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Overview

Throat Ache: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Throat ache can be caused due to a number of conditions. The most common conditions that tend to cause throat pain are pharyngitis and tonsillitis. Pharyngitis or sore throat is a condition characterized by pain, scratchiness or irritation of the throat that usually worsens when a person tries to swallow. Pharyngitis or sore throat is generally caused by a viral infection such as cold or flu. Tonsils are situated at the back of the throat. They are collections of lymphoid tissue and form a part of the immune system. The tonsils trap germs and prevent them from entering your airways. However, the tonsils sometimes get affected and get inflamed and cause a lot of pain in the throat.

The viral infections that can cause sore throat are common cold, flu, measles, chicken pox, croup and mononucleosis. Although different bacteria can cause sore throat, the most common bacteria is Streptococcus pyogenes. Other causes of sore throat include allergies, irritants, muscle pain, dryness, muscle strain, HIV infection, GERD and tumors.

A sore throat caused by a viral infection normally gets resolved within a week or so. However, there are some medications that a person can take to get relief from the pain. Sore throat caused by bacterial infections can be cured with the use of antibiotics. The treatment for tonsillitis depends on the cause.

How is the treatment done?

A doctor will generally check for the symptoms and will check the back of the throat of the affected person for redness, white spots and swelling. The neck could also be examined to see if he/she has any swollen glands. A throat culture is recommended if the doctor wants to check whether a person has strep throat or not.

A doctor may recommend medicines to treat the throat pain or to contain its symptoms. Some medicines that help to treat throat pain and are easily available are acetaminophen, ibuprofen and aspirin. Some other treatments that may help to treat the throat pain are a spray that has a cooling ingredient like menthol or eucalyptus and a numbing antiseptic like phenol, cough syrups and throat lozenges. If throat pain occurs due to GERD, some of the medications that may help to treat it are antacids to neutralize stomach acid, H2 blockers to reduce production of stomach acid and proton pump inhibitirs to prevent the formation of stomach acid.

Tonsillitis caused due to bacteria is generally cured with the help of antibiotics. However, if a person suffers from viral tonsillitis, antibiotics would not help him/her. In that case, the person has to take some precautions and adopt a healthy lifestyle and allow the body to fight off the infection on its own. Sometimes a person may have to undergo tonsillectomy if the tonsillitis is recurrent or persistent.

Who is eligible for the treatment? (When is the treatment done?)

Tonsillitis, which can cause throat pain, exhibits a number of other side effects as well. They are redness of the tonsils, painful ulcers or blisters in the throat, headache, loss of appetite, white or yellow coating on the tonsils, fever, difficulty in swallowing or breathing, swollen glands in the neck or jaw area and even bad breath. Children may experience nausea, vomiting and abdominal pain. A doctor can determine whether a person needs treatment for throat pain by asking a person to take a rapid strep test. Or else a doctor can swab the back of the throat to collect samples and check for signs of bacteria. A person experiencing such symptoms and who has been diagnosed by the doctor as suffering from strep throat or tonsillitis can undergo treatment.

Who is not eligible for the treatment?

A person who has not experienced the symptoms associated with sore throat or tonsillitis is not eligible. A person may experience throat pain due to a number of different reasons. Thus, a person, who has not been properly diagnosed by a registered medical practitioner, is not eligible for treatment for pharyngitis or tonsillitis.

Are there any side effects?

Penicillin, used to treat strep infection, has a number of side effects. They are nausea, vomiting, stomach pain and headache. A person may also experience white patches inside the mouth or throat and a swollen, black and hairy tongue. Antibiotics in general can cause severe diarrhea and stomach cramps. A person on antibiotics may also experience severe allergic reactions in the lips, tongue, face and throat. Ibuprofen can cause dizziness, nervousness and ringing sensation in the ears in addition to the symptoms already mentioned above. Cough syrups can cause drowsiness, sleep problems, headache and vision problems.

What are the post-treatment guidelines?

There are a number of guidelines that a person can follow even after he/she has taken medications to deal with throat pain. A person should drink enough fluids to keep the throat moist, include comforting foods broth, caffeine-free tea and warm water with honey to care for the throat and also gargle with salt water. He/she should avoid talking too much, use a cool air-humidifier to keep the air moist and avoid coming in contact with irritants like cigarette smoke and other products. Tonsillectomy is generally performed in children. A child undergoing this surgery should take enough rest and also drink lots of water.

How long does it take to recover?

Throat pain due to strep throat can be treated with antibiotics. In this case, the throat pain may subside within 48 hours. A sore throat does not require medications if it is caused by a viral infection. It generally lasts for five to seven days and so the accompanying throat pain will also subside after that period. A child may require about 7-10 days to recover from a tonsillectomy.

What is the price of the treatment in India?

Ibuprofen, which is used to treat throat pain, is available within a price range of Rs 15- Rs 230. Tonsillectomy may cost a lot if it is done from a reputed private hospital. The cost of the surgery in such cases will exceed Rs 2 lakhs. Penicillin antibiotic can cost anything between Rs 500 – Rs 1000. Cough syrups to treat throat pain are available within a price range of Rs 100- Rs 200.

Are the results of the treatment permanent?

Sore throats can be caused due to a number of causes including viral and bacterial infections, allergic reactions to environmental pollutants, dry air, smoke, chemical and other irritants, injury and even tumors. Thus although the bacterial or viral infections can be dealt with quite easily, pain in the throat can recur. This is due to the fact that the triggering mechanisms cannot b controlled so easily. Hence, there are no permanent cures.

What are the alternatives to the treatment?

One of the easiest ways to treat throat pain is to gargle with warm water. A mixture of ginger, honey and lemon when consumed with a little bit of warm water can do wonders. Other alternative remedies that can help ease throat pain include: slippery elm, licorice root, marshmellow root and honeysuckle flower.

Safety: High Effectiveness: Medium Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range:

Rs 15 - Rs 2 lakhs

Popular Health Tips

Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

MS - ENT, MBBS
ENT Specialist, Delhi
Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

What is a foreign body (FB)?
Foreign body or FB is an object or piece of extraneous matter that has entered the body by accident or design. It is common to see certain items getting stuck in the ear, nose or throat especially, in young children. While most of the time they do not raise an alarm, however, sometimes they can lead to severe consequences like rupture of the eardrum or even choking.

How do FBs affect ear, nose and throat?

  • Children over 9 months develop an ability to pick up objects. As they explore the environment around them, they tend to put items such as peas, beans, marbles, beads, cotton, paper, etc, in their mouth, nose or ears. A similar trend can be seen in adults with mental disorders.
  • Trauma/ fall/accident can force FBs like rock, pebbles into the ear, nose or throat.
  • Adults while riding a bike or sleeping on the ground (campsites) can have insects: flies, ants, roaches fly into the nose or ear.
  • Choking occurs when FBs block the airway, common reasons are: not chewing the food properly, diseases like Parkinsonism, drinking alcohol or certain drugs that slowdowns the process of swallowing.

Managing FB in the ear, nose and throat

Foreign bodies in the ear
Symptoms: Pain in the ear, discharge or bleeding from the ear, feeling of fullness or pressure in the ear and dizziness and nausea in extreme cases.

Management:

  • Make sure the patient is sitting in an upright position, pull the pinna or outer semicircle of the ear towards the back. This can help you see the object clearly and also loosen it to wiggle out. If you can see the object clearly, use a tweezer to grasp the object and gently remove.
  • In case a live insect gets trapped inside the ear lie down and place few drops of warm vegetable or baby oil. Use oil only if symptoms of eardrum perforation like pain, bleeding/discharge from the ear is absent.
  • Tilting the head to the affected side can facilitate gravity to dislodge the object.

Foreign bodies in the nose:
Symptoms: 
Pain and difficulty in breathing from that side of the nose.
Management: Keep the uninvolved nostril closed by pressing a finger against the side of the nose and gently ask the person to blow from the affected nostril.

Foreign bodies in the throat:
Symptoms: Choking, inability to breathe and speak 
Management: Perform Heimlich maneuver: abdominal thrusts, if trained otherwise, it is advised to call for medical help immediately.

How can you prevent foreign bodies from entering your ear, nose, throat?

  • Discourage talking, playing, laughing when food is in the mouth.
  • Do not give whole grapes, popcorn, nuts to children below 3 years.
  • Keep small objects out of reach of small children.
  • Teach children to avoid placing objects into their nose, ears.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3655 people found this helpful

Difficulty in Swallowing - Are You at Risk of Dysphagia?

MBBS, MS - ENT, DNB (ENT)
ENT Specialist, Delhi
Difficulty in Swallowing - Are You at Risk of Dysphagia?

Swallowing food comes naturally to human beings. But when there is a problem, it is usually called Dysphagia. Esophagus, a muscular tube-like organ located at the back of our throat, usually helps in swallowing food and transferring them to our stomach. When esophagus does not function properly, dysphagia happens. Patients suffering from brain or nerve disorder, seniors and babies might have this problem.

People with dysphagia might witness the following issues:

  • Difficulty in swallowing solids and liquids.
  • Gaging, choking or coughing usually occurs when trying to swallow.
  • Experience pain when trying to swallow and also heartburn.
  • Swallowed food might come back up either through mouth or nose.
  • A chronic problem might result in weight loss.

Causes:
There are 2 main reasons, why the Esophagus might become dysfunctional.

  1. Due to some medical condition the muscles and nerves that help the esophagus work have stopped working.
  2. The esophagus is blocked by something.

There can be a number of reasons for both the condition. Here are the reasons why the muscles and nerves might not work.
Certain diseases can create problems with your nervous system, which in turn can affect the esophagus. These diseases are polio, multiple sclerosis, muscular dystrophy, Parkinson’s disease.

  1. A brain stroke, spinal cord injury or brain injury can also affect swallowing.
  2. Polymyositis or Dermatomyositis are immune system problems that can cause swelling or weakness.
  3. The muscles of esophagus suddenly squeeze, which is called esophagus spasm.
  4. Scleroderma causes the esophagus to become thin and weak.

The esophagus might be blocked because of these reasons:

  1. Esophagus might have malignant or non-malignant tumours.
  2. Esophagitis is a medical condition when the esophagus is infected, got some allergy or even if a pill got stuck on it.
  3. People suffering from reflux diseases often experience the acid that backs up into the esophagus. This can cause an ulcer on it resulting in scars. Scars make Esophagus narrower, making it difficult to swallow.
  4. There are small sacs called Diverticula on the esophagus or the throat, often making it difficult to swallow.
  5. Lymph nodes, tumours, bone spurs can also obstruct esophagus and create difficulty in swallowing. If you wish to discuss about any specific problem, you can consult an ENT specialist.
2617 people found this helpful

Causes, Symptoms and Treatment of Tonsillitis

MBBS, MS - ENT, DNB
ENT Specialist, Gurgaon
Causes, Symptoms and Treatment of Tonsillitis

Tonsils are the two oval-shaped tissue pads at the back of your throat, which function as a mechanism to protect you from diseases. Any infection of the tonsils is referred to as ‘tonsillitis’.

You can suffer from tonsillitis at any age, but it is more commonly diagnosed in children. Tonsillitis is highly contagious.

There are two types of tonsillitis:

  1. Chronic tonsillitis— Longer episodes of acute tonsillitis
  2. Recurrent tonsillitis— Recurrent episodes of tonsillitis in a year

Causes

Tonsillitis can cause viral and bacterial infections. The ‘Streptococcus (strep) bacteria’ is a common cause. Some other causes include:

  1. Adenoviruses
  2. Influenza virus
  3. Epstein-Barr virus
  4. Parainfluenza virus
  5. Enteroviruses
  6. Herpes simplex virus

Symptoms

Since tonsillitis has various causes, symptoms too tend to differ. Some symptoms include:

  1. An extremely sore throat
  2. Painful or difficult swallowing
  3. Scratchy-sounding voice
  4. Bad breath
  5. Fever
  6. Chills
  7. Earaches
  8. Stomach aches
  9. Headaches
  10. Stiff neck
  11. Neck and jaw tenderness due to inflamed lymph nodes
  12. Tonsils that become swollen and red in colour
  13. Yellow or white spots on the tonsils

In children, symptoms such as excessive drooling, increased irritability or poor appetite are usually noticeable.

Treatment

If the tonsillitis is mild, especially caused by a virus, it usually doesn’t require any treatment. More critical cases of tonsillitis might require treatments such as tonsillectomy (a surgical process used to remove the tonsils) or administration of antibiotics.

Penicillin is the most commonly administered antibiotic. Once commonly performed, tonsillectomy (surgical removal of tonsils) is now reserved for extremely critical cases. If you wish to discuss any specific problem, you can consult an ent-specialist.

2861 people found this helpful

Heart Attack in Women - Things You Must Know!

DM - Cardiology -, MD - General Medicine - , MBBS, FSCAI, MHRS, FACC, FESC , Fellowship in Interventional Cardiology & EP, Interventional Cardiology & EP and Devices, Senior Specialist( Interventional Cardiology), Fellow of southeast Asian Interventional Cardiology Society, International Award of Excellence in Cardiology
Cardiologist, Delhi
Heart Attack in Women - Things You Must Know!

Women, who have been thinking that cardiac diseases are something that doesn’t need much attention, then you have tragically mistaken. As a matter of fact, these are the diseases which most women aren’t too aware of. However, it is affecting a lot of women all over the world. The most common issue in cardiology, particularly among women is a heart attack. The first thing that we should know is that Cardiovascular diseases like  heart attack are killing as many women as men.

Almost more than 25,000 women are dying all over India every year from a heart attack or other coronary heart diseases. The ratio results show that women are suffering from heart attack three times more than that of breast cancer. The main reason that creates this higher toll is that the disease may be different in women. However, in the case of men, it stays more localised. In the case of women, the disease is diffused and spread out, but it can be treated. 

You cannot seek immunity only through pills:
We should be aware of the fact that pills will help you to curb the chance of having a heart attack, but again doctors claim that the risk does hike quite significantly after the menopause in women. The pills in such case can create various side effects and eventually trigger more cardiac diseases. The formation of clots in blood are created by different kinds of hormonal contraception, which is the main reason for a potential heart attack in women.

Heart attack symptoms in women:
We all know that the classic heart attack symptoms include severe pressure on the chest and extreme chest pain. However, these symptoms can be quite subtle in case of women. So, here we are listing down 4 of the most common symptoms of heart attack for women and those are:

  1. Fatigue
  2. Shortness of breath
  3. Throat pain and jaw pain
  4. Pain in arms may be in one or both

If you experience any one of these symptoms even, make sure that you go for a check immediately. Take quicker action as each minute that goes on during a heart attack is creating the death of a heart muscle.

Smoking doubles the risk of a heart attack in women
According to experts in cardiology, the most important fact that triggers a heart attack in women is smoking, which increases the blood pressure and causes the blood to pile up in your blood vessels, reducing the good HDL cholesterol which clots the blood and eventually results in a heart attack.

You must be wondering about the favourable chances of having a heart attack for women. The fifth and final thing to know about a heart attack is that women who are weighing thirty pounds or more have more chances of heart attack. If you wish to discuss about any specific problem, you can consult a cardiologist.

2733 people found this helpful

Rheumatic Fever in Kids - How It Impacts Your Child?

M.D(Pediatrics), MBBS
Pediatrician, Rewari
Rheumatic Fever in Kids - How It Impacts Your Child?

Rheumatic fever is a kind of autoimmune ailment that can occur as a result of group A streptococcal throat infection leading to inflammatory lesions in the connective tissues of the body. This disease specifically affects the joints, heart, blood vessels and various subcutaneous tissues located all over the body.

History of the effects of rheumatic fever:
The disease has been evaluated and depicted since the 1500s, though the connection between the rheumatic fever, and the throat infection was not found out until it was late 1880s. And the sore throat was also related to the rash, which is caused by streptococcal exotoxins, along with fever. Rheumatic fever was one of the leading causes of deaths in children as well as one of most common reasons behind the acquired heart diseases in adults before the invention and availability of penicillin.

Reasons behind the causes of rheumatic fever:
Even though adolescents and adults may be affected by the rheumatic fever, it mostly affects children aged between 5 to 15 years. It is a common disease in areas like South-Central Asia, sub-Saharan Africa and several parts of New Zealand and Australia. Group A streptococcus bacterium is the primary cause of this fever, and it also leads to scarlet fever in some people. It makes the body attack its own tissues once it has been attacked by the bacteria. This particular reaction leads to widespread inflammation throughout the body and forms the basis of all the common symptoms of the rheumatic fever.

You may have to take your child for the strep test if you notice any of the following symptoms:

  1. A sore throat and red rashes all across or in certain parts of the body.
  2. If your child has tender or swollen lymph nodes that are causing difficulty in swallowing.
  3. Tonsils that are filled with pus or red and swollen.

Harmful impacts of the rheumatic fever:

Developed mostly due to strep throat infection, it can affect the heart, skin, joints and nervous system of children. Though it may not affect all who have gone through a strep throat infection, it can lead to long-term diseases of the heart and its valves and is termed as a rheumatic heart disease. Since each attack of rheumatic fever may cause further damage to the heart, it is very crucial to make sure that your child doesn’t have one more attack of the fever, and it is therefore, important to have regular doses of penicillin injections and consult a specialist for receiving further advice on treatments and prevention.

2436 people found this helpful

Popular Questions & Answers

I am very prone to tonsillitis. Yesterday evening I had some chinese food and immediate after having I am feeling pain in my throat. Today morning I had tonsils on both side of throat. Pls advise medicine.

ENT Specialist, Chandigarh
Do warm saline gargle thrice a day. Tab Amoxyclav 625 mg thrice a day. Tab Allegra M once in night. Tab diclofenac twice a day. Tab pantop in d morning empty stomach.

Sir I suffer from throat pain in last 3 dys I can't able to swallow the food I dnt knw what prb happened sir pls give me a suggestion to cure it.

MS otorhinolaryngology and head and neck surgery
ENT Specialist, Jaipur
It seems you are suffering from acute pharyngitis. You must take some pain killer and decongestant as palliative therapy. And see some Dr. if you require any other medication or antibiotics.

Is a negative hbsag cmia test negative after 1 year of exposure conclusive or need other test to rule out hep b? I have tested negative hiv and hep c also but continuously feeling severe throat sore dark urine liver pain.

MBBS, DDV, FCPS, APEX, Diplomat American Board of Sexology
HIV Specialist, Mumbai
You have some other Infection, not HIV. Have you also fine HBsAg and VDRL tests? Please take private consult with audio video chat and then I can guide you properly and explain you what is to be done and when.

I am 27 years old and I’m 6 months pregnant now from last 1 week I have throat pain and from 3 days have wet cough too much doctors prescribed 1: Advent 625 mg tab, Ascoril d plus syrup and betadine gargle big mint, Is it safe to use during pregnancy please suggest as soon as possible.

MBBS, DNB (Obstetrics & Gynecology), (MRCOG)
Gynaecologist, Chennai
Hi lybrate-user Your symptoms suggest Upper \Respiratory infection. Most of the time it is Viral, and will not need antobiotics. Now Advent is an antibiotic. You can try Salt water gargling and steam inhalation three times a day for 2-3 days. Also have soups with pepper, and drink only warm water. If symptoms do not subside, or you develop fever, you'll need to decide on taking antibiotics. They mostly subside with symptomatic treatment. If you do have to take them, they are safe for pregnancy.
1 person found this helpful

I am suffering from throat pain for last 10 days. I feel it a bit below the tonsils also, on the right side. It pains while swallowing. I do not have cough or cold.

ENT Specialist, Pune
Avoid cold avoid dust betadine gargle twice daily for 1 wk n if infection is in the throat so for throat pain go to Ent specialist they will examine your throat then start antibiotics if needed.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Ear, Nose and Throat (ENT) Care
When to See an Ear, Nose, and Throat Specialist?
Play video
Throat Pain
Here are cause symptoms and treatment of Throat Pain

Hello, I'm Dr. Varun Gupta, a Senior ENT consultant. Dr. Bindu Kumari, our speech language pathologist and Mr. Rajesh, our audiologists. Today we are discussing in brief, a very common clinical condition, on our day to day clinical practice, which is a throat pain.

The common causes of throat pain are viral infections, bacterial infections, acid reflux, smoking and food irritants. It leads to a difficulty in swallowing, irritation and itchiness in the throat. It may lead to a swelling of lymph nodes as well. It is very important to visit your doctor, if you are having some pain in the throat, because it is a very annoying symptom and though it is not a very serious ailment and we can get it control with the use of simple antibiotics, anti-inflammatory, and anti-histamines along with if there's an acid reflux we can start with some anti-acidity medicines also.

Many times in case of throat pain it can lead to hoarseness of voice as well means the voice of the patient also deteriorates. I would like to introduce Bindu Kumari to talk about something about the voice hygiene. When you have throat pain, you need to maintain some vocal hygiene tips, don't clear throat frequently, don't whisper, take adequate amount of voice taste, don t scream, use some humming relaxation exercises. Throat pain due to viral infection can lead to involvement of ear.

So I will request Mr. Rajesh to mention about this. Viral infection can lead to hearing loss. The symptom can be ringing sound, buzzing sound, blocking in the ear and is also is can be hearing loss. So please do not hesitate to come visit the audiologist and go for the hearing screening. As it can prevent permanent hearing loss. So regarding the management of throat pain, as you have just seen it lead to all kinds of symptoms like voice problem, a throat pain and it can affect the hearing also.

So any clarification if you want you can consult us through Lybrate by any of the methods like text consultation or your video consultation.
Having issues? Consult a doctor for medical advice