Adele Cancels U.S. Tour Due to Vocal Cord Hemorrhage
Chart-Topping Star Must Rest to Avoid Permanent Voice Damage
Treatment for Vocal Cord Hemorrhage continued...
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."
Recovery From a Vocal Cord Hemorrhage
Can Adele make a full recovery?
That depends, Brookes says. There may be a reason for a patient's bleeding: "The person may have had some injection in the vocal cord for laryngitis. Maybe they've had some acid reflux issues causing local inflammation. Or perhaps they've just been overusing the voice, overdoing it, particularly singers who project their voice and sing very loudly.
"If patients stop singing, rest the voice, for the majority of them it should settle down and recover back to normal. There are some people who get recurrent hemorrhages and it is possible to have a weakness of certain blood vessels in the vocal cords."
Adele will be doing her best to help in her own recovery, writing that she follows -- to the best of her ability -- all the advice she's given. She says she sticks to regimes, rules, and practices that can help, describing them as "very necessary but insanely grim."