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Pharyngitis - Treatment

Alternative Names

Pharyngitis - bacterial

Treatment:

It is important to avoid antibiotics when a sore throat is due to infection with a virus. The antibiotics will not help. Using them to treat viral infections helps strengthen bacteria to become resistant to antibiotics.

Most sore throats are soon over. In the meantime, the following remedies may help:

Drink warm liquids. Honey or lemon tea is a time-tested remedy.
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 to soothe your sore throat. This is often as effective as more expensive remedies. DO NOT use candies or lozenges in young children because of the choking risk.
Use a cool-mist vaporizer or humidifier to moisten and soothe a dry and painful throat.
Try over-the-counter pain medications, such as acetaminophen. DO NOT give aspirin to children.

Expectations (prognosis):

Most cases of pharyngitis go away on their own without complications.

Complications:

Complications of pharyngitis may include:

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

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.

Throat anatomy

Reviewed last on: 3/14/2009
Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, 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.

Institute for Clinical Systems Improvement. Health careguideline:Diagnosis and treatment of respiratory illness in children and adults. Jan 2008. Accessed Nov. 9, 2008.

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