Frequent consultations · Infectious diseases

A sore throat is one of the most common complaints we see, especially with air-conditioned rooms, sea breeze, and the constant mix of indoor and outdoor temperatures typical of a Mallorca holiday. Most sore throats are caused by pharyngitis, an inflammation of the throat usually triggered by a virus, but a smaller number are caused by streptococcal bacteria (strep throat), which needs antibiotic treatment.

Symptoms of pharyngitis

  • Pain or a scratchy feeling in the throat, worse when swallowing
  • Redness in the back of the throat
  • Mild fever
  • Hoarseness

Accompanying symptoms that often point to a viral cause

  • Cough
  • Runny or blocked nose
  • Sneezing
  • Mild body aches
  • Headache

Signs that may point to strep throat instead

  • Sudden, severe throat pain without cough or nasal symptoms
  • White patches or streaks of pus on the tonsils
  • Tender, swollen lymph nodes in the neck
  • Fever above 38.3°C (101°F)
  • In children, stomach pain and vomiting

When to see a doctor — children

According to pediatric guidance, a child’s sore throat should be evaluated when it:

  • Does not improve after drinking or eating something warm
  • Comes with a fever, rash, or difficulty swallowing or breathing
  • Is accompanied by drooling in a young child (which can indicate a more serious airway issue)
  • Lasts longer than 48 hours without improvement

When to see a doctor — adults

An adult should seek medical attention when a sore throat comes with:

  • Difficulty breathing or swallowing
  • Difficulty opening the mouth fully
  • Joint pain, earache, or a rash
  • Fever higher than 38.3°C (101°F)
  • Blood in the saliva or phlegm
  • A lump in the neck
  • Hoarseness lasting more than two weeks

Because pharyngitis and strep throat look similar in the first day or two, and only strep needs antibiotics, an in-person (or home-visit) exam with a throat swab is the most reliable way to know which one you have — self-treating with leftover antibiotics is not recommended and can delay the right diagnosis.

Source: adapted from Mayo Clinic and American Academy of Pediatrics (AAP) / American Academy of Otolaryngology (AAO) patient guidance.

If you need medical assistance for a persistent or severe sore throat, contact us — we can assess and treat it at your accommodation.

Dr. Diego González Agulla — Medical Director, Clinic Port Pollensa. Licensed physician, Balearic Medical Board (COMIB), Collegiate No. 073807071.