What does sore throat feel like with glandular fever?

The tonsils may become enlarged and red, sometimes with pale patches. Tender glands in the neck, marked tiredness, fever and headache can occur alongside the throat pain. The combination may last longer than an ordinary short respiratory illness, and energy can remain low after the throat starts improving. Throat appearance alone cannot confirm glandular fever, because other infections can look similar.

Take frequent sips of water and choose soft foods if swallowing is uncomfortable. Rest according to your energy, avoid alcohol, and do not share drinks or utensils while unwell. Ask a clinician or pharmacist about suitable pain relief. Avoid strenuous activity and contact sports until a clinician advises that returning is safe, because glandular fever can affect the spleen even when throat symptoms are easing.

Seek urgent help if you cannot swallow saliva, have breathing difficulty, severe one-sided throat swelling, or sudden strong pain in the upper left abdomen. Arrange medical review if exhaustion is pronounced, you cannot maintain fluids, or symptoms are not settling. A clinician can assess the tonsils and glands and decide whether testing is appropriate.

Could glandular fever explain my throat and fatigue? How long should I avoid strenuous activity? Which medicines should I avoid or use cautiously?