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Pharyngitis - Treatment

Alternative Names

Pharyngitis - bacterial; Sore throat

Treatment:

Most sore throats are caused by viruses. Antibiotics do not help. Using them to treat viral infections helps strengthen bacteria and make them resistant to antibiotics.

Sore throats should only be treated with antibiotics if a strep test is positive. Strep cannot be accurately diagnosed by symptoms or a physical exam alone. For more information, see: Strep throat

The following tips may help your sore throat feel better:

  • Drink warm liquids such as lemon tea or tea with honey.
  • Gargle several times a day with warm salt water (1/2 tsp of salt in 1 cup water).
  • Drink cold liquids or suck on popsicles.
  • Suck on hard candies or throat lozenges. Young children should not be given such products because they can choke on them.
  • A cool-mist vaporizer or humidifier can moisten and soothe a dry and painful throat.
  • Try over-the-counter pain medications, such as acetaminophen.

Complications:

Complications may include:

  • Blockage of the airway (in severe cases)
  • Sore (abscess) around the tonsils or behind the throat

Calling your health care provider:

Call your health care provider if:

  • You develop a sore throat that does not go away after several days
  • You have a high fever, swollen lymph nodes in your neck, or a rash

Seek immediate medical care if you have a sore throat and trouble breathing.

  • Reviewed last on: 2/22/2011
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Hayden GF, Turner RB. Acute pharyngitis. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 378.

Jenson HB. Epstein-Barr virus. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 251.

Del Mar CB, Glasziou PP, Spinks A. Antibiotics for sore throat. Cochrane Database Syst Rev. 2008:(3):CD000023.

Chan TV. The Patient with Sore Throat. Med Clin North Am. 2010 Sep;94(5):923-43.

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