Sore Throat

A sore throat, also known as pharyngitis, is typically a symptom of a bacterial or viral infection, such as influenza or a common cold. It may be accompanied by discomfort, pain, or inability to swallow.

Woman Suffering From Sore Throat
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Associated Symptoms with Sore Throat

A sore throat may be accompanied by swollen or tender lymph glands (in your neck). Other common symptoms that can accompany a sore throat, particularly if it is due to bacteria or a virus, include the following:

  • All-over aches and body pains, sore muscles, or fatigue
  • A high temperature (fever) of 38C (100.4F) or over
  • Runny nose (rhinitis) or nasal congestion
  • Headache
  • Cough

Statistics​

of people have a sore throat in any 3 month period
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of people visit a doctor for tonsillitis each year
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of All Doctors in the UK are GPs
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GPs per 10000 people in the UK
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Sore Throat with Serious Causes

If your sore throat presents with a fever, it is recommended that you investigate the cause because you could have a more serious underlying condition, such as:

  • Epiglottis, where the tissue at the back of the throat becomes red and inflamed, which can lead to difficulty breathing
  • An abscess (sometimes referred to as quinsy), or painful collection of pus between the tonsil and the wall of the throat, is usually a symptom of tonsillitis
  • Laryngitis, which is inflammation of the larynx (voice box)
  • Strep throat, a bacterial infection
  • Glandular fever, which often also presents with swollen glands in the neck

Causes

It is often the case that no cause for a sore throat can be found. Often it’s a symptom of a bacterial infection, such as the common cold, virus-like influenza, or tonsillitis.

The most common bacterial and viral causes of a sore throat include:

  • Common cold viruses, such as rhinovirus, coronavirus and parainfluenza viruses, are responsible for around 25% of all sore throats
  • Some types of streptococcal bacteria, such as group A streptococcal bacteria (the cause of 10% of sore throats in adults and 30% in children), groups C and G

Other bacteria and viruses are responsible for far fewer cases (less than 5%) of sore throat, including A and B type flu viruses, adenovirus (which causes eye infection conjunctivitis), herpes simplex virus type 1 (cold sore virus), Epstein Barr virus (EBV) which causes glandular fever and mononucleosis (also called mono).

What to do next

It is recommended that you make an appointment to see a doctor if your sore throat is severe, does not go away after a few days, or if you have regularly occurring sore throats or an underlying condition affecting the immune system.

Treatments

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What are the potential complications that can develop from a sore throat?
Some people are at greater risk of developing complications from a sore throat than others. These include HIV or AIDS infection, leukaemia or bone marrow cancer, asplenia, aplastic anaemia, are receiving chemotherapy treatment, taking immunosuppressants, anti-thyroid medication, or a disease-modifying anti-rheumatic drug (DMARD).
If your sore throat persists for more than a few days, it is recommended that you get a second opinion, particularly if you are also experiencing a fever.
In all cases of sore throat, it is recommended that you see a doctor, rather than trying to self-diagnose. Speak to your doctor about methods of treatment that are most appropriate for you.

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