If I talk for long or laugh, I get bad vagal symptoms - very lightheaded, spacey, confused. Stabbing pain in left of hyoid. Tingling in face, hands, feet. Headache at base of skull. Visual changes. Chest pain. Twitching. Hoarse voice, dry throat. Metallic/cold feeling in airways. Metallic taste on tongue.
@zeagle - If you click on the magnifying glass image in the upper right of this page & type voice, voice symptoms or vocal symptoms in the search box, many posts will come up where vocal symptoms are mentioned. Yours are more extreme than some & definitely sound related to vagal irritation.
Have you been diagnosed w/ ES yet? I’m sorry if you posted that answer previously. I have trouble keeping track of everyone here.