Painful throat even when swallowing saliva is considered to be caused by acute pharyngitis, acute tonsillitis, acute epiglottitis and other diseases. According to different causes, patients can follow the doctor’s instructions to use general treatment, medication and other ways of treatment. 1. Acute pharyngitis: If acute pharyngitis causes pain in the throat even when swallowing, it may be accompanied by burning sensation in the throat and other symptoms. Patients should drink more water to relieve throat discomfort; use furacilin gargle or compound borax gargle to clean the back wall of the throat; you can also use iodized glycerin solution to smear the lymphatic follicles in the back wall of the throat, which has an anti-inflammatory effect. 2. Acute tonsillitis: If you suffer from acute tonsillitis that causes pain in the throat when swallowing, it may be accompanied by symptoms such as itching and foreign body sensation in the throat. Patients should keep the mouth clean, can take amoxicillin, cefaclor and other antibiotics, to achieve the effect of disinfection and sterilization; if the pain in the throat is severe, you can take ibuprofen non-steroidal anti-inflammatory drugs to relieve the pain. 3. Acute epiglottitis: If the patient suffers from acute epiglottitis, it causes pain in the throat when swallowing, and may be accompanied by dysphagia. The patient should maintain a light diet in the near future. If the disease is triggered by bacterial infections such as Streptococcus pneumoniae, antibiotics such as penicillin and vancomycin can be administered intravenously as prescribed by the doctor. It is recommended that patients who have pain in the throat even after swallowing go to the hospital for consultation, to clarify the diagnosis and cause of the disease, and then follow the doctor’s instructions to standardize the use of medication and treatment.