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A sore throat is pain, scratchiness or irritation of the throat that often worsens when you swallow. The most common cause of a sore throat (pharyngitis) is a viral infection, such as a cold or the flu. A sore throat caused by a virus resolves on its own.
Strep throat (streptococcal infection), a less common type of sore throat caused by bacteria, requires treatment with antibiotics to prevent complications. Other less common causes of sore throat might require more complex treatment.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
The throat includes the esophagus, windpipe (trachea), voice box (larynx), tonsils and epiglottis.
Symptoms of a sore throat can vary depending on the cause. Signs and symptoms might include:
Infections causing a sore throat might result in other signs and symptoms, including:
Take your child to a doctor if your child's sore throat doesn't go away with the first drink in the morning, recommends the American Academy of Pediatrics.
Get immediate care if your child has severe signs and symptoms such as:
If you're an adult, see your doctor if you have a sore throat and any of the following associated problems, according to the American Academy of Otolaryngology — Head and Neck Surgery:
Viruses that cause the common cold and the flu also cause most sore throats. Less often, bacterial infections cause sore throats.
Viral illnesses that cause a sore throat include:
Many bacterial infections can cause a sore throat. The most common is Streptococcus pyogenes (group A streptococcus) which causes strep throat.
Other causes of a sore throat include:
Gastroesophageal reflux disease (GERD). GERD is a digestive system disorder in which stomach acids back up in the food pipe (esophagus).
Other signs or symptoms may include heartburn, hoarseness, regurgitation of stomach contents and the sensation of a lump in your throat.
HIV infection. A sore throat and other flu-like symptoms sometimes appear early after someone is infected with HIV.
Also, someone who is HIV-positive might have a chronic or recurring sore throat due to a fungal infection called oral thrush or due to a viral infection called cytomegalovirus (CMV), which can be serious in people with compromised immune systems.
Rarely, an infected area of tissue (abscess) in the throat or swelling of the small cartilage "lid" that covers the windpipe (epiglottitis) can cause a sore throat. Both can block the airway, creating a medical emergency.
Although anyone can get a sore throat, some factors make you more susceptible, including:
The best way to prevent sore throats is to avoid the germs that cause them and practice good hygiene. Follow these tips and teach your child to do the same:
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Sore throats. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/content/sore-throats. Accessed Feb. 18, 2019.
Sore throat. Merck Manual Professional Version. http://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/approach-to-the-patient-with-nasal-and-pharyngeal-symptoms/sore-throat. Accessed Feb. 18, 2019.
Seven tips to help you prevent a sore throat. American Academy of Otolaryngology — Head and Neck Surgery. https://www.enthealth.org/be_ent_smart/seven-tips-to-help-you-prevent-a-sore-throat/. Accessed Feb. 18, 2019.
Sore throat. Centers for Disease Control and Prevention. http://www.cdc.gov/getsmart/community/for-patients/common-illnesses/sore-throat.html. Accessed Feb. 9, 2021.
Drutz, JE. Sore throat in children and adolescents: Symptomatic treatment. https://www.uptodate.com/contents/search. Accessed Feb. 18, 2019.
Stead W. Symptomatic treatment of acute pharyngitis in adults. https://www.uptodate.com/contents/search. Accessed Feb. 18, 2019.
Slippery Elm. Natural Medicines. https://naturalmedicines.therapeuticresearch.com. Accessed Feb. 22, 2019.
Taking care of your voice. National Institute on Deafness and Other Communication Disorders. http://www.nidcd.nih.gov/health/voice/pages/takingcare.aspx. Accessed Feb. 18, 2019.
Chow AW, et al. Evaluation of acute pharyngitis in adults. https://www.uptodate.com/contents/search. Accessed Feb. 20, 2019.
Kellerman RD, et al. Pharyngitis. In: Conn's Current Therapy 2019. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed Feb. 21, 2019.
Common colds: Protect yourself and others. Centers for Disease Control and Prevention. https://www.cdc.gov/features/rhinoviruses/index.html. Accessed Feb. 9, 2021.
AskMayoExpert. Streptococcal pharyngitis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
Kahrilas, PJ. Clinical manifestations and diagnosis of gastroesophageal reflux in adults. https://www.uptodate.com/contents/search. Accessed Feb. 25, 2019.
Gonzalez MD, et al. New developments in rapid diagnostic testing for children. Infectious Disease Clinics of North America. 2018;32:19.
AIDS and opportunistic infections. Centers for Disease Control and Prevention. https://www.cdc.gov/hiv/basics/livingwithhiv/opportunisticinfections.html. Accessed Feb. 26, 2019.
Shelov SP, et al. Ears, Nose and Throat. In: Caring for Your Baby and Young Child: Birth to Age 5. 6th ed. New York, N.Y.: Bantam Books; 2014.
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