Sore throat hurts when you swallow, common diseases are acute pharyngitis, acute tonsillitis, acute epiglottitis and other causes, for the cause, symptomatic treatment. 1. Acute pharyngitis: acute inflammation of the pharyngeal mucosa, submucosa and lymphatic tissue caused by bacterial and viral infections, under the guidance of a professional doctor to take cephalosporin, amoxicillin capsules, ribavirin tablets and other medications, but also through nebulized inhalation of medications for treatment in daily life, to avoid excessive use of the voice, and to reduce the stimulation of dust and irritating gases. 2. Acute tonsillitis: mostly refers to acute inflammation of the palatine tonsils, sore throat, pharyngeal discomfort, pain when swallowing, you can choose antibiotic drugs under the guidance of a doctor, preferred penicillin and cephalosporins, such as amoxicillin, cefuroxime, etc., according to the severity of the condition to determine the mode of administration. Replace the antibiotic after 3 days of poor results, or choose the appropriate antibiotic according to the drug sensitivity. Topical compound borax solution and other gargling treatment. 3. Acute epiglottitis: Acute epiglottitis is an acute non-specific inflammation of the laryngeal mucosa involving the supraglottic region of the larynx, characterized by a high degree of edema of the epiglottis, which can be symptomatic of a sore throat with pain on swallowing, and can be given antibiotics under the guidance of a doctor to control the infection, commonly used drugs are cephalosporins or amoxicillin clavulanic acid potassium and other antibiotics; at the same time can be given to glucocorticosteroids to reduce the edema of the mucosa, such as dexamethasone. Sore throat hurts when you swallow, you should consult a doctor in time, diagnosis and treatment after clarification.