Recurring Throat Pain: Causes and Solutions - Otolaryngology

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Throat issues


Hello Doctor: I previously had a sore throat for six to seven days, which resolved on its own.
Then it suddenly hurt again for two to three days and got better by itself.
Now it has started hurting again, and it is very painful to swallow saliva.
Why does it hurt suddenly for a few days, then go away, and then hurt again?

Linlin, 10~19 year old female. Ask Date: 2016/06/18

Dr. Zheng Jueyi reply Otolaryngology


Hello: Recurrent infections are often related to an immune system that has not fully recovered or chronic inflammation caused by other persistent stimuli.
If you experience frequent recurrences, it is advisable to continue seeking medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/06/18

More Info


Recurring throat pain can be quite distressing and may arise from a variety of causes. Understanding the underlying reasons for this symptom is crucial in determining the appropriate course of action.
One of the most common causes of recurrent throat pain is viral infections, such as the common cold or influenza. These infections can lead to inflammation of the throat (pharyngitis), resulting in pain, especially when swallowing. Typically, viral infections will resolve on their own within a week or so, which may explain why your throat pain subsided after a few days. However, if the viral infection is not fully resolved, it can lead to recurrent symptoms.

Bacterial infections, particularly streptococcal pharyngitis (strep throat), can also cause severe throat pain. Unlike viral infections, strep throat often requires antibiotic treatment to resolve. Symptoms of strep throat include sudden onset of sore throat, pain when swallowing, fever, and swollen lymph nodes. If you experience these symptoms, it is advisable to see a healthcare provider for a throat swab test to determine if a bacterial infection is present.

Another potential cause of recurring throat pain is allergies. Allergens such as pollen, dust, or pet dander can lead to post-nasal drip, where mucus drips down the back of the throat, causing irritation and pain. This can be exacerbated by dry air, especially in winter months or in air-conditioned environments. If you suspect allergies, over-the-counter antihistamines may provide relief.

Gastroesophageal reflux disease (GERD) is another condition that can cause throat pain. In GERD, stomach acid flows back into the esophagus, leading to irritation and pain in the throat. This can occur especially after eating or when lying down. If you notice that your throat pain is accompanied by heartburn or a sour taste in your mouth, it may be worth discussing GERD with your doctor.

Environmental factors, such as exposure to smoke, pollution, or strong odors, can also irritate the throat and lead to pain. If you are frequently exposed to such irritants, reducing exposure may help alleviate symptoms.

In your case, since the throat pain has been recurring and varies in duration, it is essential to monitor other accompanying symptoms. If you experience fever, difficulty swallowing, or if the pain persists beyond a few days, it is advisable to seek medical attention. A healthcare provider may perform a physical examination and possibly recommend tests, such as a throat culture or blood tests, to identify the underlying cause.

In summary, recurrent throat pain can stem from various causes, including viral or bacterial infections, allergies, GERD, and environmental irritants. Identifying the specific cause is key to effective treatment. If symptoms persist or worsen, consulting a healthcare professional is crucial for proper diagnosis and management. Meanwhile, maintaining good hydration, using throat lozenges, and avoiding irritants can provide symptomatic relief.

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