Changing in voice quality is commonly due to voice abuse, teaching , lecturing, singing and other professional jobs commonly have this compliant.
If your work fits this you need to do speech therapy, if not you need to undergo endoscopic exam for your voice box and sinuses, postnasal drip and GERD are common causes of voice changes.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.