Severe Sore Throat
Sometimes, a throat infection is accompanied by very severe throat pain, to the point where it can significantly disrupt daily life—making it difficult to go to work or carry out regular activities.
When it comes to viral pharyngitis (caused by a cold virus that settles in the tonsils due to the area’s rich blood supply), symptoms can include sore throat, fever, and others. Bacterial throat infections, on the other hand, tend to present with more intense symptoms such as:
- Severe throat pain
- Difficulty swallowing
- High fever
- White patches on the tonsils
- Hoarseness
- Fatigue
- Swollen lymph nodes
Regardless of the suspected cause, a throat swab is used to diagnose the infection—whether it’s a recurring issue or a first-time infection. The swab detects bacteria, particularly Streptococcus. Two types of tests are used:
- Rapid strep test – detects strep bacteria quickly.
- Throat culture – a more accurate method performed 24–48 hours after symptoms begin, allowing the bacteria to grow on a lab culture medium.
Any suspicion of a throat infection—whether it’s with or without fever—should be evaluated by a doctor. Strep throat can have serious complications, so early treatment is essential.
Sore Throat Treatment
There are several ways to treat sore throat pain. The first step is usually to relieve the pain, often done using over-the-counter medications like ibuprofen or paracetamol. These reduce inflammation and improve comfort, whether the pain is mild or intense.
Antibiotics are prescribed when a bacterial infection is confirmed (especially strep throat) to prevent complications. While viral infections typically resolve on their own, antibiotics are ineffective against them.
In recurrent throat infections, tonsillectomy (removal of the tonsils) may be considered, although doctors generally prefer to avoid this unless necessary. In particularly severe cases, steroids may be used to reduce inflammation.
Recurring infections require investigation, often due to reinfection from a close contact who may be a carrier of the bacteria.
Relief for Sore Throat
Sore throat pain can be unbearable, especially during infections. Relief often comes soon after symptoms begin, especially when using pain-relief medications.
Remedies may include:
- Warm teas, with or without honey
- Fruit juices or other soothing drinks
- Cold foods (like yogurt or ice cream) to numb the throat
- Rest and hydration
- Steam inhalation or humidifiers to ease breathing
Examples