Patients with severe throat pain, accompanied by dysphagia, the first thing to do is to improve the laryngoscopy, to clarify the specific causes, specific treatment is as follows: 1, hormone therapy: acute epiglottitis is more dangerous, need to promptly nebulize glucocorticoids to relieve, you can use budesonide for treatment. 2, pain treatment: if exclude the acute epiglottitis, consider the general acute upper respiratory tract infections, such as acute pharyngolaryngitis, Acute tonsillitis, you can use ibuprofen, acetaminophen and other drugs to relieve the pain symptoms. 3, antibiotic treatment: if there is a combination of bacterial infection, the need to add antibiotics for treatment, you can choose amoxicillin, cefuroxime and other medications, if you are allergic to amoxicillin, cefuroxime and other antibiotics, you can also choose the macrolide antibiotics, such as roxithromycin, azithromycin and other drugs.