What should I do if I have a sore throat and it hurts even to swallow saliva?

Generally, sore throat and pain when swallowing saliva may be caused by excessive voice use, dietary irritation, acute pharyngitis, acute tonsillitis, or herpangina. Patients can choose appropriate management methods such as general care or medication based on their specific condition. A detailed analysis is as follows:

1. Excessive Voice Use

Prolonged loud talking or shouting can cause friction damage to the throat mucosa, leading to congestion, swelling, and pain. Reduce speaking frequency, speak softly, drink more warm or cool honey water, and avoid staying up late to allow the throat adequate rest.

2. Dietary Irritation

Consuming excessive spicy or hot foods can irritate the throat mucosa, triggering an inflammatory response and causing pain. Immediately stop eating irritating foods, switch to soft or liquid diets, and rinse the mouth with warm saline solution to relieve discomfort.

3. Acute Pharyngitis

An acute inflammation of the pharyngeal mucosa caused by viral or bacterial infection leads to mucosal congestion and swelling, resulting in pain. Medications such as Pudilan Anti-inflammatory Oral Liquid, Cefradine Capsules, or Yinhuang Throat Lozenges may be taken under medical guidance. Keep indoor air humidified.

4. Acute Tonsillitis

Pyogenic inflammation occurs when pathogens infect the tonsils; swollen tonsils irritate surrounding tissues, intensifying pain during swallowing. Under a doctor’s supervision, medications such as Amoxicillin Capsules, Cefixime Dispersible Tablets, or Ibuprofen Sustained-Release Capsules may be used. For recurrent cases, tonsillectomy may be considered.

5. Herpangina

Intestinal virus infection causes blisters in the pharynx; after rupture, these form ulcers that result in severe pain. Take Ribavirin Granules, Paracetamol Suspension, and Kangfuxin Liquid as directed by a physician. Maintain good oral hygiene and prevent cross-infection.

Throat health is closely related to daily habits. It is important to use your voice properly, maintain a light and regular diet, and drink plenty of water to keep the throat moist. If pain persists for more than three days or is accompanied by fever or difficulty breathing, seek medical attention promptly to identify the underlying cause and prevent worsening of the condition.