Launching September 2027

Sore Throat

Sore Throat At A Glance

  • Pharyngitis, commonly called a sore throat, is inflammation of the back of the throat that can cause irritation or pain with swallowing.
  • Most sore throats are caused by viruses such as the common cold, influenza, COVID-19, or other respiratory infections.
  • Less commonly, bacterial infections such as strep throat can cause symptoms and may require antibiotics.
  • Other causes include allergies, dry air, smoking or vaping, acid reflux, environmental irritants, and excessive voice use.
  • Symptoms may include throat pain, redness, swollen tonsils, fever, headache, swollen neck glands, cough, runny nose, hoarseness, or fatigue.
  • Treatment depends on the cause and often includes rest, fluids, pain relief, salt-water gargles, and antibiotics only when an appropriate bacterial infection is confirmed or strongly suspected.

Table of Contents

Table of Contents

What Is Sore Throat?

Pharyngitis, commonly called a sore throat, is inflammation of the pharynx, the area at the back of your throat. A sore throat is one of the most common reasons people seek medical care and can range from mild irritation to severe pain when swallowing.

Most sore throats are caused by viral infections, such as the common cold, influenza (flu), COVID-19, or other respiratory viruses. Less commonly, sore throats are caused by bacterial infections, such as strep throat, which require treatment with antibiotics.

In addition to infections, sore throats can also be caused by allergies, dry air, smoking, acid reflux (GERD), excessive voice use, or environmental irritants.

Most viral sore throats improve within 5 to 10 days with rest, fluids, and symptom management.

Learn More

Sore Throat – NIH MedlinePlus
https://medlineplus.gov/sorethroat.html

Provides easy-to-understand information about sore throats, causes, diagnosis, treatment, and prevention.

Group A Strep – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/group-a-strep/

Provides information about bacterial sore throats (strep throat), testing, treatment, and prevention.

How Common Is Sore Throat?

Sore throats are among the most common reasons people visit healthcare providers. Millions of people develop pharyngitis each year.

Approximately 70–85% of sore throats in adults and 60–70% in children are caused by viruses. A smaller percentage are caused by bacteria, most commonly Group A Streptococcus (strep throat).

Learn More

Sore Throat – NIH MedlinePlus
https://medlineplus.gov/sorethroat.html

Provides information about common causes of sore throats and when medical evaluation is needed.

What Symptoms Might You Notice?

Symptoms vary depending on the cause of the sore throat.

Common symptoms may include:

  • Throat pain
  • Pain with swallowing
  • Scratchy or irritated throat
  • Redness in the throat
  • Swollen tonsils
  • Hoarse voice
  • Fever
  • Headache
  • Swollen lymph nodes in the neck
  • Cough
  • Runny nose
  • Sneezing
  • Fatigue

Symptoms such as cough, runny nose, and sneezing usually suggest a viral infection, while sudden severe throat pain, fever, swollen lymph nodes, and white patches on the tonsils may suggest strep throat.

How Is Sore Throat Diagnosed?

Your healthcare provider will review your symptoms, perform a physical examination, and examine your throat, mouth, ears, and neck.

If bacterial strep throat is suspected, testing is usually recommended before prescribing antibiotics.

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Explains how sore throats are evaluated and when testing for strep throat is recommended.

Sore Throat infographic – click to enlarge

What Causes Sore Throat?

Most sore throats are caused by viral infections.

Common causes include:

  • Common cold viruses
  • Influenza (flu)
  • COVID-19
  • Respiratory Syncytial Virus (RSV)
  • Infectious mononucleosis (mono)
  • Group A Streptococcus (strep throat)
  • Allergies
  • Acid reflux (GERD)
  • Dry air
  • Smoking or vaping
  • Excessive voice use

Learn More

Sore Throat – NIH MedlinePlus
https://medlineplus.gov/sorethroat.html

Learn about the causes of sore throats and ways to reduce your risk.

What Can Make Sore Throat Worse?

Several factors may worsen throat irritation or delay recovery.

Common factors include:

  • Smoking or vaping
  • Dry air
  • Poor hydration
  • Acid reflux
  • Allergies
  • Continued exposure to respiratory viruses
  • Excessive talking or shouting
  • Delaying treatment for bacterial infections

Learn More

Sore Throat – NIH MedlinePlus
https://medlineplus.gov/sorethroat.html

Provides information about common causes and risk factors for persistent sore throats.

Prevention

Many sore throats can be prevented by reducing exposure to viruses and bacteria and maintaining good overall health.

Helpful prevention tips include:

  • Wash your hands frequently with soap and water.
  • Avoid close contact with people who are sick.
  • Cover coughs and sneezes.
  • Avoid sharing drinks, utensils, or toothbrushes.
  • Stay home when you are sick.
  • Avoid smoking and secondhand smoke.
  • Manage allergies and acid reflux if present.
  • Stay up to date on recommended vaccinations.

Learn More

Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/

Provides practical recommendations for preventing respiratory infections and reducing disease transmission.

Learn More About Sore Throat

The following video content is provided to help you better understand this condition. These resources are intended for educational purposes and should not replace personalized medical advice from your healthcare provider.

Labs

Most viral sore throats do not require laboratory testing.

Laboratory tests may include:

  • Rapid Strep Test (Rapid Antigen Detection Test): Detects Group A Streptococcus.
  • Throat Culture: May be performed if strep throat is suspected but the rapid test is negative.
  • COVID-19 Test
  • Influenza Test
  • Mononucleosis (Mono) Test: May be recommended if infectious mononucleosis is suspected.
  • Complete Blood Count (CBC): Occasionally used if another infection or complication is suspected.

Learn More

Laboratory Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about laboratory testing used to diagnose sore throats.

Diagnostics

Most people with pharyngitis do not require imaging.

Additional testing may be recommended if complications are suspected.

Common diagnostic tests include:

  • Throat Examination
  • Neck Examination
  • Flexible Nasal or Throat Endoscopy: Occasionally performed by an ENT specialist for persistent or unexplained sore throat.
  • CT Scan: Rarely needed but may be recommended if a deep neck infection or abscess is suspected.

Learn More

ENT Health – American Academy of Otolaryngology–Head and Neck Surgery
https://www.enthealth.org/

Provides patient education about sore throats, throat disorders, and specialty evaluation.

Treatment & Management

Treatment Options

Treatment depends on the cause of your sore throat.

Treatment options may include:

  • Rest
  • Increased fluid intake
  • Warm salt-water gargles
  • Throat lozenges (when appropriate)
  • Pain and fever medications
  • Humidified air
  • Antibiotics for confirmed bacterial infections
  • Treatment of allergies or acid reflux when those conditions are contributing

Learn More

Sore Throat – NIH MedlinePlus
https://medlineplus.gov/sorethroat.html

Provides information about sore throat treatment and symptom relief.

Lifestyle Changes

Healthy habits can help relieve symptoms and promote recovery.

Helpful lifestyle changes include:

  • Drink plenty of fluids.
  • Get adequate rest.
  • Gargle with warm salt water several times daily.
  • Use a cool-mist humidifier if the air is dry.
  • Avoid smoking and vaping.
  • Limit alcohol.
  • Wash your hands frequently.
  • Stay home if you have a contagious infection.
  • Practice good cough and sneeze etiquette.

Learn More

Sore Throat – NIH MedlinePlus
https://medlineplus.gov/sorethroat.html

Provides practical recommendations for relieving sore throat symptoms and preventing illness.

Medications

Treatment depends on the cause of your sore throat.

Common medications may include:

  • Acetaminophen: Helps relieve throat pain and reduce fever.
  • Ibuprofen or Naproxen: Help reduce pain, inflammation, and fever (when appropriate).
  • Throat Lozenges or Sprays: May provide temporary pain relief.
  • Antibiotics: Only prescribed when a bacterial infection such as strep throat is confirmed or strongly suspected.
  • Antihistamines: May help if allergies are contributing to your symptoms.
  • Acid-Reducing Medications: May be recommended if acid reflux is causing chronic throat irritation.

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Provides information about antibiotic treatment for bacterial sore throats.

Procedures

Most people with pharyngitis do not require surgery or invasive procedures. Treatment usually focuses on relieving symptoms while the underlying cause resolves. However, certain procedures may be recommended if bacterial infection, complications, or recurrent sore throats develop.

Common procedures may include:

  • Rapid Strep Test (Rapid Antigen Detection Test): A throat swab that provides results within minutes to determine whether Group A Streptococcus bacteria are present.
  • Throat Culture: If the rapid strep test is negative but strep throat is still suspected, a throat culture may be performed. Results are typically available within 24–48 hours.
  • Drainage of a Peritonsillar Abscess: If a pocket of infection develops around the tonsil, a healthcare provider may need to drain the abscess.
  • Tonsillectomy: Surgical removal of the tonsils may be recommended for people with frequent recurrent throat infections, chronic tonsillitis, or complications.

Learn More

ENT Health – American Academy of Otolaryngology–Head and Neck Surgery
https://www.enthealth.org/

Learn about sore throat evaluation, throat infections, and treatment options.

What Should You Expect Long-Term?

Most viral sore throats improve within 5–10 days. Bacterial sore throats, such as strep throat, usually begin improving within 24–48 hours after starting antibiotics.

Most people recover completely without complications. However, persistent or recurrent sore throats may require additional evaluation to identify underlying causes such as allergies, acid reflux (GERD), chronic tonsillitis, or other medical conditions.

What Can You Do At Home?

Home care can help relieve symptoms and support recovery.

Helpful tips include:

  • Drink plenty of fluids.
  • Get adequate rest.
  • Gargle with warm salt water several times a day.
  • Drink warm tea with honey (for adults and children over 1 year of age).
  • Eat soft foods if swallowing is painful.
  • Use throat lozenges if appropriate for your age.
  • Use a cool-mist humidifier if the air is dry.
  • Avoid smoking and vaping.
  • Take medications exactly as directed.

Learn More

Sore Throat – NIH MedlinePlus
https://medlineplus.gov/sorethroat.html

Provides practical recommendations for relieving sore throat symptoms and promoting recovery.

Frequently Asked Questions

Do antibiotics help all sore throats?

No. Most sore throats are caused by viruses, and antibiotics do not treat viral infections. Antibiotics should only be used when a bacterial infection is confirmed or strongly suspected.

How long will my sore throat last?

Most viral sore throats improve within

5–10 days

. Strep throat often begins improving within

24–48 hours

after starting antibiotics.

Can allergies cause a sore throat?

Yes. Postnasal drip from allergies can irritate the throat and cause soreness, especially during allergy seasons.

Can acid reflux cause a sore throat?

Yes. Stomach acid that reaches the throat can cause chronic irritation, hoarseness, coughing, and sore throat, particularly in the morning.

When should I see a healthcare provider?

Seek medical evaluation if your sore throat lasts longer than one week, is severe, is associated with difficulty swallowing or breathing, or is accompanied by high fever or swollen neck glands.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • Is my sore throat viral or bacterial?
  • Do I need a strep test?
  • Should I take antibiotics?
  • Could allergies or acid reflux be causing my symptoms?
  • When should I return if my symptoms do not improve?
  • When can I safely return to work, school, or other activities?
  • Should I see an ENT specialist?

Specialist Referrals

Most sore throats are treated by a primary care provider. Depending on your symptoms or medical history, your provider may recommend seeing a specialist.

You may be referred to:

  • Primary Care Provider: Coordinates diagnosis, treatment, and follow-up care.
  • Otolaryngologist (ENT Specialist): Evaluates recurrent sore throats, chronic tonsillitis, enlarged tonsils, persistent hoarseness, or individuals who may benefit from tonsillectomy.
  • Allergist/Immunologist: Evaluates allergies that contribute to chronic throat irritation.
  • Gastroenterologist: Evaluates chronic acid reflux (GERD) that may cause ongoing throat symptoms.
  • Infectious Disease Specialist: Evaluates severe or unusual throat infections.

Learn More

ENT Health – American Academy of Otolaryngology–Head and Neck Surgery
https://www.enthealth.org/

Provides patient education about throat disorders, chronic sore throats, and specialty care.

Is Sore Throat Curable?

Yes. Most sore throats are temporary and resolve completely with supportive care or treatment of the underlying cause.

Viral sore throats improve as your immune system clears the infection. Bacterial sore throats, such as strep throat, are usually cured with antibiotics. If allergies, acid reflux, or environmental irritants are causing symptoms, treating those conditions often resolves the sore throat.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Difficulty breathing
  • Difficulty swallowing saliva
  • Drooling because you cannot swallow
  • Severe swelling of the throat or neck
  • Difficulty opening your mouth
  • Severe dehydration
  • Loss of consciousness

Seek prompt medical evaluation if you notice:

  • Fever lasting more than several days
  • Severe throat pain that continues to worsen
  • White patches on your tonsils with fever
  • Swollen lymph nodes that continue to enlarge
  • Hoarseness lasting longer than 2–3 weeks
  • Symptoms that do not improve or continue to worsen

Learn More

Sore Throat – NIH MedlinePlus
https://medlineplus.gov/sorethroat.html

Learn about sore throat complications and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Sore Throat – NIH MedlinePlus
https://medlineplus.gov/sorethroat.html

Easy-to-understand information about sore throats, symptoms, diagnosis, treatment, and prevention.

Group A Streptococcus (Group A Strep) – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/group-a-strep/

Comprehensive information about bacterial sore throats, testing, antibiotics, and prevention.

ENT Health – American Academy of Otolaryngology–Head and Neck Surgery
https://www.enthealth.org/

Reliable patient education about sore throats, chronic tonsillitis, throat disorders, and ENT care.

American Academy of Family Physicians (FamilyDoctor.org)
https://familydoctor.org/

Trusted patient education about sore throats, common respiratory illnesses, and self-care.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, do not improve as expected, or new symptoms develop. Call 911 immediately if you experience difficulty breathing, inability to swallow saliva, severe throat swelling, loss of consciousness, or another medical emergency.

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