Disease starts as upper respiratory infection with hoarseness and croupy cough.

疾病始于上呼吸道感染，有嘶和干咳。

And if reflux goes into the respiratory tract, GERD might also present with chronic cough or hoarseness.

如果反流入呼吸道，GERD也可能出现慢性咳嗽或嘶的症状。

5 percent of patients also experience permanent hoarseness and a few, but still a few, will experience reduced function in the arms or even legs.

0.5%的患者也会经历永久性嘶，（但仍然是）会经历手臂甚至腿部功能下降。

These run up alongside the trachea to supply the muscles of the larynx or voice box, so if these nerves are compressed, it can cause weak or paralyzed larynx muscles which can cause voice hoarseness.

喉神经沿气管旁走行，支配喉肌，如果受压，会导致喉肌麻痹，造成嘶。