An Overview of Sore Throat

A sore throat, often called pharyngitis by medical professionals, is often caused by inflammation and swelling of throat (pharyngeal) tissues due to infection or inflammation.

Viral infections such as colds or flu are the most common causes, but there can be others, such as acid reflux, allergies, and overuse of the vocal cords. Most often, viral sore throats will need soothing until they pass, but other causes, such as strep throat, require treatment to prevent related complications.

Most people with sore throats have other symptoms as well. Depending on the cause, you may experience symptoms from pain and scratchiness to swelling and difficulty swallowing. The pain and discomfort may occur only when you swallow or it may be continuous.

The other symptoms that accompany a sore throat can help you decide whether or not to call your doctor. They can also help a doctor get to the root of the problem.

Even with no other symptoms, if your throat is so sore that you can't swallow or sleep, seek medical attention.

The most common causes of a sore throat are viral infections including the common cold, group A Streptococcus bacteria (strep throat), and mononucleosis. In young children, Coxsackie virus and herpangina are two other viral causes.

Strep throat usually doesn't have other respiratory symptoms such as nasal drainage, cough, or congestion, but it does cause fever. You can see your doctor for a rapid strep test or a throat culture if this is suspected.

You may also experience a sore throat with allergies, post-nasal drip, overuse of the vocal cords, and smoking. Acid reflux can cause a sore throat when stomach acid enters the esophagus and irritates the tissues.

Environmental irritants such as smoke, air pollution, and industrial fumes can also irritate your throat. Dry air itself can cause a dry and scratchy throat.

If what's causing the sore throat itself can be addressed, that will be the primary focus of sore throat treatment.

For instance, when a bacterial infection such as strep throat is identified, antibiotics such as penicillin and amoxicillin are used to rid your body of the infection, in turn resolving your sore throat.

If a bacterial infection or other treatable health issue is not to blame, treating sore throat for comfort is all that can be done. That's the case with many causes, including the common cold and other viral infections.

You can use home remedies (such as drinking some sage tea) and over-the-counter pain medications, such as Advil (ibuprofen) and Tylenol (acetaminophen), to ease sore throat pain. Unfortunately, though, waiting it out is usually what's most effective.

There are not many high-quality studies that have supported the use of alternative therapies. Sage, slippery elm, and licorice root may be found in some herbal teas and lozenges and are believed, though not proven, to have soothing effects. Always discuss herbal medications and supplements with your doctor, as some may interact with other medications.

What's causing your sore throat may not be what you originally thought.

While painful, sore throats will usually go away on their own. Stay alert for signs of fever so you can call your doctor when it is appropriate. With some soothing measures the pain will pass and you'll be able to breathe (and swallow) easier.