The St. Louis Cardinals’ World Series appearance has a lot of Missouri baseball fans high-fiving, cheering, and screaming at the top of their lungs. It’s the loud screaming that could cause some problems for fans, making them hoarse the next day at work. Doctor John Eisenbeis – a specialist in disorders of the ear, nose, and throat – says there’s a price to pay for this vocally abusive behavior – vocal cords get swollen and people become hoarse. Doctor Eisenbeis adds the repeated yelling and screaming during a ballgame could cause a lot of trauma to the tissue of the larynx. He says anyone who does a lot of screaming during ballgames – at the ballpark, in a bar, or even at home – should drink a lot of water and avoid cigarettes or the swelling of the vocal cords might get worse.