Picture: Most sore throats are caused by viruses with symptoms of pain, burning scratching sensations, difficulty swallowing and tenderness in the neck.
Sore Throat

Sore Throat
(Pharyngitis)

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Sore throat facts

  • Most sore throats are caused by viruses or mechanical causes (such as mouth breathing) and can be treated successfully at home.
  • Sore throat symptoms include pain, burning or scratching sensations at the back of the throat, pain when swallowing, and tenderness in the neck. Sore throat symptoms may be accompanied by coughing, sneezing, fever, and swollen lymph nodes.
  • Home remedies for sore throat include saltwater gargles, sprays, lozenges and humidifiers. Do not give lozenges to young children as they are a choking hazard.
  • Any sore throat that has a rapid onset and is associated with a fever or tenderness of the front of the neck may be serious and should be seen by a doctor.
  • Any sore throat that causes a person to have difficulty swallowing (not just pain with swallowing) or breathing should be seen by a health care professional.
  • Seek medical care immediately for a sore throat if the person is unable to take his or her medications, has palpitations, or are lightheaded, or the tongue or lips swell up.
  • Any sore throat that lasts for more than a week should be evaluated by a health care professional.
  • If you are pregnant and your sore throat symptoms are severe or do not resolve in three days, seek medical attention.

What causes a sore throat?

A sore throat can have many causes including:

  • Common viruses, including the viruses that cause mononucleosis (mono) and the flu. Some viruses can also produce blisters in the mouth and throat ("aphthous stomatitis").
  • Infection of the tonsils or adenoids.
  • Breathing through the mouth or smoking can produce throat dryness and soreness.
  • Gastroesophageal reflux disease (GERD) while lying down or sleeping.
  • Sinus drainage (post nasal drip) from allergic or chronic sinusitis.
  • Bacterial infections. The two most common bacteria to cause a sore throat are Streptococcus (which causes strep throat) and Arcanobacterium haemolyticum. Arcanobacterium causes sore throats mainly in young adults and is sometimes associated with a fine red rash.
  • Sore throat appearing after treatment with antibiotics, chemotherapy, or other immune-compromising medications may be due to the yeast Candida, commonly known as "thrush."
  • A sore throat lasting for more than two weeks can be a sign of a serious illness, such as throat cancer or AIDS.
Reviewed by Melissa Conrad Stöppler, MD on 3/20/2012


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Sore Throat - Length Symptoms Lasted Question: How long did the symptoms of your sore throat (pharyngitis) last? Was there anything in particular that helped with pain/symptom relief?
Sore Throat - Home Remedies Question: What home remedies have you found effective in treating a sore throat?
Sore Throat - Experience During Pregnancy Question: Please share your experience with sore throat during pregnancy.
Sore Throat - Treatments Question: Do you use any home remedies for a sore throat?

Sore Throat: Virus or Strep?

Medical Author: Melissa Stöppler, M.D.
Medical Editor: William C. Shiel, Jr, MD, FACP, FACR

Are you wondering if your sore throat requires antibiotics? Strep throat, named for the Streptococcus bacterium that causes the condition, is a particularly severe form of sore throat that is best treated with antibiotics. Strep throat can strike both children and adults, but only about five to ten percent of sore throats are caused by a bacterial infection. Most sore throats are caused by viral illnesses and are not responsive to treatment with antibiotics.

A true streptococcal infection of the throat often leads to excruciating throat pain accompanied by difficulty swallowing and even speaking. Fever may be present, and the tonsils are often covered with a whitish layer of pus. Cough and runny nose are not commonly related to strep throat, but it is possible to have a streptococcal infection along with a viral upper respiratory infection and symptoms of a cold. The bacterial infection may result in enlarged, tender lymph nodes in the neck. Children may have an accompanying rash; a streptococcus infection along with a rash is commonly termed scarlet fever.

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