Pharyngitis, or sore throat, is swelling, discomfort, pain, or scratchiness in the throat at, and just below the tonsils.
Pharyngitis may occur as part of a viral infection that also involves other organs, such as the lungs or bowel.
Most sore throats are caused by viruses.
Symptoms of pharyngitis may include:
There is no specific treatment for viral pharyngitis. You can relieve symptoms by gargling with warm salt water several times a day (use one half teaspoon or 3 grams of salt in a glass of warm water). Taking anti-inflammatory medicine, such as acetaminophen, can control fever. Excessive use of anti-inflammatory lozenges or sprays may make a sore throat worse.
It is important NOT to take antibiotics when a sore throat is due to a viral infection. The antibiotics will not help. Using them to treat viral infections helps bacteria become resistant to antibiotics.
With some sore throats (such as those caused by infectious mononucleosis), the lymph nodes in the neck may become very swollen. Your provider may prescribe anti-inflammatory drugs, such as prednisone, to treat them.
Symptoms usually go away within a week to 10 days.
Complications of viral pharyngitis are extremely uncommon.
Make an appointment with your provider if symptoms last longer than expected, or do not improve with self-care. Always seek medical care if you have a sore throat and have extreme discomfort or difficulty swallowing or breathing.
Most sore throats cannot be prevented because the germs that cause them are in our environment. However, always wash your hands after contact with a person who has a sore throat. Also avoid kissing or sharing cups and eating utensils with people who are sick.
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Tanz RR. Acute pharyngitis. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 409.
There are no recent clinical trials available for this condition. Please check back because new trials are being conducted frequently.