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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."

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Only 18.5% of Americans never floss. You are missing out on a simple way to make a big difference in the health of your mouth. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Floss removes food trapped between the teeth and removes the film of bacteria that forms there before it turns to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Try flossing just one tooth to get started.

You are one of 31% of Americans who don't floss daily. You are missing out on a simple way to make a big difference in the health of your mouth. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Aim for 3 more days!

You are one of 31% of Americans who don't floss daily, but you're well on your way to making a positive impact on your teeth and gums. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Aim for all 7 days!

Only 50.5% of Americans floss daily, and good for you that you are one of them! Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Congratulations on your good oral health habit!

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American Dental Association, Healthy People 2010

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