A sore throat with fever or swollen tonsils may need a doctor’s review

A sore throat that persists alongside fever, swollen tonsils or difficulty swallowing should be assessed by a healthcare professional, says Dr MK Singh, director and senior consultant in internal medicine at Narayana Hospital, Gurugram.

Tonsillitis is inflammation and swelling of tissue at the back of the throat. Symptoms can include red or enlarged tonsils, headache, fatigue, bad breath, swollen neck lymph nodes, and sometimes white patches or pus on the tonsils. Pain may also extend towards the neck or ear.

Dr Singh said viral tonsillitis generally settles on its own, with rest, fluids and appropriate pain or fever medication helping ease symptoms. Paracetamol or ibuprofen may help when suitable for an individual, after medical advice; warm salt-water gargles can temporarily soothe throat pain.

Antibiotics are meant only for bacterial tonsillitis and should not be taken without a prescription. They do not work against viral infections and unnecessary use can contribute to antibiotic resistance. Regular handwashing, not sharing cups or cutlery, and covering the mouth and nose while coughing or sneezing may help limit spread.