Sore throat keeps recurring, painful when swallowing saliva

Sep 26, 2023 Source: Cainiu Health
Dr. Song Haitao
Introduction
In general, recurrent sore throat with pain when swallowing saliva may be caused by factors such as acute pharyngitis, acute tonsillitis, acute epiglottitis, herpetic pharyngitis, or novel coronavirus infection. Patients are advised to follow medical guidance for symptomatic treatment. In addition, persistent and recurrent sore throat with pain when swallowing saliva could also be due to laryngeal cancer. If you experience any discomfort, please seek timely medical evaluation at a hospital.

Generally, recurrent sore throat with pain during swallowing may be caused by factors such as acute pharyngitis, acute tonsillitis, acute epiglottitis, herpetic pharyngitis, or novel coronavirus infection. Patients are advised to follow medical guidance for symptomatic treatment. Specific analyses are as follows:

1. Acute Pharyngitis

This condition is usually caused by viral or bacterial infections in individuals with low immunity, and it is a type of upper respiratory tract infection. Symptoms may include sore throat, painful swallowing, difficulty swallowing, and a burning sensation in the throat. Under medical supervision, patients may take medications such as acyclovir tablets or amoxicillin capsules.

2. Acute Tonsillitis

Typically caused by infection with group A beta-hemolytic streptococcus, this condition is characterized by symptoms including sore throat, fever, and redness and swelling of the palatine tonsils. Some patients may experience severe throat pain. Treatment under medical guidance may include cefuroxime axetil granules or compound furacilin powder.

3. Acute Epiglottitis

Acute epiglottitis is an infection or inflammation of the tissues surrounding the epiglottis, often associated with foreign bodies, trauma, or exposure to irritating gases. Common symptoms include throat pain, pain when swallowing saliva, difficulty swallowing, fever, and inspiratory stridor. Medications such as cefaclor sustained-release tablets or dexamethasone acetate tablets may be used as directed by a physician.

4. Herpetic Pharyngitis

Caused by herpes virus infection, this condition leads to inflammation and blister formation in the throat and pharynx, resulting in throat pain and discomfort. Medications such as ribavirin tablets or ibuprofen tablets may be used under medical supervision.

5. Novel Coronavirus Infection

After infection with the novel coronavirus, the virus attacks respiratory epithelial cells, triggering an inflammatory response that causes throat pain and pharyngeal discomfort. In severe cases, the pain may feel as if "swallowing razor blades." Medications such as Lianhua Qingwen capsules or diclofenac sodium sustained-release tablets may be used as prescribed.

In addition, throat cancer could also be a possible cause. If discomfort occurs, it is important to seek timely medical evaluation and receive targeted treatment to avoid delays in diagnosis and management.