Sounding hoarse for a few hours or the day after a big game is probably nothing to worry about, and usually resolves on its own. However, chronic hoarseness that lasts for days, weeks, or even months needs to be checked out by a doctor.
yelling, screaming, cheering, or crying
raising or lowering the pitch of the voice
speaking in a strained voice, like imitating animals or cartoon characters
repetitive coughing or throat clearing
singing or talking without adequate breath (diaphragm support)
talking extremely loud or fast
starting words forcefully
A child with chronic hoarseness will be referred to an ENT doctor for evaluation. The doctor will perform a diagnostic test that provides an internal view of the voice box and vocal cord function.