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Sore Throat


Overview

A sore throat is characterized by soreness, scratchiness, or inflammation in the throat that intensifies when swallowed. However, a viral illness, such as a cold or the flu, is the most frequent cause of a painful throat (pharyngitis). A virus-induced sore throat goes away on its own.

To avoid complications, strep throat (streptococcal infection), a less popular type of sore throat caused by bacteria, necessitates antibiotic treatment. Other, less common causes of sore throat may require a more extensive approach.

Symptoms

Depending on the cause of a sore throat, the symptoms can differ. The following are possible signs and symptoms:

Other indications and symptoms of an infection that causes a sore throat include:

What Causes a Sore Throat?

The cause of a sore throat isn't always clear. However, it's usually a sign of a viral or bacterial infection.

Common Causes

A painful throat is frequently a sign of:

It can also be due to something irritating your throat, such as tobacco, allergies, or gastro-oesophageal reflux disease (a condition in which stomach acid flows up into the throat).

Less Common Causes

A sore throat is less typically a symptom of:

Epiglottitis (inflammation of the flap of tissue at the back of the throat) – the pain may be severe, and you may have difficulty breathing and swallowing.

Quinsy (a painful collection of pus at the back of the throat) – the pain may be severe, and you may also have difficulty opening your mouth or swallowing.

These are more serious conditions that should be seen by a physician as soon as feasible.

How a Sore Throat Is Diagnosed

The doctor can ask about your symptoms and examine the back of your neck for redness, inflammation, and white spots with a light. Swollen glands may be felt on the sides of your neck by the physician.

Swab Test

If a doctor suspects a bacterial cause for a sore throat, they can frequently take a throat swab for laboratory testing to see if a strep infection is present.

There are a few options for accomplishing this.

With a cotton-tipped applicator, the doctor obtains a sample from the back of the throat and tonsils. Someone smears the material in a culture dish in the lab. It thrives if strep bacterium is present. It normally takes 24 hours to do this task.

The results of a fast strep test can be obtained in minutes. A culture test may be recommended by a clinician to confirm a negative quick strep test result.

Antibiotics cannot help if the test is negative, indicating that the infection is caused by a virus.

EBV Test

If a doctor suspects EBV, a blood test can be recommended to confirm the diagnosis. More information can be found in our dedicated article.

A sore throat can also be caused by something else, such as a tumor. If the problem persists, the doctor may conduct additional research to determine the source.

Treatment

Medicines can be used to address the underlying source of a sore throat or to ease the pain.

Throat pain can be relieved with over-the-counter drugs such as:

Aspirin should not be given to children or teenagers since it has been related to Reye's syndrome, an uncommon but dangerous illness. This has the potential to be fatal.

You can also try one or more of the following remedies to relieve the pain of a sore throat:

Some herbs are sold as sore throat medicines, such as marshmallow root, slippery elm, and licorice root. Although there isn't much evidence that these help, one research found that a herbal beverage called Throat Coat, which contains all three, did reduce throat pain.

GERD medications that lower stomach acid can assist with a sore throat. These are some of them:

Antacids that help to neutralize stomach acid:

When You Need Antibiotics

Antibiotics are used to treat bacterial infections such as strep throat. Infections caused by viruses cannot be treated.

Furthermore, antibiotics must be used to treat strep throat in order to avoid more dangerous consequences such as bronchitis, pneumonia, and rheumatic fever. It can cut the duration of a sore throat by a day and minimize the risk of rheumatic fever by more than two-thirds.

Antibiotics are frequently prescribed for a 10-day period by doctors. Even if you start to feel better, it's critical to finish the entire bottle of medication. Stopping an antibiotic too soon can leave germs alive, causing you to become ill again.

Living with a Sore Throat

Beyond treatment, the only thing you can do is relieve the pain of a sore throat. The following are the most effective treatments:

Home Remedies

There are a few home remedies that can help treat sore throat symptoms:

Alternative Treatment Options

Other home treatments might be beneficial, but they aren't necessarily safe for everyone.

Over-the-counter lozenges containing zinc acetate are available.

According to three studies published in 2015, dissolving zinc acetate pills in the mouth may improve symptoms of a common cold in adults, including a scratchy throat.

More proof is needed, however, to establish that it works and is safe in the long run. It can also cause nausea and an unpleasant taste in the mouth, among other side effects.

Zinc nasal sprays are also available, although they have caused some people to lose their sense of smell permanently. These products should not be used by children.

Can I Get a Prescription Online for a Sore Throat?

Yes, our doctors can issue online prescriptions for sore throats and strep throat medications. Antibiotics may be administered as the first line of treatment for strep throat. Amoxicillin, Penicillin, and Augmentin are some of the most common antibiotics prescribed by our doctors for strep throat. You, however, first have to consult with our online doctor for a sore throat.

Prevention

A sore throat can be avoided by taking a few simple precautions.

To avoid the bacteria that can cause a sore throat, take the following precautions:

Conclusion

The majority of sore throats are caused by viral and bacterial infections, as well as allergens and injuries. Without treatment, most sore throats improve in a couple of days.

A painful throat can be relieved at home with rest, warm beverages, saltwater gargles, and over-the-counter pain medicines.

Antibiotics are used to treat strep throat and other bacterial illnesses. A swab test can be used by your doctor to determine if you have strep.

More serious symptoms, such as problems breathing or swallowing, a high fever, or neck stiffness, should be addressed by a doctor.

 

Mitchell Cohen
Mitchell Cohen, M.D. is Board Certified doctor specializing in Orthopedic Medicine and Spinal Surgery. Graduated from Hahnemann University in Philadelphia, PA with a degree in Human Physiology (1983) and subsequently achieved his medical degree in 1987 from Case Western Reserve University School of Medicine. Dr Cohen did his Surgical Residency at the University of New Mexico in 1992 as well as a Spine Fellowship in 1993. Dr. Cohen has published the following medical journals: "Biomechanical Efficiency of Spinal Systems in Thorocolumbar Fractures" (1993), "Kaneda Anterior Spinal Instrumentation" and "Spinal Fusion Stabilization amongst many others. View Dr Cohen's Twitter Page.

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