Sore throat with fever treatment

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Sore throat with fever: treatment - detailed information

Sore throat is the most common symptom of respiratory infectious diseases. Treatment of pain syndrome refers to symptomatic therapy (aimed at eliminating the symptoms of the disease), but if the patient has a fever against the background of general malaise, it is necessary to use systemic antiviral or antibacterial drugs.

Table of contents:

To understand how to treat a sore throat against the background of elevated body temperature, you need to understand the causes of the pathology, since it is impossible to correctly prescribe treatment without finding out the nature of the disease.

Sore throat with fever: treatment

Causes of pain syndrome

In the vast majority of cases, a sore throat accompanied by fever indicates the development of an infection. In case of viral diseases, the temperature rarely rises above 38-38.5° (the exception is infectious mononucleosis). In the case of bacterial infection, this figure can be much higher – up to 39.5-40°. One of the most common and severe bacterial infections of the larynx is sore throat. This is an acute form of tonsillitis, in which the tonsils become inflamed, swollen and may become covered with a purulent grayish or white coating. Sore throat is characterized by acute pain in the throat, a stable increase in temperature and swelling of the soft tissue of the tonsils.

Patients of any age suffer from sore throat quite difficult due to severe intoxication and intense pain. In the first 2-3 days, the patient’s sleep quality is disrupted due to acute pain; on the fourth day, with proper treatment, the symptoms begin to subside.

Another common cause of pain is laryngitis. With laryngitis, the vocal cords, mucous membranes of the larynx and epiglottis tissue become inflamed. Clinically, the disease manifests itself as a dry cough, sore throat, and swelling of the larynx. The temperature during laryngitis can remain within subfebrile values, but in severe cases it rises to 38°.

Tonsillitis and sore throat

Among viral diseases, similar symptoms can be caused by influenza, acute respiratory viral infections and acute respiratory infections, and mononucleosis. You need to be especially careful when diagnosing mononucleosis, since it has the same symptoms as purulent tonsillitis. The Epstein-Barr virus, which causes the development of the disease, can only be determined using a blood test, therefore, if a sore throat is suspected, the doctor must give a referral for a blood test to rule out mononucleosis.

Other diseases that cause a sore throat and fever are listed in the table below.

What is scarlet fever

Important! A sore throat and fever may occur at the initial stage of rotavirus infection (stomach flu). On days 2-3 of the disease, respiratory symptoms are replaced by manifestations of gastrointestinal disorders: diarrhea, vomiting, abdominal pain. There is no specific treatment for rotavirus infection - therapy is aimed at eliminating the symptoms of the pathology, eliminating intoxication and alleviating the patient’s condition.

How to treat a sore throat due to bacterial infections?

In order to quickly get rid of unpleasant and painful sensations and avoid possible complications, it is necessary to determine the cause of the disease. Viral and bacterial infections are treated using different regimens and drugs, so diagnosis is of great importance. If a sore throat without fever can be treated with folk remedies without resorting to the use of antibacterial or antiviral drugs, then at a high temperature it is better to abandon this approach, since serious consequences are possible (for example, a sore throat can provoke a heart rhythm disorder).

Treatment for sore throat

Note! Severe bacterial infections, especially those accompanied by pus formation, require antibiotics. Most often, doctors prescribe medications belonging to the group of synthetic penicillins, but it must be taken into account that with frequent use of such drugs, pathogenic microorganisms develop resistance to a certain group of antibiotics, and their use becomes ineffective.

The most famous penicillin antibiotic is amoxicillin. It is quite well tolerated by patients of any age, causes a minimum of side effects, and actively destroys most strains of bacteria. Clavulanic acid can be added to penicillin drugs - it increases the activity of the antibiotic and has a positive effect on the effectiveness of therapy.

The drugs of the first group (drugs of choice) when selecting therapy for bacterial throat infections include the following drugs based on amoxicillin:

Important! Drugs containing clavulanic acid are contraindicated for acute and chronic diseases of the digestive system and gastrointestinal tract, as they can cause exacerbation of existing diseases.

If drugs from the penicillin group are ineffective, the doctor may prescribe macrolide antibiotics. They are more effective than penicillin drugs, but have many side effects, which most often manifest themselves as gastrointestinal symptoms. During treatment, patients complain of stomach pain, stool disorders, and vomiting. Headaches and decreased concentration are often diagnosed. The macrolide group includes the following antibiotics:

Antibiotic Azithromycin for sore throat

The undoubted advantage of these drugs is a short course of treatment (3 days) and taking the medication once a day.

Note! The difference between macrolides and other types of antibiotics is that they cannot be combined with food. You need to take the tablets either an hour before meals or 2 hours after. Other antibiotics are taken immediately after meals to reduce the negative effects on the digestive tract.

Treatment of viral diseases

If painful symptoms are caused by influenza, mononucleosis or other viral diseases, the basis of treatment will be antiviral agents and immunomodulatory drugs. The most popular drugs in this group are:

Antiviral drug Kagocel

These drugs stimulate the production of human interferon and destroy the protein shell of viruses, which leads to their death. Antiviral agents are available in the form of tablets, capsules, rectal suppositories and syrups. They need to be taken from 1 to 5-6 times a day (depending on the specific medication, the dosage regimen is indicated in the instructions).

Local treatment

You can reduce the intensity of pain, reduce inflammation and eliminate swelling of the larynx using topical agents. Sprays and aerosols, which contain extracts of natural herbs and plants, as well as essential oils, have a good healing effect. The most effective sprays for treating sore throat include:

Spray Lugol for the treatment of sore throat

Important! “Lugol” copes well with severe pain from sore throat and acute tonsillitis, but its use in the treatment of young children (under 5 years) is not recommended due to the high risk of allergic reactions. The drug contains iodine, so it should also not be used by people with impaired thyroid function and allergies to this component.

For severe pain, treatment with sprays can be supplemented with the use of tablets and lozenges. They contain plant extracts that soothe irritated mucous membranes and reduce the intensity of pain, as well as antibacterial components that help fight pathogenic flora and provide an antiseptic effect.

Drugs in this group include:

These medications should be taken after meals, slowly dissolving in the mouth until completely dissolved. After taking the tablet, you should not eat or drink for 1-2 hours, so as not to reduce the effectiveness of the treatment.

Antiseptic throat treatment

To speed up recovery and get rid of a sore throat, it is necessary to disinfect the mucous membranes of the larynx. To do this, it is necessary to use antiseptics, which are available in the form of solutions. One of the most effective remedies is Miramistin. It has a wide spectrum of action and copes with most strains of bacteria, as well as fungi (including the genus Candida), stops the inflammatory process and relieves pain during swallowing. "Miramistin" can be used in the form of a rinse solution or a spray (a special nozzle is included with the drug).

Furacilin has a good and fast healing effect. Previously, it was sold only in tablet form, but now the drug is available in the form of effervescent tablets, which quickly dissolve in water and form a solution for antiseptic treatment. They need to gargle 4 to 10 times a day until symptoms are completely eliminated.

Rinse

For any acute throat disease accompanied by high fever, rinsing must be included in the treatment regimen. You need to gargle often - up to 8-10 times a day. After the pain subsides, you can rinse 4-5 times a day. Most often, alcoholic tinctures of medicinal herbs are used for these purposes, which can be purchased at the pharmacy. Tincture of calendula, propolis and St. John's wort has a powerful healing effect. For one glass of warm water you need to take 1 spoon of tincture. The indicated volume is calculated for one procedure.

You can use the alcoholic herbal infusion “Chlorophyllipt”. It is diluted in the same dosage. Number of applications – at least 4-6 times a day.

Chlorophyllipt solution for gargling

Traditional methods

Remedies based on herbs and plants give good results, but at elevated temperatures they cannot replace traditional treatment, since they only have a local effect and do not eliminate the cause of the disease. When choosing a recipe, you need to pay attention to the composition of the ingredients, as some of them may cause individual intolerance reactions or allergies.

Milk drink

Heat a glass of milk to a comfortable temperature so as not to burn your throat, and add a little linden honey and 5 g of natural butter to it. Drink 1 hour after meals in the evening. This drink quickly soothes the throat, reduces the severity of pain and envelops the mucous membrane, protecting it from the negative effects of external factors. The course of treatment is from 3 to 5 days.

Milk drink is an effective remedy for sore throat

Anise medicine

Anise oil, obtained from anise seeds, has bactericidal and anti-inflammatory properties, therefore it gives good results in the complex treatment of infectious diseases of the upper respiratory tract. To prepare a tasty and effective medicine for a sore throat, you need to apply 5-8 drops of oil on a piece of refined sugar and dissolve in your mouth like a regular tablet. After the procedure, you should not eat or drink for 1 hour. You need to take the product 3 times a day for 7 days.

Important! This method of treatment is not suitable for people with impaired carbohydrate metabolism, diabetes and obesity.

Ginger medicine

Ginger is one of the most powerful herbal remedies for treating colds. It contains many essential oils and tannins that help eliminate inflammation and pain in just 3 days. The medicine is prepared as follows:

  • peel ginger root (6-8 cm piece) and grate;
  • Mash the pulp of one lemon with a spoon and remove the seeds;
  • Mix ginger and lemon in one container and add 100 ml of honey.

Use the resulting mixture 3-4 times a day, 1 teaspoon. The course of treatment is 3 days, but for severe infections you can continue taking the medicine for up to 5-7 days.

Video - How to treat a sore throat using traditional methods

Is it possible to do inhalations?

Steam inhalations are excellent for treating sore throat, but they can only be done after the temperature has subsided. For the procedure, you can use alkaline mineral water, saline solution or medications prescribed by a doctor. If you don’t have an inhaler at home, you can use the old method and inhale over a bowl of water.

Pour 2-3 liters of boiling water into a shallow basin and leave for 10 minutes. This is necessary so that the water cools down a little, since too hot steam can burn the respiratory tract. You can add a few drops of eucalyptus or sage oil to the water. The Vietnamese balm “Star” has a good effect - it can also be dissolved in water or used a special pencil with a mixture of essential oils for inhalation.

Balm “Golden Star”

You need to breathe over the basin for 10 minutes. The procedure should be carried out 3 times a day after body temperature has stabilized (approximately 3-4 days of illness).

Sore throat, discomfort in the larynx while eating and talking, fever almost always indicate the infectious nature of the disease, so you cannot ignore the treatment prescribed by your doctor. Traditional recipes and local remedies can only complement therapy, but in no case should they replace the main treatment.

Source: http://03-med.info/lor/bol-v-gorle-s-temperaturoy-lechenie-p.html

Sore throat: causes, diagnosis, connection with diseases, how to treat

Sore throat is a harbinger of a number of infectious pathologies: pharyngitis, tonsillitis, laryngitis, influenza and other acute respiratory viral infections. In the absence of timely seeking medical help, a sore throat complicates the course of diseases of the heart, kidneys and digestive system.

  • Sore throat can be: constant, increasing or subsiding. If the pain lasts a year or more, constantly bothers the patient and does not go away after taking various pharmaceutical drugs, it is called chronic.
  • By time of occurrence: morning, evening, night or day.
  • According to the localization of the pathological process: one-sided or covering the entire throat. Sore throat on one side occurs with sore throat, injury, or abscess. Bilateral pain indicates systemic diseases - endocrine, renal, oncohematological pathology. Pain at the bottom of the throat is a sign of inflammation of the epiglottis.

Sore throat is a symptom of most respiratory tract diseases. Self-medication using various aerosols, rinses, and inhalations eliminates only the pain, and not the disease itself. Serious pathologies such as tonsillitis, pharyngitis, and pharyngeal injuries can lead to serious consequences and serious complications. Only an otorhinolaryngologist, after examining the patient, will make the correct diagnosis and prescribe adequate therapy.

Etiology

Causes of sore throat:

  1. Viral infection - influenza, mononucleosis, herpes.
  2. Streptococcal and staphylococcal infections.
  3. Allergy.
  4. Irritation of the mucous membranes by harmful substances - tobacco smoke, alcohol.
  5. Low air humidity.
  6. Traumatic injury to the throat.
  7. Hypothermia.
  8. Long-term antibiotic therapy, chemotherapy, immunomodulators.
  9. Chronic fatigue, lack of sleep.
  10. Strong and prolonged raising of voice.

Diseases manifested by sore throat: adenoiditis, sore throat, sinusitis, inflammation of the pharynx and larynx; gingivitis - inflammation of the gums, reflux esophagitis, spasms, stenosis or ulcers of the esophagus; dental caries or abscess; stomatitis, formation of ulcers and blisters in the mouth; benign and malignant neoplasms in the throat; Iron-deficiency anemia; sexually transmitted diseases - gonorrhea, chlamydia, syphilis, diphtheria; osteochondrosis of the cervical spine; tuberculosis.

Symptoms accompanying sore throat

Sore throat is usually accompanied by burning, rawness and scratching, coughing, tickling, and sneezing. Patients are concerned about dryness and a feeling of a lump in the throat. At the same time, the neck becomes highly sensitive, lymph nodes enlarge, chest pain appears, and the usual rhythm of life is disrupted. The voice becomes dull and hoarse. Patients feel as if they are being choked or pressed on the neck. Infectious processes are usually accompanied by fever, chills and other signs of intoxication. Body temperature often fluctuates from subfebrile to hectic (a rise and rapid decline in body temperature, repeated 2-3 times a day).

A viral infection is manifested not only by a sore throat, but also by a dry cough, runny nose, hoarseness, and fever. With a bacterial infection, lymphadenitis occurs and the patient develops a fever. The appearance of these symptoms requires urgent medical attention. In the absence of adequate therapy, purulent tonsillitis, rheumatic carditis or glomerulonephritis may develop.

A sore throat often occurs without fever. This condition develops in patients when foreign objects, rough and hard food get into the throat. A cutting or stabbing pain immediately appears, which over time covers the entire throat. If a foreign object gets stuck, a feeling of suffocation occurs. The condition of the patients is very serious, but there is no temperature. Children usually suffer such injuries. With stomatitis, ulcers appear in the oral cavity, covered with plaque on top. They are the ones that cause a sore throat. In persons with chronic pharyngitis, reflux esophagitis, malignant and benign neoplasms, a sore throat occurs, but the body temperature remains normal.

In some patients with acute inflammation of the pharynx and tonsils, pain in the throat radiates to the ear. At the same time, it intensifies in the evenings and is accompanied by a pronounced intoxication syndrome. Patients develop tinnitus, decreased hearing, and possible suppuration from the ear. Often with chicken pox, measles, scarlet fever and diphtheria, the throat and ears become inflamed and sore.

  • In acute inflammation of the pharyngeal mucosa, its posterior wall and surrounding lymphoid tissue are affected. Patients experience a sore throat and a mild, dull pain in the throat. The general condition remains satisfactory.
  • Scarlet fever is an infectious pathology caused by pathogenic streptococcus. It manifests itself as a sore throat, redness of the skin, the appearance of a rash on it, and a bright red coloration of the tongue. Scarlet fever usually develops in children under 8 years of age.
  • Sore throat is one of the main manifestations of a dangerous infectious pathology - diphtheria. The disease affects the respiratory tract and is manifested by fever, swelling and difficulty breathing. Pain with diphtheria is moderate, increasing during the day. This pathology requires immediate hospitalization.
  • A sore throat begins with the appearance of a sharp and severe sore throat, fever, headache and muscle pain, and lymphadenitis. Children lose appetite, drool and experience ear pain. The tonsils increase in size and become covered with a white coating.
  • Unilateral sore throat with throbbing characteristic of a peritonsillar abscess. Patients' temperature rises to high levels, weakness and weakness appear.
  • A retropharyngeal abscess usually develops in children and is manifested by difficulty swallowing and breathing, including suffocation. The sore throat gets worse at night and becomes unbearable if left untreated.
  • Sore throat is a common symptom of allergies, which is accompanied by swelling of the face, redness of the skin, watery eyes, and profuse nasal discharge.
  • With reflux esophagitis, gastric juice refluxes into the upper parts of the digestive tract. It irritates the mucous membrane of the pharynx, which results in a sore throat. After physical activity, breathing becomes difficult and a feeling of a lump appears in the throat. The pain syndrome is accompanied by heartburn and belching.
  • If there is a tumor in the throat, a dull, pressing pain occurs that is constantly present. When the tumor grows into the surrounding tissues, the pain becomes unbearable and can be relieved only by taking narcotic analgesics.

Diagnostics

To help a patient get rid of a sore throat, a specialist must determine the cause of its occurrence. To do this, the ENT doctor finds out the patient’s complaints, performs pharyngoscopy, and listens to the respiratory tract.

Persons complaining of a sore throat take a throat swab to study its microflora and determine the sensitivity of the detected bacteria to antibiotics. Additional research methods are: x-ray of the chest and neck, measuring the level of hydrochloric acid in the esophagus.

Treatment

How to relieve a sore throat before visiting a doctor? To do this, you should be silent and not strain your vocal cords, do not smoke, drink warm tea or water to soften your throat, and gargle with antiseptic solutions. Antibacterial lozenges, cough drops and lozenges can help a sore throat. In extreme cases, it is recommended to take a painkiller.

It is necessary to urgently consult an ENT doctor if the sore throat becomes intense, the body temperature rises, there is a cough, abdominal pain, nausea, vomiting, dizziness, and difficulty breathing.

Diet therapy

The diet of people suffering from sore throat should be gentle. During the period of illness, you should avoid spicy, hot, sour, salty foods and dishes that irritate the inflamed mucous membrane. Patients should give preference to dairy products - porridge, kefir, yogurt. It is recommended to drink plenty of warm drinks, which can help reduce signs of intoxication, remove toxins from the body and cope with dehydration. It is useful to drink herbal teas and infusions, compotes, warm water, fruit drinks. Warm drinking improves blood circulation in the throat, relieves dryness and soreness. Hot, cold, carbonated and alcoholic drinks are contraindicated.

Drug therapy

Gargling with disinfectant solutions: “Chlorhexidine”, “Chlorophyllipt”, “Furacilin” will help reduce a sore throat. You can make a solution of salt, soda and iodine yourself and gargle your sore throat with it every 2 hours. A three percent solution of hydrogen peroxide will soften a sore throat and have a local bactericidal effect.

Antimicrobial and anti-inflammatory sprays are included in the complex therapy of a sore throat - “Yox”, “Cameton”, “Hexoral”. To treat pharyngitis or tonsillitis in children, Miramistin, Tantum Verde, and Bioparox sprays are used. Sprays for adults can cause a severe allergic reaction in children.

Patients are prescribed lozenges, lozenges and dissolving tablets for sore throat - “Strepsils”, “Septolete”, “Falimint”. These medications should be absorbed slowly. Effective and safe remedies for sore throat in children are Faringosept, Lizobakt.

Antihistamines and corticosteroids eliminate the symptoms of allergy and inflammation - redness, swelling and pain. Currently, the most popular are Zyrtec and Zodak.

Antibacterial agents are prescribed to patients with infectious sore throat. The ENT doctor selects the drug and calculates the dose after examining the patient and receiving the results of a microbiological study of the throat discharge. Usually antibiotics from the group of penicillins and cephalopsorins are used - Sumamed, Suprax, Amoxiclav, Cefotaxime. An effective antimicrobial agent from the sulfonamide group is Streptocide.

In case of severe pain, it is recommended to use painkillers - Nurofen, Ketanal.

To stimulate local immunity, patients are prescribed immunostimulating drugs, for example, Imudon. It should be taken for 10 days up to 4 times a day.

Video: a child has a sore throat, “Doctor Komarovsky”

Physiotherapy

The following physiotherapeutic procedures will help cure a sore throat:

  • Aerosol therapy is a very effective and gentle way to combat a sore throat, which has no contraindications. Steam inhalations using herbal infusions or essential oils. Ultrasonic inhalations with mineral water or saline solution. These procedures moisturize the mucous membrane, facilitate the functioning of the respiratory system, and eliminate dry cough. The drug acts only on the source of inflammation, without affecting the liver structures.
  • Laser treatment of the back wall of the pharynx and palatine tonsils. This is a fairly effective procedure in which a laser beam acts directly on the lesion through a special tip. Both external and internal laser effects are used.
  • Magnetotherapy and vibroacoustic effects are procedures that improve trophism and innervation in the throat, normalizing microcirculation in tissues. At the same time, stagnation disappears and the influx of leukocytes increases, which destroy pathogenic microorganisms. The patient’s immunity is strengthened, pain is alleviated, and the inflammatory process gradually fades away.

Video: steam inhalation, “Doctor Komarovsky”

ethnoscience

Alternative medicine and herbal remedies are widely used to treat sore throat.

  1. Chamomile and linden tea, decoction of raspberries, currants, rose hips, tea with mint have an antiseptic, diaphoretic, anti-inflammatory and antipyretic effect and strengthen the immune system.
  2. Gargle a sore throat with an infusion of calendula, chamomile, sage, eucalyptus, St. John's wort, oregano, string, plantain, mint, lemon balm.
  3. To treat a sore throat with pharyngitis, a folk remedy is prepared from crushed garlic and honey. The ingredients are mixed, heated for half an hour and cooled. Take the resulting syrup one tablespoon three times a day.
  4. Conifer cones are poured with boiling water and breathed over this decoction.
  5. Red beet juice is mixed with apple cider vinegar and gargled for a sore throat.
  6. Honey and lemon juice will help relieve a sore throat.
  7. Dilute a tablespoon of apple cider vinegar in half a glass of warm water and gargle several times a day.
  8. Apple blossom is used for medicinal purposes. It is collected and dried. If necessary, pour boiling water over a teaspoon, leave for ten minutes, filter and gargle the sore throat twice a day.
  9. Lemon juice with water, ginger with honey destroy pathogenic bacteria and eliminate signs of inflammation.

Video: diseases that cause sore throat

Right now my throat has been sore since yesterday, but I don’t have a fever. No one will let you go on sick leave(I drink warm milk, but it doesn’t really help(

Source: http://uhonos.ru/gorlo/simptomy-gorla/bol-v-gorle/

Treatment of a sore throat with fever

A sore throat accompanied by fever is a symptom familiar to both adults and children. Most often it is bilateral, but the possibility of pain on one side cannot be ruled out. The intensity of pain also varies - the pain can be barely noticeable and not bother the patient, or it can be very pronounced, in some cases making it difficult not only to swallow and talk, but even to open the mouth. For any type of pain and fever, adequate therapy is necessary, the selection of which requires, first of all, to establish the cause of the pain and increase in body temperature. Treatment is aimed at eliminating the etiological (causal) factor and alleviating the main symptoms.

Choice of treatment

When does a sore throat appear due to elevated body temperature? There are many pathologies that are characterized by these symptoms, but the most common are:

  1. ARVI (acute respiratory viral infection).
  2. Acute bacterial pharyngitis.
  3. Acute bacterial tonsillitis (tonsillitis).
  4. Acute laryngitis.
Fever is observed in the classic course of all of these diseases. However, with ARVI, it can correspond to both subfebrile indicators (from 37.1 to 37.9 °C) and febrile indicators (38–38.9 °C). The acute course of bacterial pharyngitis and tonsillitis is characterized by an increase in temperature to febrile and even pyretic (39.1–41 °C) values. In some cases, with each of the mentioned pathologies, hyperpyrexia (an increase in body temperature over 41 °C) is possible. At the same time, with acute laryngitis (inflammation of the mucous membrane of the larynx), there may be no fever at all - if it is present, it is usually subfebrile.

A sore throat associated with a fever is not a specific sign of any particular disease.

Pain syndrome reflects the presence of an inflammatory process - like fever, it belongs to the standard “indicators” of pathological changes in the mucous membrane of the oropharynx, tonsils and larynx. Pain and feverish reaction are symptoms that can serve as criteria for assessing the condition, but require clarification of the diagnosis for proper assistance. If a patient has a sore throat and a temperature higher than normal, you need to know what pathology we are talking about in order to effectively influence the manifestations of the disease.

Treatment tactics

When the temperature is 37, the throat hurts – what to do? What to do if the temperature exceeds subfebrile values? Various treatment methods are used, and drug effects are necessarily combined with non-drug methods, including regimen correction. The recommendations presented in the list below are relevant for all variants of the diseases mentioned in the previous section:

  1. Bed rest during fever.

During an increase in body temperature, it is better for the patient to rest by staying in bed. This allows you to achieve several goals simultaneously: speed up the recovery period, prevent dangerous complications and the spread of infection. It is worth considering that fever increases the functional load on all organs and systems.

  1. Drink plenty of warm non-alcoholic drinks.

Drinking liquids (water, tea, compote) is a way of detoxification; in addition, if the patient drinks enough, the mucus does not dry out, and sputum is easier to cough up. The pain also decreases.

It includes a diet (refusal of spicy, salty, crumbly foods), exclusion of smoking and drinking alcohol, and for laryngitis - additionally strict vocal rest (constant silence). Whispering should not be used; if necessary, it is better to speak very quietly for a limited time. Attention is also paid to the temperature of the food and drinks consumed (only warm, not hot or cold), the consistency of the food (liquid or semi-liquid, without solid components - for example, fish bones). It is better to avoid inhaling air that is too cold or hot, including sudden changes in temperature.

In dry and hot air, mucus dries quickly, forming crusts that make breathing difficult. The pain syndrome also worsens. Drafts are undesirable, but the room must be ventilated (in the absence of a patient), and the temperature and humidity must be within the range of 19–22 °C and 50–70%, respectively.

When you have a sore throat and high body temperature, the body needs to eliminate excess thermal energy. The patient should be dressed warmly in winter, lightly in hot periods. But at the same time, you should not wrap yourself up, cover the entire surface of the body with thick blankets, or use thermal procedures (hot baths, steam inhalations).

Rubbing with alcohol is contraindicated during fever, especially if the patient is a child.

How to treat diseases affecting the throat? Patients may be prescribed treatment options such as:

  • antibacterial;
  • anti-inflammatory;
  • symptomatic.

Depending on the type of pathology and the general condition of the patient, these types of treatment are combined. The need for one or another method of influence is determined by the doctor after an in-person examination of the patient, assessment of complaints and objective changes.

Antibacterial therapy

The indication for prescribing antibiotics is sometimes considered to be the presence and severity of fever, which is not always correct. A febrile reaction is a manifestation of immune reactivity, that is, the response of the immune system to the invasion of the body by a pathogenic agent. A temperature of 39 °C can be observed not only with a bacterial, but also with a viral infection (ARVI) - in the second case, antibiotics are not needed if there are no signs of the addition of a secondary, already microbial flora.

Contrary to popular belief, antibacterial therapy does not reduce the likelihood of microbial complications of a viral infection. It creates an excessive drug load and often contributes to the formation of resistance (resistance) to antibiotics - if used incorrectly, in fragmentary incomplete courses.

When are antibiotics needed? This question remains key in the primary diagnosis of diseases accompanied by pain in the throat. Rapid tests for identifying streptococcal infections are certainly useful, since beta-hemolytic streptococcus is the most significant causative agent of pharyngitis and tonsillitis. However, in many medical institutions this method is not available, as is immediate examination of peripheral blood (the presence of leukocytosis with a left shift and an increase in ESR can help in differentiating bacterial and viral infection).

The need for antibacterial therapy is determined, therefore, by objective clinical signs:

  1. Very severe sore throat.
  2. Temperature of 38 °C or more, persisting for more than 3 days.
  3. The presence of whitish-yellow dots, deposits in the form of “islands”, and films on the surface of the tonsils.

The films are characteristic of lacunar tonsillitis - they do not spread beyond the tonsil, and when they are removed, the mucous membrane does not bleed. This is an important differential feature that distinguishes a banal (classical bacterial) sore throat from diphtheria, in which antibiotic therapy alone is not enough and there is a threat of respiratory failure (diphtheria croup).

Streptococcal tonsillitis is an absolute indication for the use of antibacterial drugs.

For streptococcal infections of the pharynx (pharyngitis) and tonsils (tonsillitis), as well as for other bacterial infections of the pharynx, tonsils and larynx, antibiotics from the group of penicillins (Amoxicillin), cephalosporins (Cephalexin, Cefuroxime) and macrolides (Azithromycin) are used.

Antibiotics are prescribed to patients with laryngitis if there is a significant deterioration in the general condition or severe fever. In the absence of an increase in body temperature, only local therapy is usually used.

Anti-inflammatory therapy

The intensity of pain depends on the type and extent of the inflammatory process. To help the patient, we need drugs that reduce his activity and help restore the affected mucous membranes. Anti-inflammatory therapy can be systemic and local - if you happen to get ARVI, an isolated form of pharyngitis, tonsillitis or laryngitis, mainly local effects are used.

Treatment includes methods such as:

  • gargling;
  • resorption of lollipops, tablets, lozenges;
  • spray irrigation;
  • inhalation;
  • infusion into the larynx.

You can gargle with warm saline solutions (a teaspoon of table salt per 200 ml of water), chamomile infusion, and also calendula tincture added to the water. For bacterial infections, the use of a solution of Furacilin, Hydrogen Peroxide, Hexetidine is indicated - these are antiseptics that complement the action of anti-inflammatory drugs. The drug Tantum Verde has a pronounced anti-inflammatory effect, which is available not only in the form of a rinse solution, but also in the form of a spray and lozenges.

You can gargle with saline solutions and herbal infusions up to 8–10 times a day.

If the solution contains an antiseptic or local antibiotic, procedures are limited to 3–5 times a day.

Medicines in the form of tablets and lozenges (Anzibel, Strepsils, Decathylene, Faringosept, Isla-moos, etc.) can be dissolved in the oral cavity. It must be taken into account that combination drugs also have an antiseptic effect. Products with different compositions should not be used at the same time, unless indicated in the doctor’s recommendations.

Irrigation with a spray (Proposol, Tantum Verde) allows you to quickly treat the mucous membrane, but is not used for children under 3–5 years of age due to the risk of laryngospasm. Spray is a convenient dosage form, which in some cases is offered as an alternative to rinsing (for example, if the patient does not accept the said procedure).

Inhalations and infusions into the larynx are needed for laryngitis; the second of these methods is exclusively a medical manipulation and is performed in a medical institution. The solution for inhalation may contain components such as salt, medicinal herbs, and antibiotics. The use of ordinary steam is also practiced. At the same time, the procedure cannot be performed on children - the lumen of their respiratory tract is narrower than in adults, and an increase in the volume of sputum may be accompanied by adverse consequences.

Systemic anti-inflammatory therapy is used to treat acute laryngitis. It is needed to relieve swelling and facilitate the discharge of sputum - an example is the prescription of the drug Erespal (Fenspiride).

Symptomatic therapy

Symptomatic therapy refers to the impact on the main symptoms of the disease to alleviate and/or eliminate them. For some types of pathologies, symptomatic treatment plays a key role - this is due to the impossibility of etiotropic, in particular antiviral, therapy. An example is viral pharyngitis during ARVI. Although the patient is worried about a sore throat and fever, he is not prescribed antibacterial drugs. The condition is alleviated through the use of anti-inflammatory drugs and symptomatic measures.

Symptomatic therapy is needed for viral and bacterial infections. The following options are available:

Painkillers

They are useful for patients suffering from excruciating pain in the oropharynx and larynx and are divided as:

  • local anesthetics;
  • local non-steroidal anti-inflammatory drugs (NSAIDs).

Local anesthetics (Benzocaine, Lidocaine) are used as part of combined preparations for resorption and irrigation of the mucous membrane - Stopangin 2AFORTE, Strepsils Plus. They partially or completely eliminate pain and act for several hours. They are able to reduce swelling, which, in turn, also reduces the intensity of pain. It is worth understanding that they do not cure the disease, but only temporarily alleviate the symptoms.

Local NSAIDs that are used for sore throat and high fever are Flurbiprofen and Benzydamine (Oralsept spray, Tantum Verde, Strepsils Intensive). Available in the form of sprays and lozenges. They have not only an analgesic, but also an anti-inflammatory effect.

Some local antiseptics (Chlorobutanol, Hexetidine) can also be considered as drugs to combat pain. However, it is important to remember that the anesthetic effect of antiseptics is moderate or insignificant, and with severe pain, painkillers are still required.

Antipyretics (antipyretics)

Antipyretic effects are exerted by drugs from the group of systemic NSAIDs - Paracetamol, Ibuprofen, Acetylsalicylic acid (Aspirin), Metamizole sodium (Analgin). The last two of these drugs have restrictions for use. Aspirin should not be used under the age of 12 years due to the risk of developing Reye's syndrome, and taking Analgin is undesirable due to the risk of developing agranulocytosis. Although Metamizole sodium is included in the list of drugs used for “white” hyperthermia, only a specialist can prescribe it, and, as a rule, it is not used for routine use.

An increase in body temperature is not an absolute indication for taking antipyretic drugs.

Antipyretics should not be used to relieve low-grade fever. But at febrile and pyretic temperatures, they can significantly improve the condition, also helping to reduce the severity of sore throat.

For sore throat, treatment should only be prescribed by a doctor, since drugs and procedures are selected depending on the diagnosis, and the level of temperature values ​​is only one of the guiding factors. Elimination of pain with anesthetics and local NSAIDs should be combined with adequate anti-inflammatory and, if necessary, antibacterial therapy.

Author: Torsunova Tatyana

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    Higher medical education, anesthesiologist.

    Source: http://lorcabinet.com/simptomy-gorla/bolevye-oschuscheniya/lechenie-boli-s-temperaturoj-37-39.html

    Fever and sore throat: signs of what diseases?

    A healthy person's body temperature can range from 35.6 to 37.1 °C. In young children, it is allowed to increase to 37.2 in the evening. In what cases is the temperature considered elevated and when should it be reduced? Indicators above 37.2 °C in adults and children are called fever or hyperthermia. According to the recommendations, antipyretics are taken when the temperature reaches 38.5 °C.

    Causes

    Sore throat and fever occur with viral, bacterial, fungal and mixed infections. The most common diseases are:

  • pharyngitis;
  • acute respiratory viral infection (ARVI, ARI);
  • laryngitis;
  • flu;
  • diphtheria;
  • peritonsillar abscess;
  • mononucleosis;
  • measles;
  • meningococcal infection.

    • An acute respiratory viral infection can be suspected after contact with a sick person. The virus enters the body through inhaled air and droplets of saliva. Through the nasal passages it descends to the mucous membranes of the tonsils, larynx, and trachea. Over the course of several hours or days, the virus multiplies and causes characteristic symptoms.

    • a sharp increase in temperature;
    • pain in muscles and eyeballs;
    • headache and weakness;
    • a sore throat;
    • the duration of the disease is from 7 to 10 days.

    Pharyngitis and laryngitis are classified as manifestations of acute respiratory infections. They occur with fever, sore throat, and dry cough that does not bring relief. The main symptom of laryngitis is a change in voice, which becomes hoarse or disappears completely. Influenza is a viral infection, but has a known causative agent. When immunity is reduced, the virus can cause viral pneumonia, pulmonary edema, and pleurisy. In older people and children, complications develop more often. Therefore, in case of influenza in such categories of patients, a mandatory examination by a doctor is required.

    Acute tonsillitis, called tonsillitis, is accompanied by a sore throat and high fever. It can be viral, bacterial or fungal in nature. More often the disease is caused by streptococci. With tonsillitis, pus or plaque forms in the lacunae of the tonsils. Temperatures can reach °C. The sore throat is severe. Sometimes it makes it impossible to eat for several days. Upon examination, enlarged lymph nodes and redness of the uvula, palate, and palatine arches are revealed.

    Diphtheria is a dangerous disease that can lead to death. There are few cases of the disease, since mandatory vaccination has been introduced. Diphtheria is accompanied by fever, sore throat, and enlarged lymph nodes. A characteristic symptom is the formation of films on the tonsils and palatine arches. In addition to the oropharynx, the disease affects the heart and nervous system. Paralysis of the respiratory muscles can result in death.

    Peritonsillar abscess often occurs as a complication of another disease. It is manifested by temperature °C, difficulty opening the mouth and an unpleasant odor from the mouth. Without treatment, it can be complicated by mediastinitis (spread to the chest organs) or blood poisoning.

    Infectious mononucleosis is caused by the Epstein-Barr virus. Signs of the disease include enlarged submandibular and occipital lymph nodes, fever, chills, sore throat, enlarged liver and spleen.

    When do you need to see a doctor urgently?

    You should call an ambulance or immediately see a doctor in the following cases:

    • temperature rose above 39 °C;
    • it is impossible to swallow saliva;
    • cough has a barking character; more about cough →
    • wheezing is heard when breathing;
    • the temperature does not decrease after taking antipyretic drugs, it increases and the state of health worsens;
    • severe headache, photophobia, convulsions appeared;
    • there was a loss of consciousness;
    • there are white films on the tonsils;
    • the temperature decreases for 1-2 hours, and then it returns to its previous value;
    • a painful formation protruding above the skin is visible on the neck;
    • there is difficulty breathing and swelling of the airways;
    • a child under 1 year of age fell ill.

    Which doctor treats fever and sore throat?

    Treatment for these symptoms may be prescribed by:

    The initial examination is carried out by a general practitioner or family doctor. If necessary, the patient is referred to specialists.

    Features of treatment

    The method and duration of treatment depend on the pathogen and severity of the disease. A general practitioner or otolaryngologist selects medications taking into account age, body weight, and the sensitivity of microorganisms to antibacterial and antifungal drugs.

    Viral infections are treated with a special regimen, diet and nonspecific measures. In the first days, semi-bed rest and proper rest are important. The room is often ventilated and wet cleaned. Treatment is symptomatic: antipyretics (Nurofen, Paracetamol), expectorants (Abrol, ACC), local antiseptics (Lizobakt, Bioparox).

    It is important to drink a lot of fluid (2-2.5 liters per day), as it is lost due to hyperthermia. When appetite decreases, eat light, low-fat foods in small portions. For severe cases, Tamiflu and Relenza are used. Taking antiviral drugs has no proven benefit. The disease lasts 7 days regardless of their intake.

    Antibiotics are necessarily prescribed for bacterial sore throat and peritonsillar abscess. Augmentin, Amoxiclav, Sumamed are used more often. Lack of adequate therapy can lead to myocarditis, glomerulonephritis, and sepsis.

    Pharyngitis and laryngitis are treated with locally active agents. These can be sprays (Tantum Verde, Ingallipt), rinsing solutions (Chlorhexidine, Chlorphyllipt), lozenges (Septifril, Strepsils). It is necessary to reduce the load on the vocal cords - talk less, eat liquid or pureed foods, stop smoking.

    For diseases such as meningococcal infection and diphtheria, hospitalization is required. Antitoxic serum is used to treat diphtheria. If swallowing decreases, hormones (prednisolone) are used. To remove toxins, albumin, rheopolyglucin, and glucose are administered intravenously. For meningococcal infection, an antibiotic (chloramphenicol) and prednisolone are prescribed.

    If signs of the disease recur, you should not start taking medications on your own. Respiratory viral infections and hypothermia have similar manifestations to more severe diseases. If fever, pain when swallowing, or headache persist for more than three days, you should consult a doctor.

    Why is this condition dangerous?

    Fever and sore throat can lead to the following complications:

    • Pneumonia.
    • Pulmonary edema.
    • Croup (acute attack of suffocation).
    • Myocarditis (damage to the heart muscle).
    • Glomerulo- and pyelonephritis (kidney damage).
    • Sepsis (blood poisoning).

    Fever and sore throat can accompany both a common cold and more dangerous diseases (diphtheria, peritonsillar abscess). It is difficult to identify them at home, so it is important to contact a specialist in time.

    Source: http://moylor.ru/gorlo/temperatura-i-bol/

    Sore throat and temperature 38: what to do and how to treat?

    A temperature of 38 C, accompanied by a sore throat, most often indicates a cold. As a rule, when a sore throat occurs, people associate it with an incipient sore throat. However, this is wrong. Sore throat or acute tonsillitis is a separate disease caused by streptococcus. In addition to sore throat, there are many other infectious (or non-infectious) diseases accompanied by sore throat. In medicine, these pathologies are divided into bacterial, fungal, viral or allergic. Also, this may be due to the functioning of the lymphatic system or dental problems. The acute period of the disease is accompanied by a sharp increase in temperature and sore throat - this is the body’s response to the onset of inflammation. This leads to the fact that the patient cannot even take a sip without pain; even normal breathing brings him real suffering. The breathing process has a direct connection with the trachea and any slightest disturbance can lead to negative consequences.

    Each type of disease requires individual treatment. Let's take a closer look at the causes of a sore throat and high temperature, as well as the features of treatment for each type of cold. It must be remembered that knowing all the necessary information is not a reason for self-medication. The sooner you see a doctor who will make the correct diagnosis and prescribe appropriate treatment, the faster and easier you will recover.

    General symptoms

    The general background of the disease has the following symptoms:

    • nausea and vomiting;
    • difficulty swallowing;
    • red throat, accompanied by pain that prevents you from sleeping, eating and swallowing;
    • diarrhea;
    • general weakness;
    • labored breathing;
    • hypoxia (lack of oxygen);
    • heart failure;
    • dyspnea;
    • dizziness;
    • cough;
    • abdominal discomfort;
    • increase in body temperature to 38 C, which is not reduced by any antipyretic drugs;
    • a white or gray coating is noticeable on the throat;
    • enlarged lymph nodes in the back of the head, neck and armpits;
    • swelling of the face and neck;
    • presence of pus in the throat;
    • the appearance of a rash on the body.

    In what cases should you consult a doctor?

    When your throat hurts and your temperature is 38, what should you do? How to treat, or maybe self-medicate? This directly depends on the general condition of the patient and additional symptoms. Therefore, if, in addition to the above symptoms, you observe: a sore throat that is simply impossible to swallow even saliva; body aches; with each inhalation and exhalation a whistle is emitted; the cough sounds like a dog barking; if a baby under 6 months has a sore throat and fever; a feverish state continues for more than 3 days - urgently call an ambulance.

    Causes

    They are divided into two main types: infectious and non-infectious.

    Infectious diseases

    They differ in the type of pathogen:

    • bacterial infection;
    • viral infection;
    • fungal infection (mycosis), accompanied by a white cheesy coating in the tonsil area, blisters and cracks in the mouth. Breastfeeding women may develop thrush (on the nipples);
    • pharyngitis;
    • laryngitis;
    • tonsillitis (inflammation of the tonsils).

    In infectious diseases, inflammation of the nasopharynx, oral mucosa, bronchi and lymph nodes may occur.

    Non-communicable diseases

    • injuries to the pharyngeal mucosa;
    • overstrain of the vocal cords;
    • burn of the larynx;
    • drinking cold drinks in hot weather.

    All of these factors can not only cause a high fever and sore throat, but also greatly increase the likelihood of developing an infection.

    Infectious viral diseases

    The cause of infection is the development of pathogenic microflora in the nasopharyngeal mucosa:

    1. Sore throat is the most common cause of sore throat. This disease is accompanied by a sharp increase in temperature to 38 and even higher. The main symptoms: headache, redness, swelling, ulcers of the nasopharyngeal mucosa, severe pain and swelling in the throat; the patient has difficulty swallowing, speaking and moving. Such manifestations are the result of microflora disturbances, the presence of infections and viruses in the body.

    With sore throat, inflammation can even be observed on the roof of the mouth, under the tongue, on the tonsils and larynx. You should know that untimely treatment of sore throat can lead to very serious consequences, including complete respiratory arrest, and only a specialist will be able to correctly identify the nature of the disease and its consequences.

    Types of sore throats

    - catarrhal tonsillitis is characterized by a sudden onset, temperature 39, redness and swelling of the mucous membrane;

    — lacunar tonsillitis is accompanied by a severe course and severe swelling of the throat;

    - follicular tonsillitis is characterized by a sharp increase in body temperature and very severe symptoms (covering the entire area of ​​the nasopharynx with follicles);

    - herpetic sore throat is the result of infection with the Coxsackie virus and has symptoms similar to ordinary flu;

    - fibrinous tonsillitis is accompanied by sharp pain, fever, general intoxication and white plaque on the tonsils; - ulcerative necrotic tonsillitis is characterized by bad breath;

    — phlegmonous tonsillitis — a complication after other types of tonsillitis, accompanied by a hoarse voice and requiring urgent surgical intervention.

    The causes of sore throat are viruses (adenoviruses or Coxsackie viruses), parasites (amoebiosis), bacteria or mycoses.

    1. With scarlet fever, swelling and redness of the tongue, sore throat and fever are observed.
    2. Allergies are often accompanied by a sore throat. It should be remembered that this is very dangerous, as it can lead to Quincke's edema or anaphylactic shock. If the patient is not provided with timely assistance, he may die.
    3. Dental problems. With advanced complicated caries, as well as necrotic phenomena in the jaw area, swelling of the throat may occur, accompanied by severe pain. Swelling occurs only when the process is advanced and only in the place where disturbances are observed.
    4. Venereal diseases. Infections of a sexually transmitted nature often cause severe sore throat. As a rule, they appear without symptoms, which can lead to serious damage to the mucous membrane and even bone tissue. These include syphilis and chlamydia.

    Other reasons

    There are many different factors that cause sore throat and temperature 38, often without a direct connection:

    1. Occupational diseases manifest themselves in an adult whose work involves frequent and active conversations. As a result, the muscles of the vocal apparatus become overstrained and a sore throat appears.
    2. Pathologies of the thyroid gland, in which there is a feeling of pain and tightness in the neck.
    3. Neuralgic diseases can affect the peripharyngeal region (swelling of the roots).
    4. Throat injuries (fish bone stuck in the esophagus).
    5. Gastritis (reflux).
    6. Difficult birth.
    7. Cervical osteochondrosis.
    8. Disc herniation.
    9. Radiculopathy.
    10. Retrolisthesis.
    11. Heart diseases (angina pectoris, ischemia, heart attack), in which there is difficulty breathing and sharp pain in the anterior cervical region.
    12. Oncological diseases, when the lymph nodes are affected during the development of metastases.

    All these diseases do not have pronounced viral symptoms (except for sore throat, cough and fever).

    Treatment

    How to treat a throat? Only an otolaryngologist can prescribe the correct treatment for throat diseases. Antibiotics of different spectrum of action, rinses, decoctions, desensitizing agents and immunomodulators can be used. Their main purpose is to remove plaque and restore the mucous membrane. In more serious cases, the patient is hospitalized to open the abscesses and further complex treatment using physiotherapy.

    Infectious diseases

    Infectious diseases, known in medicine as acute respiratory infections, acute respiratory viral infections or acute respiratory infections, mean the entry into the body of a certain virus that affects the tonsils, larynx and nasal passages. In some cases, the disease may spread to the lower respiratory tract. An acute viral infection is characterized by a sharp increase in body temperature, pain in the head and eyes, drowsiness and general malaise.

    Viral diseases

    Viral diseases should not be treated with antibiotics. It is better to use special antiviral agents, of which there are a great many in our time: suppositories (“Viferon”, “Kipferon”), tablets (“Cycloferon”, “Anaferon”), nasal agents (“IRS-19”), “Derinat”). For advanced forms of the disease, Relenza or Tamiflu, available exclusively by prescription, can be prescribed. All antiviral drugs are excellent for laryngitis, viral tonsillitis, infectious mononucleosis, etc.

    Bacterial infection

    If a child has a cough and sore throat, it is necessary to urgently consult a doctor and not self-medicate. Most mothers try to treat their child with antibiotics, not knowing that they can only be used for a bacterial infection. Only a pediatrician can confirm its presence in a child’s body after a special examination. Timely treatment in such cases is very important, otherwise dangerous bacteria can spread to the lungs and bronchi and the baby may develop pneumonia or bronchitis. To determine the right antibiotic, a sensitivity culture (throat swab) should be taken. This procedure can take a very long time, therefore, doctors recommend using penicillins (Flemoxin, Amoxiclav), macrolides (Sumamed) or cephalosporins (Suprax) before receiving the test results. The most effective treatment for bacterial tonsillitis is Augmentin.

    Fungal infection

    A fungal infection is determined without any laboratory testing. For its treatment, special antifungal drugs are used: Nystatin, Fluconazole and Miconazole. For more serious cases, antibiotics are prescribed to suppress pathogenic microflora.

    Laryngitis

    For laryngitis, only complex treatment is prescribed: antihistamines (Zodak), anesthetics, anti-inflammatory drugs (Nurofen), inhalations.

    Tonsillitis

    Tonsillitis must be treated on time, otherwise complications may occur in the joints, kidneys and heart.

    Firingitis

    When you have pharyngitis, you need to pay more attention to the nasopharynx. To relieve inflammation of the posterior wall, drops and sprays are prescribed.

    During pregnancy

    Women during pregnancy are required to be more attentive to their health: eat right, avoid contact with infection. If you still have a sore throat, cough and temperature of 38, you need to start rinsing with saline and soda solutions. In any case, you should consult a doctor so as not to harm the unborn child.

    General recommendations

    Despite the fact that treatment of the throat depends on the nature of the disease, there are ways to alleviate inflammatory processes:

    1. Rinsing can completely eliminate the development of complications after infectious diseases. These can be solutions of soda and salt, decoctions of medicinal herbs (eucalyptus, chamomile), pharmaceutical preparations (propolis tincture). By rinsing, the cough goes away and the lacunae of the tonsils are cleansed from bacteria and pus.
    2. Irrigation of the tonsils with Inhalipt and other antibacterial sprays helps a lot.
    3. Anesthetic sprays (Strepsils) help relieve a sore throat.
    4. Special lozenges for the throat can completely cure you, get rid of infection and relieve pain (“Doctor MOM”).
    5. Resorption agents such as Tonsilotren improve immunity.

    Thus, if you have a cough, sore throat, accompanied by an increase in temperature to 38, take an antipyretic and urgently visit an ENT specialist. When prescribing antibiotic treatment, be sure to complete the treatment. During treatment, do not forget to drink more, follow a sleep and diet schedule. Treatment at home is possible only for mild forms of infection. If treatment does not help for more than three days, consultation with a specialist is necessary.

    Source: http://lordok.ru/gorlo/g-simptomy/bolit-gorlo-i-temperatura-38-chto-delat.html