9. Auditory and Vocal Changes – The Muffled World
Hearing and voice alterations are lesser-known but significant symptoms of Myxedema Coma. Patients may report a decrease in hearing acuity, describing the sensation as trying to listen through a barrier. Vocal changes can also occur; the voice may become hoarser, reflecting the generalized mucinous deposition, even within the vocal cords and auditory pathways.
These sensory changes can be isolating, making communication a challenge and diminishing the patient’s quality of life. It adds a layer of frustration to an already distressing situation, as patients struggle to interact with their environment and their loved ones.
Audiological assessments and speech therapy may be necessary to assist with these symptoms. However, the primary treatment remains hormonal, as improving thyroid levels will often lead to a reversal of these auditory and vocal changes. (9)
