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Sore Throat

Definition: Sore throat is discomfort, pain, or scratchiness in the throat. A sore throat often makes it painful to swallow. Sore throats are common. Most of the time the soreness is worse in the morning and improves as the day progresses.  Like colds, the vast majority of sore throats are caused by viral infections. This means most sore throats will NOT respond to antibiotics. Many people have a mild sore throat at the beginning of every cold. When the nose or sinuses become infected, drainage can run down the back of the throat and irritate it, especially at night.

Children under the age of 2 years may not know how to complain about a sore throat. If your child refuses to eat foods that you know she enjoys, or begins to cry during feeding, she may have a sore throat. Excessive drooling in a child who has not been drooling may be another indication of a sore throat.

Some viruses can cause specific types of sore throat. For example, Coxsackie virus sometimes causes blisters in the throat, especially in the late summer and early fall. Mono and the flu can also cause specific viral throat infections. Of severe sore throats, only about 20% are caused by the strep bacteria. A sore throat is less likely to be strep throat if it is a minor part of a typical cold (with runny nose, stuffy ears, cough, and similar symptoms). Strep can't be accurately diagnosed by looking at the throat alone. It requires a laboratory test.

Sometimes breathing through the mouth will cause a sore throat in the absence of any infection. During the months of dry winter air, some people will wake up with a sore throat most mornings. This usually disappears after having something to drink.

With a sore throat, sometimes the tonsils or surrounding parts of the throat are inflamed. Either way, removing the tonsils to try to prevent future sore throats is not recommended for most children.

Call our office urgently if
  1. Your child has great difficulty swallowing fluids or saliva (excessive drooling).
  2. Your child is unable to open her mouth completely.
  3. Your child has a stiff neck.
  4. Your child has a sore throat and a temperature of more than 104°F.
  5. Your child has difficulty breathing or is making a funny noise while breathing (stridor).

Call our office during regular office hours if:
  • The sore throat pain is severe and lasts more than 2 days.
  • A widespread rash develops on your child’s body.
  • The sore throat lasts more than 72 hours (even if there is no fever).
  • Your child is under one year of age.

Home Care:  Most sore throats last 3-4 days. In the meantime, the following remedies may help:
  1. Children over age 12 months can sip warm liquids such as chicken broth or apple juice.
  2. Children ages 2 years and older can try popsicles or milk shakes.
  3. Children over age 6 years can suck on hard candy, such as butterscotch.
  4. Children older than age 6 years can also gargle several times a day with warm salt water. (1/2 tsp per 8 oz glass).
  5. A cool-mist vaporizer or humidifier can help to moisten and soothe a dry and painful throat.
  6. An appropriate dose of acetaminophen (Tylenol) may help relieve pain.
For more information about sore throats in children, check out the NIH website.

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