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Sore throats can be caused by: Viruses, such as the cold or flu virus Tonsillitis (inflammation of the tonsils) Strep throat (also called streptococcal pharyngitis caused by bacterial group A Streptococcus) Smoking Mouth breathing at night while you sleep Pollution Allergies to pets, pollens and moulds Mononucleosis Sinus infections Acid reflux What are the symptoms of a Sore Throat

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The October 2024 international consensus guidance, including from the American Society of Anesthesiologists, took a more nuanced position than earlier blanket-stop advice: 11 Patients on stable doses, without GI symptoms, who are not in the dose-escalation phase can usually continue their medication before elective surgery Higher-risk patients (recent dose escalation, GI symptoms, very high doses) should follow a 24-hour clear-liquid diet before standard 6-hour fasting For emergency surgery, the anaesthetist will use techniques that protect against aspiration regardless of fasting The specific plan should be agreed with your surgical team and anaesthetist in advance

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