Sore throat
A sore throat can have many causes including:
- Common viruses, and even the viruses that causemononucleosis (mono) and the flu, can cause a sore throat. Some viruses can also produce blisters in the mouth and throat ("aphthous stomatitis").
- Breathing through the mouth can produce throat dryness and soreness.
- Sinus drainage (post nasal drip) may cause a sore throat.
- A sore throat can also be caused by bacteria. The two most common bacteria to cause a sore throat areStreptococcus (which causesstrep throat) andArcanobacterium haemolyticum.Arcanobacterium causes sore throats mainly in young adults and is sometimes associated with a fine redrash.
- Sore throat appearing after treatment with antibiotics,chemotherapy, or other immune-compromising medications may be due toCandida, commonly known as "thrush."
- A sore throat lasting for more than two weeks can be a sign of a serious illness, such as throat cancer or AIDS.
What can I do at home for a sore throat?
Generally, sore throats must run their course (exception, strep throat will be addressed below.)
· Salt water gargles, hard candies, sprays for example, Chloraseptic) and lozenges can provide temporary pain relief. (Caution: Lozenges and hard candy are a choking hazard for children. Avoid their use in young children.)
· A humidifier may be helpful in relieving symptoms, especially in sore throats caused by mouth breathing and dry air.
· Acetaminophen or ibuprofen may help control the pain.
· For adults, if your nose is plugged, nasal sprays such as Afrin may be used for two to three days to prevent mouth breathing. It is NOT a good idea to use these products for more than a couple of days; you may become dependent on them.
· Other decongestant products, such as Sudafed, may be helpful.
Medical care
Seek medical care:
- If you have been in contact with someone with strep throat and you have a sore throat, it is reasonable to have a strep test done.
- If your sore throat is associated with a fever, swollen "glands" (lymph nodes), or white patches on the back of your throat.
- If your sore throat is not associated with other cold symptoms (runny nose, watery eyes, sinus congestion).
- Any sore throat that has a sudden onset and is associated with a fever.
- If you are having trouble swallowing liquids (pain with swallowing is to be expected with a sore throat).
- If your sore throat persists for more than a week.
- If you have a sore throat and the front of your neck is sore and stiff.
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