Pharyngitis - viral
Definition
Viral pharyngitis is inflammation of the pharynx (the part of the throat between the tonsils and the larynx).
Causes
Viral pharyngitis is the most common cause of a sore throat.
Pharyngitis may occur as part of a viral infection that also involves other organ systems, such as the lungs or bowel.
Symptoms
- Discomfort when swallowing
- Fever
- Joint pain or muscle aches
- Sore throat
- Tender, swollen lymph nodes in the neck
Exams and Tests
Usually the health care provider makes a diagnosis by examining the throat. A throat swab culture will be negative for bacterial causes of sore throat (such as group A streptococcus).
Treatment
There is no specific treatment for viral pharyngitis. You can relieve symptoms by gargling with warm salt water (one half-teaspoon of salt in a glass of warm water) several times a day and taking anti-inflammatory drugs or medications, such as acetaminophen, to control fever. Excessive use of anti-inflammatory lozenges or sprays may make a sore throat worse.
It is important to avoid antibiotics when a sore throat is due to a viral infection. The antibiotics will not help. Using them to treat viral infections helps strengthen bacteria to become resistant to antibiotics.
In some sore throats (such as infectious mononucleosis), the lymph nodes in the neck may become extremely swollen. They may be treated with anti-inflammatory drugs, such as prednisone.
Outlook (Prognosis)
Symptoms usually go away within a week to 10 days.
Possible Complications
Complications of viral pharyngitis are extremely uncommon.
When to Contact a Medical Professional
Call for an appointment with your health care provider if symptoms last longer than expected or do not improve with self-care. Always seek medical care if you have a sore throat and have extreme discomfort or difficulty swallowing or breathing.
Prevention
Most cases are not preventable, because the viruses and bacteria that cause sore throats are commonly found in the environment. However, always wash your hands after contact with a person who has a sore throat. Avoid kissing or sharing cups and eating utensils with sick individuals.
References
Caserta MT, Flores AR. Pharyngitis. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 54.
Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Disclaimer: The information contained in this website, and its associated websites, is provided as a benefit to the local community, and the Internet community in general; it does not constitute medical advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this website and its associated sites. As medical advice must be tailored to the specific circumstances of each patient and healthcare is constantly changing, nothing provided herein should be used as a substitute for the advice of a competent physician. Furthermore, in providing this service, Adventist HealthCare does not condone or support all of the content covered in this site. As an Adventist health care organization, Adventist HealthCare acts in accordance with the ethical and religious directives for Adventist health care services.
Adventist HealthCare · 301-315-3030 · 1801 Research BLVD, Suite 400, Rockville, MD 20850
Get Care
Health & Wellness
Patient Information
Website Information
Ways of Giving
