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    Adele Cancels U.S. Tour Due to Vocal Cord Hemorrhage

    Chart-Topping Star Must Rest to Avoid Permanent Voice Damage

    Change in Voice

    Could Adele's voice change?

    "It could," Brookes says. "There are quite a lot of professional singers out there who have a slightly husky voice. They've probably overused the voice. Maybe they've battled on singing when they've had viral laryngitis or something like that. They've got up and performed and overdone it."

    The slight husky quality, he says, may be one of the characteristics that make people like their singing style. For other people who have a more pure singing voice, he says, they may not have the full range they had before.

    Treatment for Vocal Cord Hemorrhage

    Rest is the only real treatment as Adele herself has acknowledged online: "I have absolutely no choice but to recuperate properly and fully, or I risk damaging my voice forever."

    She writes, "My voice is weak and I need to build it back up. I'm gonna be starting up vocal rehab as soon as [I can], and start building my overall stamina in my voice, body and mind. I will be back and I'm gonna smash the ball out the park once I'm touring again."

    Brookes says a singing ban is the only way for Adele: "You have to tell the performer they cannot perform, they cannot sing. They have to stop there and then.

    "It doesn't happen very often, most of the rest of the time when you see people with problems affecting the vocal cords you can treat them with antibiotics, anti-inflammatory drugs and improve them enough so they can still do that important event.

    "For people with vocal cord hemorrhages, they have to stop because if they keep singing, they can aggravate it, get more bleeding and more scarring."

    Resting the Voice

    How long should a person with a vocal cord hemorrhage rest his or her voice?

    "I would say the person normally has to stop for a week and then be reviewed," Brookes says. "What you can't let them do is go back before it's settled down.

    "It doesn't happen that often in professional singers, but when it does, it's not just missing the odd performance. It's often a week or couple of weeks they need to miss. It depends on the severity."

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