usually resolves by itself and rarely needing antibiotic treatment. What is a sore throat? • It is a pain at the back of your throat. • Usually caused by an infection most commonly a virus. • Sometimes caused by an allergy. • The tonsils may also be affected. What are the symptoms? • Pain • But you may also have – • Hoarseness • Mild cough • High temperature (fever) • Headache • Tiredness • Swollen neck glands • Feeling tired and sick Tonsillitis? If your tonsils are also inflamed (Tonsillitis) then your symptoms are usually more severe particularly : • Very high temperature. • Feeling very unwell. The tonsils when seen in a mirror, are swollen, red and may show spots of pus. What should I do for a sore throat? • Have plenty to drink to avoid dehydration (lack of fluid in the body). • Take paracetamol to ease the pain and bring down the temperature. • Use gargles, lozenges and sprays to ease the pain. Do I need an Antibiotic? • Usually no (most throat infections are caused by viruses and not bacteria). • Antibiotics only kill bacteria and not viruses. • Antibiotics can cause side-effects. • Only the doctor could decide if or when to take them. When would the doctor prescribe an antibiotic? • If the infection is severe. • If not caused by a virus. • If not any better after a few days. • If you have a problem with your immune system. • If you have heart valve problems or had rheumatic fever in the past. When should we seek a doctor’s advice? • For all small children. • For severe or unusual symptoms such as - difficulty in breathing or swallowing saliva or opening mouth. • Very high temperature (38°C and over). • Symptoms not any better after 3 or 4 days. • All the frail and the elderly. • If you are on Carbimazole treatment. • If somewhat concerned. Remember : • Most throat infections heal by themselves and do not need an antibiotic. • Take plenty of fluids. • Take paracetamol or the equivalent regularly. • See a doctor if symptoms are severe or do not improve after 3 to 4 days.