A sore throat that hurts even when you swallow can be caused by acute pharyngitis, acute tonsillitis or acute epiglottitis. It is usually treated with medication. 1. Acute pharyngitis: acute inflammation of the pharyngeal mucosa, submucosal tissue and its lymphatic tissue. It is caused by viral infection, bacterial infection, and irritation of the pharynx by factors such as high temperature, dust, and irritating gases. The patient has a sore throat and symptoms that worsen when swallowing. In the acute stage, pay attention to bed rest and maintain air circulation. Pay attention to oral hygiene. Apply antiviral drugs and antibiotics, such as ribavirin, amoxicillin, etc., and locally available silver and yellow tablets and other treatments. 2. Acute tonsillitis: Decrease in body resistance, streptococcus and staphylococcus infections caused by tonsillitis. General application of antibiotics anti-infection treatment, commonly used penicillin and cephalosporin antibiotics, such as amoxicillin clavulanate potassium, cefuroxime, etc., according to the severity of the disease to determine the route of administration. Compound borax solution gargling and so on. 3. Acute epiglottitis: acute non-specific inflammation of the laryngeal mucosa in the supraglottic area mainly in the epiglottis, swallowing movements and food can stimulate the epiglottis, leading to increased sore throat. It can be treated with antibiotics and glucocorticoids, such as cefuroxime and dexamethasone. Topical glucocorticoid nebulization therapy, such as inhaled budesonide nebulization. Throat pain is so bad that swallowing hurts to go to the hospital, to clarify the cause of the disease, active treatment, under the guidance of the doctor to use medication.