, Kafil MY, et al. Idiopathic Palatal Palsy. Journal of Family Medicine and Primary Care. 2017;6(2):437-438. NCBI Link
  3. Galletti B, Mannella VK, Santoro R, et al. Ear, Nose and Throat (ENT) Involvement in Zoonotic Diseases: A Systematic Review. Journal of Infection in Developing Countries. 2014;8(1):17-23. Semantic Scholar Link
  4. Makowska J, Lewandowka-Polak A, Kowalski ML. Hypersensitivity to Aspirin and Other NSAIDSs: Diagnostic Approach in Patients with Chronic Rhinosinusitis. Current Allergy and Asthma Reports. 2015;15(8):47. NCBI Link
  5. "If You Want to Speak Midwestern, Pretend the Lower Half of Your Jaw Doesn't Exist," Writer Says. Michigan Radio. Published December 5, 2016. Michigan Radio Link
  6. Allergic Rhinitis: Your Nose Knows. Harvard Medical School: Harvard Health Publishing. Updated May 21, 2018. Harvard Health Publishing Link
  7. Knott L. Acute Sinusitis. Published November 21, 2018. Link
  8. Benninger M. Let's Talk About Voice with Michael Benninger, MD. Cleveland Clinic. Published April 15, 2010. Cleveland Clinic Link
  9. Pai D. How to Tell if You Have Nasal Polyps. Keck Medicine of USC. Keck Medicine Link
  10. Pediatric Infant Apnea. Children's National Health System. Children's National Link
  11. Diabetic Ketoacidosis. Updated June 27, 2017. Link
  12. Diabetic Hypoglycemia. Mayo Clinic. Published May 10, 2018. Mayo Clinic Link
  13. Diabetes: Complications. Cleveland Clinic. Updated October 26, 2017. Cleveland Clinic Link
  14. Vijayabala GS, Annigeri RG, Sudarshan R. Mucormycosis in a Diabetic Ketoacidosis Patient. Asian Pacific Journal of Tropical Biomedicine. 2013;3(10):830-833. NCBI Link

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