Viral tonsillopharyngitis

Very low urgency
Very common-

Inflammation of the pharynx and tonsils due to a viral infection.

It starts as a common cold with cough followed by slight pain when swallowing. It is seldom accompanied by fever, pus in the tonsils or swollen lymph nodes on the neck.

Diagnosis is clinical, through questioning and physical examination. In some cases, laboratory tests may be ordered to differentiate it from a bacterial infection.

As it is a viral infection, it is not treated with antibiotics. It is advisable to reduce the local pain with regular painkillers and ensuring proper hydration.

Bibliographic references
  1. Anthony W Chow, Shira Doron. Evaluation of acute pharyngitis in adults. UpToDate. Jan 04, 2016.
  2. Huovinen P, Lahtonen R, Ziegler T, et al. Pharyngitis in adults: the presence and coexistence of viruses and bacterial organisms. Ann Intern Med 1989; 110:612.
  3. Alcaide ML, Bisno AL. Pharyngitis and epiglottitis. Infect Dis Clin North Am 2007; 21:449.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Red or swollen tonsils


    Irritation or inflammation of the throat


    Sore throat


    Dry cough


    Fever / Feel very hot

Symptoms to watch out for

Fever not relieved by antipyretics (paracetamol, ibuprofen)
Inability to swallow
Neck swelling
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).
Difficulty breathing

Self-care

Use over-the-counter analgesics and antipyretics for muscle pain or fever (temperature > 100.4 F).
Relative rest, rest until symptoms subside.
Do not take antibiotics without a doctor's prescription.
Maintain a fluid intake of 6 - 8 cups per day.
Drink hot beverages (e.g. tea with honey or lemon, chicken soup).