Chronic obstructive pulmonary hemorrhage .. Hemorrhage such as hemophilia and lack of coagulation factors due to cirrhosis of the liver and chronic rhinitis and rupture of the roof of the throat under the mucosa

1 - If the patient suffers from a hemorrhagic disease such as hemophilia and lack of coagulation factors due to cirrhosis of the liver or laziness.
2 - If the patient suffers from chronic rhinitis called coliforma, which is spread in the villages of Egypt because the eradication may affect the tone of the sound and makes the patient worse.
3 - If the patient has a separation of the roof of the throat under the mucous membrane because of their bad impact on the sound tone.