Managing Severe Sore Throat After Influenza A: What to Do Next? - Internal Medicine

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Influenza A virus issues


I tested positive for influenza A and have been taking Tamiflu for five days.
I no longer have a fever, but I still have a sore throat, cough, and phlegm.
What should I do? "My throat hurts much more than with a regular cold." Every time I swallow water or eat something, it hurts, so I can only eat and drink very little.
How long will it take for my sore throat to heal? The hospital only prescribed pain relief for me; nothing else seems important right now, I just want to get rid of the sore throat pain.

Niming, 10~19 year old female. Ask Date: 2009/11/02

Dr. Guo Hanyue reply Internal Medicine


It is recommended that you first consult an otolaryngologist to check for any injuries or ulcers in the throat.
If there are no visible abnormalities, you may need to use a stronger cough suppressant along with pain relievers to manage the symptoms, as it may take some time to gradually improve.
Wishing you a speedy recovery.

Reply Date: 2009/11/02

More Info


Managing a severe sore throat after an influenza A infection can be quite challenging, especially when the pain significantly affects your ability to eat and drink. It's understandable that you want relief from the discomfort, and there are several strategies you can consider to help manage your symptoms and promote healing.

Firstly, it’s important to recognize that after an influenza A infection, lingering symptoms such as sore throat, cough, and phlegm can persist even after the fever has resolved. This is often due to inflammation and irritation of the throat tissues caused by the viral infection. Here are some recommendations to help alleviate your sore throat:
1. Stay Hydrated: Although swallowing may be painful, it’s crucial to stay hydrated. Try sipping on warm liquids like herbal teas, broths, or warm water with honey and lemon, which can soothe the throat. If swallowing is too painful, consider using a straw to help bypass the sore areas.

2. Use Throat Lozenges or Sprays: Over-the-counter throat lozenges can provide temporary relief by numbing the throat. Throat sprays containing phenol or other anesthetic ingredients can also help reduce pain.

3. Gargle Salt Water: Gargling with warm salt water can help reduce swelling and discomfort in the throat. Mix about half a teaspoon of salt in a glass of warm water and gargle several times a day.

4. Pain Relief Medications: Since your doctor has prescribed pain relief, make sure to take it as directed. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can help reduce pain and inflammation.

5. Humidify the Air: Using a humidifier in your room can help keep the air moist, which may soothe your throat and reduce coughing. Dry air can exacerbate throat pain.

6. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can worsen throat pain. This includes avoiding alcohol and caffeine, which can dehydrate you.

7. Rest Your Voice: Try to talk less and avoid whispering, which can strain your vocal cords. Giving your voice a rest can help reduce irritation.

8. Monitor Symptoms: Keep an eye on your symptoms. If your sore throat persists beyond a week, worsens, or is accompanied by other concerning symptoms (such as difficulty breathing, high fever, or rash), it’s important to follow up with your healthcare provider.

As for how long it will take for your sore throat to heal, it can vary from person to person. Generally, throat pain from viral infections can last anywhere from a few days to a couple of weeks. However, if you are following the above recommendations and still experiencing significant pain after a week, it may be worth revisiting your healthcare provider for further evaluation. They may consider other treatments, such as corticosteroids, if inflammation is severe, or check for secondary infections like bacterial pharyngitis.

In summary, while managing a severe sore throat post-influenza A can be uncomfortable, employing these strategies can help alleviate your symptoms. Remember to prioritize hydration and pain management, and don’t hesitate to seek further medical advice if your symptoms do not improve. Your comfort and recovery are important, and there are options available to help you through this challenging time.

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