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3 Ways to Diagnose Chronic Sore Throat and Swollen Glands

By Contributor ; Updated August 14, 2017

Chronic Sore Throat with Digestive Symptoms

If you have a chronic sore throat that is associated with digestive symptoms, particularly heartburn, you could be suffering from "GERD." GERD, or Gastroesophogeal Reflux Disease, can cause heartburn and a chronic sore throat as stomach acid leaks into the esophogus and throat, creating irritation and pain. This sort of chronic sore throat is often worse in the morning, as more stomach acid may reach the throat while you are lying down at night.

Chronic Sore Throat with Swollen Glands

If, on the other hand, you have no digestive symptoms and the chronic sore throat is accompanied by swollen glands, a virus is most likely to blame. Tender lymph nodes in the neck are often associated with viruses, from acute flare-ups of the herpes virus to lingering viruses such as EBV, the Epstein-Barr virus. If your lingering sore throat has followed cold or flu-like symptoms and is accompanied by fever, fatigue and tender lymph nodes, consider seeing a physician for a possible blood test and further diagnostic investigation.

Sore Throat and Glands as Signs of Chronic Fatigue Syndrome

Chronic Fatigue Syndrome is a poorly understood and somewhat controversial ailment believed to occur due to lingering viral infections, such as a low-grade lingering Epstein-Barr infection. As the symptoms of chronic sore throat, tender swollen glands, and fatigue may follow mononucleosis, the term "Post Mono Syndrome" is also used to refer to this constellation of symptoms. If you have a chronic sore throat and swollen glands that are associated with significant and unusual fatigue, see a doctor, who may run blood tests to assess the presence of Epstein-Barr or mono.

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