What should I do if a sore throat causes a headache?
Nov 27, 2025
Source: Cainiu Health
Dr. Lu Cheng
Introduction
In general, headaches caused by sore throat may be due to factors such as referred inflammation, insufficient rest, acute tonsillitis, viral cold, or sinusitis. Patients can choose appropriate management approaches based on their specific conditions, including general treatment, medication, or surgical intervention. Daily attention should be paid to oral hygiene, with regular tooth brushing in the morning and evening. Dress appropriately according to weather changes to avoid getting chilled.
Generally, headaches caused by sore throat may be due to inflammation spread, lack of rest, acute tonsillitis, viral cold, or sinusitis. Depending on the specific situation, patients can improve symptoms through general management, medication, or surgical treatment. Details are as follows:
1. Referred inflammation: When the throat becomes inflamed, inflammatory factors spread and stimulate nerves around the pharynx, causing referred pain in the head. Pain often worsens during swallowing. Drinking plenty of warm or cool water can soothe the throat. Avoid speaking loudly and consume soft, easily swallowed foods.
2. Insufficient rest: During a sore throat, the body is in a state of stress. Lack of sleep increases physical strain, leading to cerebral blood vessel spasms that may trigger or exacerbate headaches. Ensure 7–8 hours of sleep daily, rinse mouth with warm saline before bed, and maintain a quiet, comfortable sleeping environment.
3. Acute tonsillitis: Bacterial infection causes redness, swelling, and pus formation in the tonsils. The inflammation may spread to the head, causing headache accompanied by high fever and difficulty swallowing. Under medical guidance, medications such as cefaclor capsules, Pudilan anti-inflammatory oral liquid, and acetaminophen tablets may be taken. Use mouthwash after meals to keep the oral cavity clean.
4. Viral cold: Viruses invade the upper respiratory tract, causing throat inflammation and systemic inflammatory response, resulting in headache, nasal congestion, and fatigue. As directed by a physician, ribavirin granules, Lianhua Qingwen capsules, or compound paracetamol amantadine tablets may be used. Increase intake of fruits and vegetables rich in vitamin C.
5. Sinusitis: Throat inflammation spreading to the sinuses leads to infection. Congestion and swelling of the sinus mucosa compress surrounding tissues, causing headaches that worsen upon waking. Under medical supervision, budesonide nasal spray, eucalyptus oil and pinene enteric-coated soft capsules, or cefuroxime axetil tablets may be used. In severe cases, sinus surgery may be considered.
Maintain good oral hygiene by brushing teeth regularly in the morning and evening; dress appropriately according to weather changes to avoid catching a chill; engage in moderate exercise to strengthen immunity. Do not ignore headaches accompanying sore throat—seek timely medical evaluation to identify the underlying cause and receive targeted relief.
