A sore throat or persistent cough can be frustrating and confusing. Many people wonder whether their symptoms are simply a cold, strep throat, or something else entirely. We sat down with Dr. Kiskila to answer some of the most common questions patients have when they come in with these concerns.
Q: What are the most common causes of a sore throat?
A sore throat can be caused by a viral infection such as the common cold or flu, which usually comes with other symptoms like a runny nose, cough, or congestion. It can also be caused by bacterial infections such as strep throat, which tends to cause more severe throat pain, difficulty swallowing, and swollen lymph nodes located in the neck. Allergies, acid reflux, and environmental irritants like smoke can also trigger a sore throat.
Q: How can I tell if my sore throat is strep?
Strep throat is usually more painful than a typical sore throat from a cold. My patients often report a sudden onset of severe throat pain, painful swallowing, red or swollen tonsils, sometimes with white patches or streaks of pus, and a fever. Unlike a cold, strep throat does not usually come with a cough or a runny nose. Because symptoms can overlap, the only way to know for sure is to have a rapid strep test or throat culture performed by a medical provider.
Q: When should I be concerned about a cough?
A cough that comes with a cold is usually mild and clears up on its own. However, a cough that lasts more than two weeks, produces blood, or is accompanied by shortness of breath, wheezing, or chest pain should be evaluated by a doctor. Persistent cough can also be a sign of bronchitis, pneumonia, asthma, or even acid reflux.
Q: Are there home remedies that help with a sore throat and cough?
Yes, for viral sore throats and coughs, supportive care can make a big difference. Staying hydrated, doing warm salt water gargles (my personal favorite), drinking soothing teas with lemon and honey, and running a cool mist humidifier can provide relief. Over-the-counter pain relievers can ease discomfort, while throat lozenges may soothe irritation.
Q: When should I see a doctor?
You should seek care if your sore throat is very severe, lasts more than a week, or comes with a high fever, rash, or difficulty breathing. For a cough, see a provider if it is persistent, getting worse, or interfering with sleep and daily activities. For children, any difficulty breathing, refusal to drink fluids, or excessive drooling warrants immediate medical attention.
Dr. Kiskila’s advice: Listen to your body. If your symptoms feel more severe than a typical cold, it is best to get checked. Early diagnosis can ensure you get the right treatment, whether that is rest and fluids or antibiotics for strep throat.
At Marque, our providers are here to help evaluate sore throats and coughs, provide rapid strep and flu testing, and guide you on the right treatment so you and your family can feel better faster.