Sore Throat: When Should You See a Doctor?

Published Jul 08, 2024

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Updated Dec 17, 2024

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Est. reading time: 5 minutes

Key points

  • Sore throats can be caused by various factors, including infections, environmental irritants, and underlying health conditions.
  • Certain symptoms, such as difficulty breathing or swallowing, severe pain, or a sore throat lasting longer than a week, warrant a visit to the doctor.
  • Viral and bacterial infections are common causes of sore throats, but allergies, dryness, irritants, muscle strain, and certain diseases can also cause them.
  • Preventing a sore throat involves minimizing exposure to infectious agents, maintaining good hygiene, and supporting the immune system with a healthy lifestyle.
  • Preventing a sore throat involves minimizing exposure to infectious agents, maintaining a healthy lifestyle, and practicing good hygiene.
Sore Throat: When Should You See a Doctor?

When to See a Doctor for Sore Throat?

When experiencing a sore throat, it's often difficult to determine whether it's just a minor irritation or something that warrants a visit to the doctor. While many sore throats can be treated at home with rest and over-the-counter remedies, according to the Mayo Clinic, there are certain symptoms in both adults and children that may indicate a more serious condition requiring medical attention.

Below, we outline the symptoms that should prompt a doctor's visit for both adults and children, according to the Mayo Clinic.

Sore throat in children

  • Difficulty breathing: If your child is having trouble breathing, it's crucial to seek immediate medical care.

  • Difficulty swallowing: Pain or difficulty when swallowing can be a sign of a more serious throat infection.

  • Unusual drooling: This might indicate that your child is having trouble swallowing, which could require prompt medical attention.

Sore throat in adults

  • A sore throat that is severe or lasts longer than a week: Persistent or particularly intense pain should be evaluated by a healthcare provider.

  • Difficulty swallowing: If swallowing is painful or difficult, it could be a sign of an infection or other condition that needs medical evaluation.

  • Difficulty breathing: Struggling to breathe is a serious symptom that requires immediate medical attention.

  • Difficulty opening your mouth: This could indicate an infection or another condition that can restrict movement of the mouth.

  • Joint pain: If a sore throat is accompanied by joint pain, it could be related to a more systemic illness.

  • Earache: An earache in conjunction with a sore throat could suggest an infection.

  • Rash: A rash plus a sore throat may be indicative of certain illnesses that require a doctor's diagnosis.

  • Fever higher than 101 F (38.3 C): A high fever suggests your body is fighting a significant infection.

  • Blood in your saliva or phlegm: This is an uncommon symptom and should always be evaluated by a healthcare professional.

  • Frequently recurring sore throats: Regularly occurring sore throats may be a sign of a chronic condition.

  • A lump in your neck: Any new lumps should be assessed by a doctor, as they may indicate an infection or other condition.

  • Hoarseness lasting more than two weeks: Persistent hoarseness could be a sign of an issue with the vocal cords.

  • Swelling in your neck or face: Swelling can be a sign of an allergic reaction, infection, or other serious conditions.

What Are the Causes of Sore Throat?

According to the Mayo Clinic, throat pain is a symptom that can arise from a variety of causes, ranging from infections to environmental factors. Understanding the root cause of a sore throat is important for determining the appropriate treatment and care. While viral and bacterial infections are common culprits, several other factors can contribute to the discomfort.

Below, we explore the main causes of sore throat, according to the Mayo Clinic and UCLA Health, to provide a clearer picture of why this ailment may occur:

Viral infections

  • Common cold: Often accompanied by a runny nose and cough, the common cold is a frequent cause of sore throat.

  • Flu (influenza): The flu can cause a sudden and severe sore throat, along with other systemic symptoms.

  • Mono (mononucleosis): Known for causing extreme fatigue, mono can also lead to a severe sore throat.

  • Measles: Characterized by a rash and fever, measles can also cause a sore throat.

  • Chickenpox: Along with its telltale skin rash, chickenpox can cause a sore throat.

  • Croup: This childhood illness is distinguished by a harsh, barking cough and can cause a sore throat.

Bacterial infections

  • Streptococcus pyogenes (group A streptococcus): This bacterium causes strep throat, a common and potentially serious throat infection. Strep throat can be diagnosed by having a strep test done at an urgent care or doctor's office. Some public health offices may also offer strep tests, however, they will usually not offer throat cultures, which are sometimes necessary for an accurate diagnosis, according to the Mayo Clinic. If you think you have strep throat, it is best to see a doctor, according to the Mayo Clinic.

Other causes

  • Allergies: Reactions to pollen, dust, pets, or molds can lead to throat irritation.

  • Dryness: Dry indoor air, especially in winter, can make the throat feel rough and scratchy.

  • Irritants: Smoke, chemicals, and other environmental irritants can cause a persistent sore throat.

  • Muscle strain: Excessive talking, yelling, or other vocal strain can lead to a sore throat.

  • Gastroesophageal reflux disease (GERD): Acid reflux can irritate and inflame the throat.

  • HIV infection: A sore throat can be an early symptom of HIV infection.

  • Tumors: Benign or malignant tumors in the throat, larynx, or tongue can cause a sore throat.

How to Prevent a Sore Throat?

Preventing a sore throat is largely about minimizing exposure to the infectious agents that cause it and maintaining a healthy lifestyle to support your immune system, according to the Mayo Clinic. They note that effective prevention strategies can reduce the likelihood of developing a sore throat and also help in curtailing the spread of infections to others.

Here are some key measures you can take to protect yourself and others from the discomfort of a sore throat, as recommended by the Mayo Clinic and UCLA Health:

  • Wash your hands often, particularly after coughing, sneezing, or coming into contact with someone who is sick. Proper hand hygiene is one of the most effective ways to prevent the spread of infections.

  • Use alcohol-based hand sanitizers when soap and water are not readily available to ensure your hands are kept free from germs.

  • Cough or sneeze into a tissue, then throw the tissue away and wash your hands immediately to prevent the spread of germs.

  • Avoid touching your nose or mouth, as these are common entry points for viruses and bacteria.

  • Avoid close contact with people who are sick, and if you are ill, keep your distance from others to prevent spreading the infection.

  • Disinfect frequently touched surfaces regularly, such as doorknobs, light switches, and tabletops, to remove germs.

  • Follow a healthy diet and exercise plan to boost your overall health and immune system, which can help you fend off infections that could cause a sore throat.

FAQs

When should I see a doctor for a sore throat?

You should see a doctor if you have severe pain, difficulty breathing or swallowing, a sore throat lasting longer than a week, or other concerning symptoms like a high fever or blood in your saliva.

What are some common causes of a sore throat?

Common causes include viral and bacterial infections, allergies, dry indoor air, environmental irritants, excessive vocal strain, acid reflux, and certain diseases like HIV.

Can a sore throat be a symptom of a serious condition?

Yes, a sore throat can be a symptom of a serious condition, such as an infection, an allergic reaction, or even a tumor in the throat, larynx, or tongue.

How can I prevent getting a sore throat?

You can prevent a sore throat by maintaining good hygiene, avoiding close contact with sick individuals, disinfecting frequently touched surfaces, and following a healthy diet and exercise plan.

Can a sore throat be caused by allergies?

Yes, reactions to pollen, dust, pets, or molds can lead to throat irritation and cause a sore throat.

Dr. Rob Rohatsch, MD, is a Board-Certified Emergency Medicine physician and urgent care executive. He earned his MD from Jefferson Medical College, currently serves on multiple boards and is Solv’s Chief Medical Officer.

How we reviewed this article

Medically reviewed

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Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

History

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • July 08 2024

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

2 sources

Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • July 08 2024

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

Topics in this article

Ear InfectionPediatric CareIllnessAllergiesWellnessPrimary CareRespiratory InfectionsCold And FluVaccinesPreventionUrgent Care

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