Sore throat and painful swallowing can be seen in acute pharyngitis, acute tonsillitis, acute pharyngitis, etc., which can be treated symptomatically according to the cause, applying antibiotics or antiviral drugs. 1. Acute pharyngitis: pharyngeal pain is obvious, pharyngeal pain is obvious when swallowing, and the pain can be radiated to the ear. If the systemic symptoms are severe, bed rest, drink more water and enter fluid food, apply antiviral drugs such as ribavirin; antibiotics such as amoxicillin, cefuroxime, roxithromycin and so on. At the same time, local treatment, compound borax solution containing gargle, iodine tablets and silver yellow tablets containing chemical. 2. Acute tonsillitis: pain in the throat, including swallowing saliva can feel pain. The first choice of penicillin anti-infection, according to the severity of the disease to determine the route of administration. If the condition does not improve in 2-3 days of treatment, analyze the reason and change to other antibiotics, such as cephalosporins, macrolides, such as cefuroxime, azithromycin, etc.; apply glucocorticosteroids, such as dexamethasone, etc., as appropriate. 3. Acute pharyngitis: the main symptoms of this disease are pharyngeal pain, foreign body sensation and other clinical manifestations, the main choice of anti-infective drug treatment, often available drugs include acyclovir, famciclovir and other antiviral drugs, but also saline gargle to relieve the symptoms of pharyngeal discomfort. If you have a sore throat and it hurts to swallow, you should consult a specialist to find out the cause of the problem and follow the doctor’s instructions for medication.