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Sore throat

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Title: Sore throat  
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Subject: Pharyngitis, Common cold, Streptococcal pharyngitis, Auricularia auricula-judae, Pain
Collection: Pain, Symptoms and Signs: Respiratory System
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Sore throat

Sore throat
Viral pharyngitis, the most common cause of a sore throat.
Classification and external resources
Specialty Otorhinolaryngology
ICD-10 J02, J31.2
ICD-9-CM 462, 472.1
DiseasesDB 24580
MedlinePlus 000655
eMedicine emerg/419
MeSH D010612

A sore throat (or throat pain) is pain or irritation of the throat. A common physical symptom, it is usually caused by acute pharyngitis (inflammation of the throat), although it can also appear as a result of trauma, diphtheria, or other conditions.

Contents

  • Definition 1
  • Differential diagnosis 2
  • Management 3
  • Epidemiology 4
  • References 5

Definition

A sore throat is pain anywhere in the throat.[1]

Differential diagnosis

A sore throat is usually from irritation or inflammation. The most common cause (80%) is acute viral pharyngitis, a viral infection of the throat.[1] Other causes include other infections (such as streptococcal pharyngitis), trauma, and tumors.[1] Gastroesophageal (acid) reflux disease can cause stomach acid to back up into the throat and also cause the throat to become sore.[2] In children streptococcal pharyngitis is the cause of 37% of sore throats.[3]

Management

Analgesics such as non-steroidal anti-inflammatory drugs (NSAIDs) and paracetamol (acetaminophen) help in the management of pain.[4][5] The Mayo Clinic advises gargling with salty warm water and resting the voice. Symptoms without active treatment usually last two to seven days.[6]

Epidemiology

In the United States there are about 2.4 million emergency department visits with throat-related complaints per year.[1]

References

  1. ^ a b c d Marx, John (2010). Rosen's emergency medicine: concepts and clinical practice 7th edition. Philadelphia, PA: Mosby/Elsevier. p. Chapter 30.  
  2. ^ "Sore Throat and Other Throat Problems-Topic Overview". 
  3. ^ Shaikh N, Leonard E, Martin JM (September 2010). "Prevalence of streptococcal pharyngitis and streptococcal carriage in children: a meta-analysis". Pediatrics 126 (3): e557–64.  
  4. ^ Thomas M, Del Mar C, Glasziou P (October 2000). "How effective are treatments other than antibiotics for acute sore throat?". Br J Gen Pract 50 (459): 817–20.  
  5. ^ Hayward, G; Thompson, MJ; Perera, R; Glasziou, PP; Del Mar, CB; Heneghan, CJ (Oct 17, 2012). Thompson, Matthew J, ed. "Corticosteroids as standalone or add-on treatment for sore throat". Cochrane Database of Systematic Reviews 10: CD008268.  
  6. ^ Thompson, M; Vodicka, TA; Blair, PS; Buckley, DI; Heneghan, C; Hay, AD; TARGET Programme, Team (Dec 11, 2013). "Duration of symptoms of respiratory tract infections in children: systematic review.". BMJ (Clinical research ed.) 347: f7027.  
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