Hi Dear, Welcome to HCM. Understanding your concern. As per your query you have symptoms of throat infection which is leading to sore throat due to bacterial or viral infection. It is leading to upper respiratory tract infection. As ASO titres are very high means level of infection is high so proper examination is required. I would suggest you to do warm saline gargles 3 to 4 times a day. Take ibuprofen one tablet twice daily. You should avoid spicy food. Visit ENT specialist once and get it examined and start treatment after proper diagnosis. Take soft foods to avoid irritation to the throat. Throat lozenges one every 4 hours is helpful. Drink lukewarm water throughout the day as it can provide relief. Milk boiled with a pinch of turmeric taken at bedtime for can be relieving as it has antimicrobial properties. Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari