People with Sjogren's syndrome can develop hoarseness if their vocal cords become inflamed, as part of the disease, or due to irritation from throat dryness or coughing.

 

To prevent further strain on your vocal cords, try not to clear your throat before speaking. Instead, take a sip of water, chew gum, or suck on candy. Or else make an "h" sound, hum, or laugh to gently bring the vocal cords together to get sound out. Clearing your throat does the same thing, but it's hard on the vocal cords, and you want to avoid irritating them further.