I smoke approx 20 cigs a day, and have developed a tickly cough particularly in the morn (probably for 3/4 months ). I have had adry croaky voice now for over 2 weeks which started with a complete loss of voice  I had a 5 day course of amoxocylin last week that ended 7 days ago and am no better, am now worried its some thing more sinister I am 30 m
Hi thanks for contacting Chat Doctor... Your voice affected suggesting that larynx is getting affected.... You are a chronic smoker.... So yes detail investigation must be done here.... Direct laryngoscopy done .... If growth revealed then biopsy taken and send for histopathological examination to rule out squamous cell carcinoma like malignancy or benign lesion like papilloma... According to cause treatment done.... If no growth then laryngitis might because. To relieve inflammation steroid can be given... Stop smoking..... Consult ENT specialist for detail work up. Take care. Chat Doctor.