Sore throat and ear pain due to swallowing is considered to be caused by acute pharyngitis, acute tonsillitis, tonsil cancer, etc. It can be treated with medication and surgery according to different causes. 1. Acute pharyngitis: this disease can cause this symptom, which is mainly caused by viral infection, bacterial infection and environmental factors. For patients without systemic symptoms or with mild systemic symptoms, local gargles with cleaning and sterilizing effects on the oral cavity, such as compound borax gargle, compound chlorhexidine gargle, etc., can be used for disinfection and sterilization treatment. For acute pharyngitis caused by clear bacterial infection, antibiotic drugs can be given under the guidance of the doctor for anti-infection treatment, such as amoxicillin, cefaclor and so on. 2. Acute tonsillitis: this disease can be caused by bacterial infection, antibiotic drugs can be used for treatment, clinically preferred penicillin drugs, according to the severity of the disease to determine the route of administration; at the same time, the local use of compound borax gargle, furacillin gargle and other gargles with antibacterial effect of gargles for disinfection and sterilization treatment. 3. Tonsillar cancer: mainly adopt surgical treatment to remove the lesion, combined with radiotherapy if necessary. Sore throat and ear pain after swallowing may be triggered by acute epiglottitis, otitis media, etc. It is recommended to consult doctor actively after the onset of disease, make a clear diagnosis, and standardize the medication and treatment according to the doctor’s instruction.