One of the commonest causes of illness, a sore throat often clears up on its own, but knowing what's causing it is important to treat it properly. Viral, bacterial, or caused by allergic elements - these kinds of sore throats have different characteristics that need different responses.

Sore throats have several origins, including infection and environmental factors. Some common causes include:

Viral infections: Viruses cause 90% of sore throat cases. Sore throats may result due to flu or common cold as well as those from chickenpox and measles that can all cause irritation.

Bacterial Infections: Streptococcus bacteria, the most common cause of strep throat, is the most common bacterial source. Strep throat is contagious and can lead to complications if untreated.

Allergies: Pollen, pet dander, and mold can trigger throat irritation, often accompanied by postnasal drip, sneezing, and watery eyes.

Environmental Factors: Dry air, pollution, and smoke can dry out or irritate the throat, creating a scratchy sensation.

Other Causes: GERD, vocal strain, even tumors may be responsible for chronic sore throats.

How to Distinguish Between Viral, Bacterial, and Allergic Sore Throats

Determining your cause of sore throat requires analysis of symptoms that accompany it, how long the sore throat lasts, and how bad the sore throat is.

Viral Sore Throats

The viruses that cause a sore throat are usually similar to a cold in their symptoms and tend to be milder than bacterial infections.

Symptoms of Viral Sore Throat

- Red, swollen throat without white patches

- Persistent cough

- Runny nose and nasal congestion

- Fever, usually mild

Duration: Viral infections last for 7–10 days without antibiotics.

Treatment: Home remedies, such as warm fluids, saltwater gargling, and over-the-counter pain relievers can help alleviate it.

Also Read: Flu Season Grips 40 States In US, CDC Reports Alarming Numbers

Bacterial Sore Throats

Bacterial sore throats, mainly strep throat, are more severe and require prompt medical attention to prevent complications.

Symptoms of Bacterial Sore Throat

- Red and swollen tonsils with white patches or streaks of pus

- High fever

- Absence of a cough

- Nausea, vomiting, or stomach pain (especially in children)

- Small red spots on the roof of the mouth

Diagnosis: Rapid strep tests or throat cultures confirm the presence of bacteria.

Treatment: Antibiotics are necessary to eliminate the infection. Without treatment, complications like rheumatic fever or abscesses can develop.

Sore Throats Caused by Allergies

Throat irritation is caused by postnasal drip. Allergies create a buildup and drip of mucus down the back of the throat.

Allergic Sore Throat Symptoms

- Irritation of the throat and ears

- Runny eyes, sneezing, and nasal congestion

- These symptoms are usually relieved by antihistamines or removal from the source of the allergen

Duration: Allergic sore throats are sustained for as long as the allergens are exposed.

When to Seek Medical Care?

A sore throat should be taken to a doctor if:

- The condition lasts more than a week.

- There is shortness of breath or swallowing becomes painful.

- Swelling is too pronounced or the pain in the throat is extreme.

- High fever, rash, or joint pain occur along with the sore throat.

- A child shows signs of dehydration or refuses fluids due to throat pain.

Early diagnosis can prevent complications and speed recovery.

Effective Treatment for Sore Throats

Home Remedies for Viral and Allergy-Related Sore Throats

Viral infections and allergies often respond well to non-invasive treatments:

• Drink warm teas, broths, or water to soothe the throat.
• Gargling with warm, salty water can reduce inflammation.
• These help soothe an irritated throat and can alleviate coughing.

Let your body rest sufficiently. Humidifying dry air will help keep the throat moist, especially when winter is on its way.

Why Not All Sore Throats Require Antibiotics?

Bacterial infections require antibiotics such as penicillin or amoxicillin. Finish the treatment completely to avoid reoccurrence or resistance.

How to Keep Sore Throats at Bay When Winter Is Near

Prevention is better than cure, and simple lifestyle changes can reduce your risk:

• Wash your hands frequently to avoid infections.
• Avoid close contact with sick individuals.
• Use air purifiers to minimize exposure to irritants.
• Stay hydrated and maintain a balanced diet to boost immunity.

Understanding the cause of your sore throat—whether viral, bacterial, or allergic—is key to effective treatment and recovery. While many sore throats resolve on their own, seeking timely medical advice for persistent or severe symptoms can prevent complications. Prioritize self-care, and don’t hesitate to consult a doctor when needed. Remember, your throat’s health is a vital part of your overall well-being.

India’s growing dependence on quick, over-the-counter remedies has drawn fresh concern from a senior orthopaedic and sports surgeon in New Delhi. In a recent Instagram video, Dr Obaidur Rahman of Dr Ram Manohar Lohia Hospital warned that the country’s casual use of a common antibiotic is undermining its effectiveness and pushing India closer to a major public health challenge. His message, shared through a post and video, called attention to an urgent issue that often goes unnoticed in everyday medical choices.

What Is Azithromycin?

Azithromycin, sold under brand names such as Zithromax, Azee and Zmax, is a macrolide antibiotic prescribed for various bacterial infections. It works by slowing the growth of harmful bacteria. It does not help with viral illnesses like the common cold or flu, according to MedlinePlus.

Azithromycin Is Being Used “More Than Toffee or Roti”

Dr Rahman explained that one particular antibiotic has become so familiar in Indian homes that many people take it without a second thought. He noted that families frequently reach for this medicine to treat colds, coughs and mild fevers, despite the fact that most of these illnesses are viral. Because antibiotics do not work on viruses, this habit has increased unnecessary exposure and created ideal conditions for resistance to form.

In his post, he described the extent of the overuse by saying that the tablet is consumed even more commonly than basic household foods. This pattern, he said, has quietly pushed India into a vulnerable zone.

Azithromycin Antibiotic Resistance: Azithromycin Losing Power Against Key Bacteria

The antibiotic at the center of his warning is Azithromycin, a drug often prescribed for sore throats and upper respiratory tract infections. Dr Rahman noted that it was once effective against Mycoplasma Pneumonia, a bacterium responsible for pneumonia in adults and children.

He pointed out that this is no longer the case. According to him, India now shows an alarming 80 to 90 percent resistance to Azithromycin when treating infections caused by this bacterium. A medicine that once addressed a wide range of respiratory problems is no longer reliable for many patients.

Azithromycin: Antibiotic Resistance Already Reaching Clinics

Dr Rahman said that antibiotic resistance is not an abstract idea but something he encounters in his orthopaedic practice. He has seen cases where routine antibiotics fail entirely, leaving patients with few options. When commonly used drugs stop working, he added, treatment becomes more complicated, more expensive, and sometimes impossible.

His concern is that if such misuse continues unchecked, India could face a situation where even simple infections become difficult to manage.

The surgeon urged people to avoid taking antibiotics without proper medical advice. Most seasonal respiratory infections resolve on their own, and unnecessary drugs only add to the resistance problem. He encouraged viewers to share the information, especially with those who often purchase antibiotics over the counter.

Azithromycin Warning: Why This Warning Matters Now

Dr Rahman, who works at PGIMER and RML Hospital and specialises in bone, joint and sports injury care, said his experience treating a large volume of patients has made the issue impossible to ignore. He believes that without immediate changes in how antibiotics are used, India risks losing access to medicines that save lives in emergencies.

His message acts as a reminder that antibiotic resistance does not appear suddenly. It builds slowly through small, routine choices. And, as he warns, the cost of ignoring these early signs may be far greater than most people realise.

In a recent video, a neurosurgeon listed things he would start doing if he had to work on his brain health, ‘rebuilding it’, from scratch. Many people are focusing on health and bringing about a change in their life so that their health doesn’t suffer. If you wish to do the same but do not know where to start from, Dr Jay Jagannathan, MD, from Jay Jagannathan, MD, explains five easy steps with which you can start.

Your brain health is affected by many things around you, your habits, your diet, who you spend your time with etc. In the video Dr Jaggannath listed 5 things he would start doing if he had to start working on his brain health from the beginning.

In the caption he explained, “After years in neurosurgery, I’ve learned this: Your brain doesn’t need perfection — it needs consistency, balance, and protection. And the biggest changes often come from the simplest habits.”

5 Ways To Rebuild Your Brain Health

five key steps they would take to completely reset and improve their brain health. These strategies focus on combining strict discipline with intentional rest and mindful activities, recognizing the direct connection between physical habits and mental performance.

Sleep Schedule Discipline

The first and most critical step is maintaining strict sleep schedule discipline. This means committing to getting at least six to eight hours of quality sleep every single night without fail. If the individual has a very early start to their day, they must prioritize going to bed much earlier to ensure they meet this crucial rest quota. Prioritizing consistent sleep is essential for the brain to consolidate memories and perform necessary repairs.

Prioritize Strength Training

The second action involves incorporating regular, low-grade resistance (strength) training into the weekly routine. This exercise is especially important for people who spend long hours on their feet, like surgeons. Committing to low-grade resistance training for at least two to three days per week is considered extremely vital because physical strength and exercise directly support better circulation and overall body health, which feeds directly into improved brain function.

Embrace Regular Meditation and Mind-Body Connection

The neurosurgeon stressed the importance of dedicated time for regular meditation. They pointed out that a strong mind-body interface is crucial for endurance and clarity, particularly in demanding fields like surgery. Therefore, engaging in mindful practices such as yoga or meditation is necessary to establish and maintain that vital connection, allowing the brain and body to work together harmoniously and manage high stress levels.

Avoiding Burnout Cycles

The fourth piece of advice is to actively and consciously avoid burnout cycles. Burnout is a dangerous state of chronic stress that can severely damage both the brain's structure and its ability to function effectively. This strategy requires setting firm boundaries and intentionally managing one's workload and stress levels to prevent ever reaching a point of complete mental and physical exhaustion.

Skip the "Hero" Lifestyle

Finally, the fifth point is to firmly reject the "hero lifestyle" of skipping rest. This is the common, misguided habit of trying to power through intense work periods by constantly sacrificing necessary sleep and rest days. The neurosurgeon advises against this trend, asserting that continuous rest and consistent recovery are not optional but are absolutely non-negotiable for achieving and maintaining sustained high performance and long-term brain health.

With different careers come different work expectations. Some jobs have routine day shifts with regular working hours, popularly known as the ‘9-5’. While other jobs require round-the-clock service. However, did you know what shifts you chose to do have an effect on your health as well?

Ranking the best to worst shifts, Dr Sudhir Kumar, a Hyderabad-based neurologist, recently made a post on his social media platform. He explained that the way you schedule your work shifts can have a major impact on your long-term health. The ideal work schedule is one that matches your body's natural clock. Below is a ranking of three common shift types, based on their effects on your health.

Day Shifts: The Healthiest Option

Why Day Shifts are Best for Your Body

Working during the day perfectly matches your circadian rhythm, or internal clock. Your body is naturally built to be awake when it's light and rest when it's dark, allowing vital processes like hormone production and cell repair to function efficiently and keep your system stable.

Benefits of a Stable Schedule

Day shifts allow for quality, full sleep, which is crucial for long-term health. Workers face a lower risk of serious issues like obesity, diabetes, high blood pressure, and heart disease. This stable routine also lowers the risk of depression, anxiety, and certain cancers, making it the healthiest choice.

Fixed Night Shifts: Acceptable but Not Ideal

Partial Adaptation to Night Work

If night work is unavoidable, a consistent fixed night shift is superior to a constantly changing schedule. The benefit is that the body can establish a slightly more consistent sleep routine over time, allowing for a better partial adjustment to the reversed daytime sleep schedule than an erratic one.

Significant Remaining Health Risks

However, stable night shifts still cause chronic misalignment with the natural day-night cycle. This leads to higher long-term risks of metabolic disorders, insulin resistance, and mood problems. Additionally, it disrupts social and family life, contributing to ongoing sleep deprivation and substantial health risks.

Rotating Shifts: The Worst for Health

Maximum Disruption to the Body Clock

Constantly changing shifts are the most harmful because the internal clock cannot adapt to the varying schedule. This causes the maximum possible circadian rhythm disruption, confusing the body about when it should be awake, resting, or performing essential processes.

Increased Risk of Serious Illness

This chaotic schedule is linked to severe sleep issues and unhealthy fluctuations in stress hormones. This increases the risk of serious illnesses, including cardiovascular disease, diabetes, and mood disorders. Rapid shifts, like moving from night to morning duty, dangerously increase fatigue, raising the risk of accidents.

Final Ranking for Long-Term Health

At the end of the post Dr Kumar reiterated that the best to worst working hours for your body.

• Day Shift (Best)
• Fixed Night Shifts (Moderate Risk)
• Rotating Shifts (Worst Risk)

While there are ways to manage your health around your working hours, it is important to make sure you give your body as much stability as possible. Make sure you speak to a healthcare professional and build a routine that will help your body maintain its level of functioning while also keeping your health in check.