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All these can happen with bacterial or viral pharyngitis. To differentiate, we look at other symptoms like systemic symptoms like excessive tiredness, weakness, drowsiness, undue fever like people who have a mild redness in the throat having 103 or 104 fever and sudden worsening of symptoms will show a viral infection. The bacterial the discomfort starts slowly and the redness becomes a lot more obvious by the 3rd or the 4th day. The fever starts coming by then. The mucus is coloured, that is yellowish, then you can say that most likely a bacterial infection. Either bacterial or viral, the initial treatment is same, you need a supportive medication till there is a clear demarcation whether it is a viral or a bacterial. So initially it is going to be paracetamol, cough syrups, and gargles and steaming. As the clear demarcation becomes more evident whether it is a bacterial or a viral we will chose to give antibiotics, whereas in a viral, we continue the supportive medication till the fever subsides. The viral is mostly self-limiting, so you do not need further medications whereas in bacterial we start with antibiotics and the patient gets better in the next few days.