Sore Throat

Diagnosis & treatment

Sore throat, or pharyngitis, features discomfort, pain, or difficulty swallowing, and is usually caused by viral or bacterial infection, most commonly a cold or ’flu.
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At our clinic, a doctor can diagnose the cause of your sore throat & discuss treatment options with you. If necessary, we can perform a throat swab to determine the nature of the infection & prescribe the correct antibiotics.

A painful throat is often accompanied by a range of other symptoms. See below.

Causes

In some cases of sore throat, no cause can be found. Around 25% of sore throats are a symptom of infection with a common cold or ’flu virus such as rhinovirus or parainfluenza virus, & are not long-lasting.

If your sore throat is more persistent, you may need to take specific antibiotics to clear your infection. Strep throat, which is an infection with streptococcal bacteria, is another frequent cause, as well as tonsillitis.

In rarer cases, sore throats can be caused by adenovirus (which also causes conjunctivitis), herpes simplex virus type 1 (the cold sore virus), & Epstein Barr (EBV), the virus which causes glandular fever & mononucleosis (or “mono”).

In the case of a sore throat with a fever, other possible causes are epiglottis (an inflammation of throat tissue, which can affect breathing), abscess, or laryngitis.

Smoking & breathing in second-hand cigarette smoke is also a common cause.

Symptoms

  • Swollen lymph glands in the neck & behind the ears
  • Body aches & pains, or sore muscles
  • Fatigue
  • Fever
  • Blocked or runny nose
  • Headache
  • Cough

What to do next?

If you are feeling unwell with a painful throat, or are experiencing recurrent or ongoing bouts of sore throat, please give us a call to make an appointment, or use our online booking system.

020 7323 1023
Harley Street Area, W1
020 7101 0355
City of London, EC2N

FAQs

What are the most common causes of a sore throat?

Most sore throats are caused by viral infections such as the common cold or flu. Other causes include bacterial infections (e.g. strep throat), allergies, smoking, voice strain, dry air, and gastro-oesophageal reflux (acid reflux).

How can I tell if my sore throat is viral or bacterial?

Viral sore throats often occur with a runny nose, cough, hoarseness, or conjunctivitis. Bacterial sore throats may cause sudden severe pain, fever, swollen glands, and white patches on the tonsils. A clinical assessment or throat swab may be needed to confirm the cause.

Do I need antibiotics for a sore throat?

Antibiotics are only effective for bacterial infections and are not needed for most sore throats. Your GP will assess whether antibiotics are appropriate to avoid unnecessary treatment and antibiotic resistance.

When should I see a GP/book an appointment at Harley Street Health Centre about a sore throat?

You should seek medical advice if you experience severe or worsening pain, difficulty swallowing or breathing, a high fever, symptoms lasting more than seven days, recurrent sore throats, or the presence of a rash or swollen neck glands.

What can I do to prevent a sore throat?

While not all sore throats can be prevented, you can reduce your risk by washing your hands regularly, avoiding close contact with sick individuals, not smoking, managing allergies and acid reflux, and staying well hydrated.

The Harley Street Doctor

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