Your throat is sore, you’ve lost your voice and it hurts to swallow. Is this sore throat just a case of the common cold or should you head straight to your local doctor?
ENT, or ear, nose, and throat doctors treat a variety of conditions that affect your respiratory tract including your larynx or voice box. They also have expertise in conditions that affect the ears, nose, mouth, face, and neck. ENT doctors perform surgeries as well as treat illnesses.
You can visit your general practitioner for a sore throat but if it’s severe, lasts for more than a week or you have a fever and swollen glands your GP may refer you to an ENT specialist.
You should see an ENT specialist if:
The most common ENT-related problems are sore throats which almost everyone has experienced at some point in their lives. A sore throat can be raised glands but more commonly refers to an inflammation of the lining of the throat causing pain on swallowing or soreness with sore throat symptoms including fever, headache, swollen lymph nodes (swollen tonsils), hoarse voice, and pain while eating. It is usually caused by a viral infection such as a cold virus but sometimes bacteria may this type of sore throat if you have poor oral hygiene or if you brush your teeth too hard.
Sore throats are often caused by a virus that cannot be cured with antibiotics although in some cases, sore throat may be due to bacteria. Therefore, it cannot be treated with antibiotics unless there are accompanying symptoms such as difficulty swallowing or high fever.
Occasionally sore throat is due to an overactive thyroid gland (hyperthyroidism), and this will require further investigation however in most cases the cause of sore throat does not require further workup. If sore throat has been present for more than two weeks, it should also be investigated further.
Strep throats are usually due to group A beta-hemolytic streptococcal bacteria and can be treated with antibiotics. It is important to make the diagnosis of sore throat early as a bacterial infection sometimes requires antibiotic treatment if it is causing problems speaking, swallowing, or breathing.
All sore throats require assessment by a health care professional however some sore throats are more concerning than others. If you have been coughing up blood that may indicate an underlying lung condition such as bronchiectasis and therefore it is particularly important to get your sore throat checked out by a doctor.
In addition, patients who have experienced sore throats for more than two weeks or have slurred speech should be investigated further by an ENT. Think of an ENT doctor as a “sore throat doctor” or investigator.
Other throat conditions diagnosed by ENT doctors include strep throat, tonsillitis, laryngitis, vocal cord nodules and lesions (growth – can be cancerous), pharynx (throat) cancer, salivary (lump in the gland near your jaw) gland tumors, thyroid problems, sialolithiasis or stones in the salivary glands.
The best way of preventing viral infections is by washing hands frequently, especially after touching any contaminated surfaces. If you have a cold, avoid close contact with other people until at least 24 hours after your last episode of coughing or sneezing. Covering your mouth when coughing or sneezing helps to prevent the spread of viruses.
Sore throats are very common but can be difficult to treat so seeing an ear, nose, and throat specialist early will help ensure that any serious underlying problems are diagnosed early.