Sore throat
Sore throat (pharyngitis) is overwhelmingly viral and resolves spontaneously in 5–7 days. Bacterial cause (streptococcus) represents only 10–20% of cases in adults. The doctor uses the Centor score and a rapid test to consider antibiotics. Without red flags, management is mainly symptomatic.
Red flags
- Difficulty swallowing saliva (excessive drooling)
- Muffled voice, breathing difficulty
- Marked one-sided neck swelling
- Persistent fever > 39 °C
- Generalized rash
Self-care at home
Drink warm beverages (honey teas, broths), gargle with salt water (½ tsp in a glass of warm water) several times a day. Suck on lozenges or an ice cube. Paracetamol and ibuprofen effectively reduce pain; respect maximum doses. Avoid irritants: tobacco, alcohol, dry atmosphere. Rest your voice. Most sore throats resolve without specific treatment in under a week.
When to consult
Consult if the sore throat lasts > 7 days, with high persistent fever, painful lymph nodes or risk profile (immunocompromised, heart valve, history of rheumatic fever). The doctor assesses the Centor score and may perform a rapid strep test. At Maison Médicale Parc Astrid this test is available and included in the flat-rate.
Unsure? Call reception and we will guide you.
Call the clinic · +32 2 520 25 52FAQ
Antibiotics by default for tonsillitis?
No. Only confirmed streptococcal tonsillitis (positive rapid test or high Centor score) warrants antibiotics.
Sources
· Reviewed by Dr. Selim Zengin, general practitioner.