What causes many red bumps in the throat, and what should I do about it?

Nov 28, 2025 Source: Cainiu Health
Dr. Lu Cheng
Introduction
In general, the appearance of multiple red bumps in the throat may be caused by factors such as dietary irritation, excessive voice use, acute pharyngitis, herpangina, or lymphoid follicular hyperplasia. Appropriate measures such as general care or medication can be chosen based on the specific situation to improve symptoms. It is advisable to adopt a light diet in daily life and avoid excessively hot or spicy foods; also, limit the frequency of voice use and avoid excessive shouting.

Generally, the appearance of multiple red bumps in the throat may be caused by dietary irritation, excessive voice use, acute pharyngitis, herpangina, or lymphoid follicular hyperplasia. Appropriate improvements can be made through general care, medication, or other methods based on the specific situation. Detailed analysis is as follows:

1. Dietary Irritation

Consuming excessively hot, spicy, or fried foods can irritate the pharyngeal mucosa, causing congestion, swelling, and red bumps. Immediately stop eating irritating foods, switch to cool or lukewarm liquid diets, and drink plenty of warm water to soothe the mucous membrane.

2. Excessive Voice Use

Prolonged loud talking or shouting can damage the pharyngeal mucosa due to intense vibration, triggering an inflammatory response and resulting in red bumps. Allow the vocal cords adequate rest, avoid speaking loudly, and consider sucking on non-irritating throat lozenges to relieve discomfort.

3. Acute Pharyngitis

Viral or bacterial infections can cause acute inflammation of the pharynx, leading to dilation and congestion of capillaries beneath the mucosa, forming red papules. Under medical guidance, medications such as Lanqin Oral Liquid, Cefuroxime Axetil Tablets, or Ribavirin Granules may be taken. Rinse the mouth with warm water after meals.

4. Herpangina

Infection with Coxsackievirus causes blisters in the oropharynx; initially presenting as red bumps, which later develop into vesicles. Follow medical advice to take Pudilan Anti-inflammatory Oral Liquid, Paracetamol Suspension, and Kaihoujian Spray. Maintain good oral hygiene.

5. Lymphoid Follicular Hyperplasia

Chronic inflammatory stimulation can lead to enlarged and proliferated lymphoid follicles in the throat, appearing as granular red protrusions. Inhalation therapy using Budesonide Suspension via nebulization may be used under medical supervision, along with Qinghou Liyan Granules and Yinhuang Throat Lozenges. In severe cases, low-temperature plasma ablation may be considered.

Adopt a light diet in daily life and avoid excessively hot or spicy foods. Control frequency of voice use and avoid excessive shouting. Maintain regular作息 (sleep patterns) to enhance immunity. If the red bumps persist or are accompanied by fever, difficulty swallowing, or other symptoms, seek timely medical evaluation and treatment.