| Risk Factors
A sore throat is the general name for two common conditions:
- Pharyngitis—swelling and inflammation of the pharynx (the back of the throat, including the back of the tongue)
- Tonsillopharyngitis—swelling and inflammation of the pharynx and the tonsils (soft tissue that makes up part of the throat's immune defenses)
Sore Throat Due to Inflammation
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Many things can cause a sore throat, such as:
Infection with a virus, such as the viruses that cause
(the flu) and the
Infection with bacteria, such as the bacteria that cause
- Mucus from your sinuses that drains into your throat
- Breathing polluted air
- Drinking alcoholic beverages
or other allergies
from the stomach
- Food debris collecting in small pockets in the tonsils
- Certain immune or inflammatory disorders
Sore throats are more common in certain people. However, anyone can get a sore throat. Risk factors that may increase your chance of getting a sore throat include:
- Age: children and teens, and people aged 65 or older
- Exposure to someone with a sore throat or any other infection involving the throat, nose, or ears
- Exposure to cigarette smoke, toxic fumes, industrial smoke, and other air pollutants
or other allergies
Having other conditions that affect your immune system, such as
Along with the sore throat, you may have other symptoms, such as:
- Pain or difficulty when swallowing
- Difficulty breathing
- Enlarged lymph nodes in your neck
- Hoarse voice
- Red or irritated-looking throat
- Swollen tonsils
- White patches on or near your tonsils
- Runny nose or stuffy nose
When Should I Call My Doctor?
Call your doctor if you:
- Experience a worsening of your sore throat or the symptom lasts longer than you or your doctor expect
- Have difficulty swallowing or breathing
Have developed other symptoms, such as:
- White patches on tonsils (may be a sign of strep throat)
- Enlarged lymph nodes on your neck
- Dizziness or lightheadedness
- Nausea or vomiting
- Muscle or joint aches
- Blood in saliva
The American Academy of Pediatrics suggests calling your child's doctor if your child has a sore throat that continues through the day (no matter what other symptoms are present).
If you think you have an emergency, get medical care right away.
Your doctor will do a physical exam. This involves looking closely at your mouth, throat, nose, ears, and the lymph nodes in your neck.
This physical exam may include:
- Using a small instrument to look inside the nose, ears, and mouth
- Gently touching the lymph nodes (glands) in your neck to check for swelling
- Taking your temperature
The doctor will ask questions about:
- Your family and medical history
- Recent exposure to someone with
or any other infection of the throat, nose, or ears
Other tests include:
- Rapid strep test or throat culture—using a cotton swab to touch the back of the throat to check for strep throat
- Blood tests
—to identify some conditions that may be causing the sore throat
- Mono spot test
(if mononucleosis is suspected)
Treatment depends on the cause of the sore throat. Options may include:
- Antibiotics for strep throat
Drugs to reduce sore throat pain. These drugs include:
is not recommended for children or teens with a current or
recent viral infection. This is because of the risk of
. Ask your doctor which other medicines are safe for your child.
- Numbing throat spray for pain control
- Decongestants and antihistamines to relieve nasal congestion and runny nose
- Throat lozenges
- Corticosteroids if there is trouble breathing
- Get plenty of rest.
- Drink plenty of water.
- Gargle with warm saline several times a day.
- Drink warm liquids (tea or broth), or cool liquids.
- Avoid irritants that might affect your throat, such as tobacco smoke and cold air.
- Avoid drinking alcohol.
Here are ways to reduce your chance of getting a sore throat:
- Wash your hands frequently. Do this especially after blowing your nose or after caring for a child with a sore throat.
- If someone in your home has a sore throat, keep their eating utensils and drinking glasses separate from those of other family members. Wash these objects in hot, soapy water.
- If a toddler with a sore throat has been sucking on toys, wash the toys in soap and water.
- Immediately get rid of used tissues, and then wash your hands.
- If you have hay fever or another respiratory allergy, see your doctor. Avoid the substance that causes your allergy.