Understanding Sore Throat: Causes, Symptoms, and Treatment

A Comprehensive Guide for Patients

Family Medicine

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Last updated: Mar 24, 2025

What is a Sore Throat?

A sore throat (pharyngitis) is inflammation or irritation of the throat that causes pain or discomfort, especially when swallowing.

Common Causes

  • Viral infections (most common)
    • Common cold
    • Flu (influenza)
    • Mononucleosis
  • Bacterial infections
    • Strep throat
    • Tonsillitis
  • Environmental factors
    • Dry air
    • Allergies
    • Smoking or secondhand smoke
    • Acid reflux

Symptoms

Primary Symptoms

  • Pain or scratchy sensation in throat
  • Pain that worsens when swallowing
  • Difficulty swallowing
  • Swollen lymph nodes

Associated Symptoms

  • Fever
  • Cough
  • Runny nose
  • Headache
  • Fatigue

When to See a Doctor

Seek medical attention if you experience:

  • Severe throat pain
  • Difficulty breathing
  • Fever above 101°F (38.3°C)
  • Symptoms lasting longer than 1 week

Treatment Options

Home Remedies

  • Gargle with warm salt water
  • Stay hydrated
  • Rest your voice
  • Use throat lozenges
  • Try honey and warm liquids

Medical Treatment

  • For viral infections:
    • Symptom management
    • Rest and hydration
  • For bacterial infections:
    • Antibiotics if prescribed
    • Complete full course as directed

Prevention

  • Wash hands frequently
  • Avoid close contact with sick people
  • Don't share personal items
  • Quit smoking
  • Stay hydrated

Recovery Time

  • Viral sore throats: 5-7 days
  • Bacterial infections: 24-48 hours after starting antibiotics

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