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Do you lose your voice when you crash/PEM?

jesse's mom

Senior Member
Messages
6,795
Location
Alabama USA
When I am in a PEM state and have talked too much, my speech is getting slurred and shaky. Stuttering and it is a bit scary. I get word salad on some days. I am thinking straight, but the words come out all wrong. Still hoarse but the nasal drainage has backed off and I am not getting a sore throat nearly as much now that I am avoiding sugar and wheat.

It is interesting that I can type and the words come out just fine.

Pacing is the only thing I have found that helps with my speech. Resting before I am tired.
 

Hope4

Desert of SW USA
Messages
473
@jesse's mom I get those symptoms, too. I have wondered if those symptoms are due to falling blood sugar, or hypoglycemia in the brain.

Being very measured in energy expenditure, and not letting others "use me up" is my strategy, until I can rest.
 

Rufous McKinney

Senior Member
Messages
13,377
I don't "lose" my voice but speaking becomes a very tiring endeavour.

Severe sore throat is a key symptom here and worsens severely when crashing (EBV-type here). I now understand I can no longer hide the illness: as my voice is so shot. Clearly: something is very wrong there.

A two hour lunch chat with friend leads to like a total laryngitis for numerous hours, severe pain, I have to cease any speaking whatsoever. Might as well have strep, but after a few hours later it calms a bit.

My voice also has to be primed. It doesn't want to come out. So I have to speak louder to get it to come out. So then the suggestion I am : agitated or worked up.

It feels likely its severely inflamed and swollen so if there are "cords" they are: tangled, conflicted, colliding. Plus my lymph is quite stagnent and alot of swollen lymph nodes: they are likely mixed into this swelling and non-operation.