Sore throat when swallowed without fever - causes and treatment

Sore throat is one of the most common symptoms that characterize the clinical picture of respiratory and viral respiratory infections. In most cases, unpleasant sensations when swallowing are a sign of a cold, but not always the pathology is of an infectious nature. In smokers, pain during swallowing and talking can be caused by irritation of the superficial epithelial layer of the larynx and the speech ligaments responsible for the tonality and timbre of the voice. Even poor oral hygiene can lead to pain, so do not start treatment until the exact cause of discomfort is clarified.

Pain and sore throat are usually accompanied by fever. Sometimes it can fluctuate within the subfebrile condition, but in viral and purulent bacterial infections, the temperature usually rises to 38 ° and above. If the pain occurs against the background of normal body temperature, it is necessary to undergo an examination with an otolaryngologist, since this symptomatology can indicate the initial stage of the oncological process in the tissues of the oropharynx.

In what cases can pain occur without temperature?

There are so many factors not related to infectious diseases that cause discomfort and painful sensations when swallowing. One of them is the inhalation of harmful chemicals. Such a sign may appear in people who live not far from large industrial enterprises and factories engaged in the production of varnish-and-paint products, parts for various types of equipment. Workers of harmful industries( eg pulp and paper mills) who regularly inhale dust and toxic substances can also feel pain during eating and drinking. In this case, the pathology is considered professional and requires an annual sanatorium-preventive treatment.

Pain and swallowing in the throat are also very often diagnosed in smokers. Tobacco smoke, containing nicotine gums, aggressively affects the mucous membranes of the larynx and causes their irritation and inflammation. In people who abuse smoking, the tissues of the pharyngeal ring have a loose structure, and their color is much darker( compared to people who do not suffer from tobacco dependence).

Please note! If a person does not smoke and lives in favorable climatic conditions, and his professional activity is not associated with inhaling harmful substances, there are still painful sensations in the throat, the reason may be in non-compliance with hygienic norms and poor personal hygiene.

Insufficient oral hygiene

If a person pays insufficient attention to maintaining cleanliness in the oral cavity, pathogenic microorganisms can multiply on the mucous membranes of the cheeks and gums. If they are too many, the infection can spread to the respiratory tract and cause inflammation of the mucous membranes of the pharynx.

To avoid this, it is necessary to observe basic standards of personal hygiene, namely:

• to conduct hygienic treatment of the oral cavity at least 2 times a day( once before bedtime);
• after consuming drinks or food, rinse your mouth with warm boiled water, use floss( hygienic dental floss) to remove residual food between your teeth;
• not to abuse mouthwashes( they can be used not more than 2 times a day);
• use only your toothbrush;
• undergo a routine checkup at the dentist every 6-8 months.

Important! To treat sick teeth is necessary in a timely manner. If there are foci of infection in the oral cavity, the pathogenic flora in the respiratory tract is likely to spread. Carious teeth are also one of the most common causes of sinusitis.

Dry and dirty air in the apartment

Insufficient observance of the hygiene of the room in which a person lives can also lead to pain and dizziness when swallowing. Dry air negatively affects the condition of mucous membranes, which quickly become inflamed and swell. Swelling of soft tissues and provokes pain syndrome, which appears only when eating food or swallowing saliva.

To prevent such conditions, it is often necessary to ventilate the apartment, to conduct daily wet cleaning and humidify the air, if required. Means for disinfection is recommended not to be used more often 1-2 times a week, since even hypoallergenic cleaning gels and powders can adversely affect the state of the respiratory tract and provoke unpleasant sensations when inhaling and swallowing.

Can a sore throat with allergies?

In rare cases, pain when swallowed can be a manifestation of an allergic reaction. Allergens can be any substance, but most often this reaction occurs on bee products, bird feathers and animal hair, chocolate, house dust, citrus, washing powders and cosmetics, shrubs and plants during flowering.

If discomfort during swallowing is caused by an allergy, the patient usually has other symptoms, for example:

• lacrimation;
• redness of the eyes;
• itching and burning of the skin and mucous membranes;
• skin rash;
• isolation of mucus from the nasal passages;
• sneezing;
• swelling of the eyelids, nose, or tissues of the oropharynx.

Not always listed signs appear all at once. In some cases, the allergy is characterized by only one or two symptoms. If the pain in the throat is caused by an allergic reaction, it will quickly pass after taking antihistamines( Fenistil , Suprastin , Claritin ).

Important! In some cases, a sharp sore throat can be a sign of one of the most dangerous manifestations of allergy - Quincke's edema. This is an urgent condition in which the soft tissues of the face, extremities, or larynx are swollen. Pathology develops rapidly and can lead to death of the patient due to asphyxia, so you should immediately seek help if the pain in the throat is accompanied by facial swelling and difficulty breathing.

In what diseases does the pain in the pharynx appear without a temperature?

If all non-infectious factors are excluded, and the pain does not pass, the cause may be covered in diseases of the internal organs. In case of a pain syndrome accompanied by a rise in temperature, the most likely causes may be:

• angina;
• tonsillitis;
• infectious mononucleosis;
• pharyngitis;
• influenza;
• ARVI and ARI.

If the temperature rises slightly or remains within normal limits, you should consult an otolaryngologist, gastroenterologist and infectious disease specialist( venereologist).If there are indications, it may be necessary to consult an oncologist and a laboratory blood test for oncomarkers.

Reflux esophagitis

This disease is characterized by weakness of the esophageal sphincter - the muscular organ that separates the stomach and esophagus. Normally, it is always in a compressed state and prevents the food from moving back out of the stomach into the esophageal tube. With the weakness of the muscular fibers of the sphincter, the gastric contents and bile acids can be thrown into the esophagus, which leads to irritation and inflammation of its walls.

Insufficient development of the gastroesophageal sphincter has other symptoms, among them:

• pain in the abdominal space;
• heartburn;
• sensation of "lump" in the throat;
• discomfort and discomfort during swallowing;
• digestive disorders.

In case of signs of gastroesophageal reflux, it is necessary to consult a doctor, as the disease can lead to serious complications, for example, ulcerative lesions of the esophagus walls.

Vegeto-vascular disorders

Vegeto-vascular dystonia can also cause pain in the larynx. A distinctive symptom of the pathology is unpleasant sensations when swallowing, which occur after an emotional shock or a stressful situation. If a person takes a sedative, the discomfort usually goes away.

HIV and syphilis

If the syphilitic chancre is on the tissues of the larynx, a person will experience constant moderate pain when eating drinks or food, and during a conversation. Pathology at an early stage is rarely accompanied by an increase in temperature, and for a long time can proceed without any other symptoms.

Throat cancer

The most severe pathology in which a patient can complain of pain in the throat is throat cancer. The pathological process can affect the tissues of the larynx, pharyngeal ring, vocal cords, epiglottis and esophagus. The disease can manifest itself in different signs, among which:

• hemoptysis;
• changes the tone of the voice, signs of aphonia and swelling of the vocal cords accompanied by stiffness and hoarseness;
• an increase in cervical lymph nodes;
• neck asymmetry;
• sensation of a lump or foreign object in the pharynx.

Important! A favorable prognosis for malignant lesions of the throat is possible only if the disease is detected in time and treatment is started, therefore, it is impossible to ignore pathological symptoms. Early diagnosis will increase the chances of survival by almost 40%.

Video - 3 tests for those who find it difficult to swallow

How to cope with pain when swallowing?

First you need to find out the cause of the unpleasant sensations, because incorrectly selected therapy can trigger the progression of the pathology and worsen the patient's condition. To do this, you will have to undergo a test, which can include ultrasound diagnosis of the larynx and pharynx, radiography, pharyngoscopy and bacterial culture to determine the nutrient media. Treatment of pain depends on the diagnosis.

Diagnosis( cause of pain)	What is being prescribed?	Preparations	Image
Allergy	Blockers of histamine mediator of allergic reactions	Diazolin, Zodak, Claritin, Suprastin, Tavegil
Caries and other oral pathology	Antiseptic solutions for oral disinfection and dental treatmentwith the use of topical anesthetics	"Chlorhexidine", "Miramistin"( for treatment). "Lidocaine", "Ultracaine", "Novocaine"( for pain relief)
Vegeto-vascular dystonia	Correction of the diet and the regimen of motor activity, taking sedatives( mostly of vegetable origin)	"Tenoten", "Persen", "Afobazol", "Valerian", "Motherwort"
Throat cancer	Surgical treatment, radio wave and chemotherapy	Preparations for chemotherapy( selected individually): "Metazolamide", "Melphalan", "Procarbazine"
Inflammatory processes in the oropharynx	StripsAnia antiseptics and infusions of medicinal plants, local treatment with antibacterial and anti-inflammatory drugs	«Furatsilinom", "Miramistin", "Tantum Verde", "Kameton", "Ingalipt", "Lizobakt»

Important! If the pain occurs after unprotected oral contact, it is necessary to get a consultation from the venereologist, since pathogenic bacteria from the partner's genital organs could get on the mucous membranes of the pharynx. An examination of the dermatovenerologist will also help to exclude the possibility of HIV infection, oral gonorrhea and syphilis.

Treating pain in the throat with folk methods

Calming the irritated mucosa of the larynx and reducing inflammation can be done with the help of prescriptions of alternative medicine.

Milk onion drink

This tool is unlikely to please children, but adults can use it even with severe pain, since the effect comes almost immediately after ingestion. In a glass of warm milk, you need to add juice from a half of a bulb and a slice of chopped garlic. All stir and immediately drink, then go to bed and take cover with a blanket.

Repeat the procedure every day in the evening. Duration of treatment - 5 days.

Milk with honey

If the throat hurts in the child, a small spoon of honey and 5 g of butter can be added to the milk. Such a drink will help to remove inflammation and get rid of unpleasant sensations. It should also be drunk before bedtime for 5-7 days.

Apple-honey mixture with onions

This remedy is considered one of the most effective for restoring the normal condition of the mucous larynx and getting rid of painful sensations. On grater you need to rub one apple, half a bulb and add a tablespoon of honey. The mixture should be prepared in the morning, and the resulting volume is divided into 4 parts, which must be eaten during the day( 30 minutes after eating).

The product is suitable for patients of any age and helps to eliminate discomfort in just 3-5 days.

Video - How to treat throat folk remedies at home?

Sore throat without fever can indicate a variety of pathologies, so do not try to independently diagnose yourself. If discomforts appear constantly and do not go away after 2-3 days of home treatment, you need to see a doctor and find out the cause of the painful symptoms.