The American Speech-Language-Hearing Association lists hoarseness, breathiness, scratchy or rough voice, neck pain, pain from ear to ear, a lump in the throat, vocal fatigue and decreased pitch range as symptoms of vocal nodules. Vocal nodules are growths on the vocal cords caused by repeated abuse of the voice.
The American Speech-Language-Hearing Association reports that some forms of vocal abuse are talking loudly, cheerleading, coaching and singing. Allergies, smoking, and consumption of alcohol and caffeine can also contribute to the formation of nodules. Those who experience a hoarse voice for longer than two to three weeks should visit a doctor for evaluation and diagnosis of vocal nodules. Vocal nodules are typically treated through behavior modification, voice therapy, medicines and, in extreme cases, surgery.