Hi there. I need some help here. I have been having problems with my voice for a while now, and it has gotten worse to the point that I have almost completely lost my voice. If I do try to talk, it is extremely painful, I get a strange choking sensation in my throat, my voice seems to not be working right, and the quality of my voice varies greatly, from somewhat normal to barely audible. I also have difficulty swallowing that is, at times, bad enough that I can barely eat or drink anything. I also have severe fatigue. Does anybody have any idea what might be wrong with me?