Sore throat, fever and body aches: what to know

A combination of throat pain, raised temperature and aching muscles can occur with viral illnesses such as the common cold, influenza or COVID-19. A sore throat with fever may also occur with strep throat, tonsillitis or glandular fever. Most people with influenza notice fever and body aches, while throat symptoms can vary. A clinician may consider how quickly symptoms began, whether you have cough or swollen neck glands, and whether you can swallow normally.

Not every sore throat with fever has the same cause. Acid reflux or allergic rhinitis can irritate the throat, but they do not typically explain a fever and widespread aches. Avoid assuming the symptom pattern identifies one condition without an assessment.

Sip water or another suitable drink regularly, choose soft foods if swallowing hurts, and rest. Warm drinks, cool foods or a salt-water gargle may soothe the throat. Follow the label directions for any pain or fever medicine, and check with a pharmacist if you are pregnant, have a long-term condition, or take other medicines. Avoid sharing cups and wash your hands, especially while you have a fever or new respiratory symptoms.

Stay home from close contact when you feel unwell where possible. If symptoms are getting worse, lasting longer than expected, or making it difficult to drink, arrange medical advice.

Seek urgent medical help for trouble breathing, inability to swallow saliva, drooling, a muffled voice, severe one-sided throat swelling, confusion, or signs of dehydration such as very little urine and marked dizziness. Get prompt advice if a high fever persists, symptoms rapidly worsen, or you have a weakened immune system. Children, older adults and people with significant long-term illness may need earlier assessment.

A clinician can examine your throat, check hydration and breathing, and decide whether testing or prescription treatment is appropriate. Antibiotics do not treat viral infections, so do not use leftover medicine.

Ask: Which causes fit my symptoms and examination? Do I need a throat or respiratory test? Which symptom medicines are suitable for me? How should I reduce contact with other people? What change should prompt urgent help? Tell the clinician when the symptoms began, your highest measured temperature if known, any cough or rash, recent exposure to illness, and whether you can drink and pass urine normally.