My ENT has suggested that a possible cause could be acid reflux disease, but I don't have any overt symptoms of that.
The horse or scratchy voice is a sign of acid reflux and it only gets worse over time so take the meds. One day you'll wake up in the middle of the night crying from the pain of heart burn and your denial will be over or worse it stays the same for many years until one day your coughing up blood from an ulcer on your esophagus and they tell you that you have precancerous cells from years of pretending there's nothing wrong
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