There are many reasons for painful throat swallowing, including acute inflammatory diseases, bacterial or viral infections, tonsil diseases, etc., as follows: 1. Acute inflammatory diseases: As a result of acute inflammatory diseases occurring in the throat, patients may suffer from cold, causing painful throat swallowing. 2. Bacterial or viral infections: Suffering from respiratory bacterial and viral infection factors that cause acute inflammatory conditions in the throat area. 3, tonsil disease: some patients may have more serious complications such as peri-tonsillitis, peri-tonsillar abscess, etc. 4, other causes: some patients may be affected by too much talking with the voice, or too much smoking, drinking, eating spicy and irritating food and other factors, causing patients to develop acute pharyngitis, acute tonsillitis and even acute epiglottitis. If the patient’s painful swallowing symptoms are more serious, it is best to go to the hospital for a careful and comprehensive examination of the throat to further clarify the diagnosis and then take targeted anti-inflammatory and anti-infective treatment measures.