Treatment FAQ

when to call dr back with strep after treatment

by Ms. Annabelle Ward Published 2 years ago Updated 2 years ago
image

Contact Doctor Within 24 Hours
  • Urine is pink or tea (brown) color.
  • Taking antibiotic more than 24 hours, and sore throat pain is severe. ...
  • Taking antibiotic more than 48 hours and fever still there or comes back.
  • Taking antibiotic more than 3 days and other Strep symptoms not better.
Jan 13, 2022

Medication

Call the doctor if you or your child are not feeling better after taking antibiotics for 48 hours. Doctors treat strep throat with antibiotics. Either penicillin or amoxicillin are recommended as a first choice for people who are not allergic to penicillin.

Procedures

Return to work or school 24 hours after you start antibiotic medicine. Prevent the spread of strep throat: Wash your hands often.

Self-care

People with strep throat should stay home from work, school, or daycare until they: Take the prescription exactly as the doctor says to. Don’t stop taking the medicine, even if you or your child feel better, unless the doctor says to stop.

Nutrition

Throat cultures and rapid Strep tests aren't urgent. Most can be done in your doctor's office. Contact with someone outside the home with a positive Strep test. This type of contact occurs at school.

When should I go to the doctor for strep throat?

When can I return to work after taking strep throat medicine?

When should you stop taking strep throat medicine?

How urgent is a rapid strep test?

image

Can strep throat come back after finishing antibiotics?

If strep throat returns after treatment with antibiotics, there may be close exposure to a strep carrier, a person who carries the Streptococcus bacteria in the throat but has no symptoms of a strep infection. In these cases, it is appropriate to treat the strep carrier to stop recurring infections.

How long after taking antibiotics for strep can I go back to work?

People with strep throat should stay home from work, school, or daycare until they no longer have a fever and have taken antibiotics for at least 12 hours. This will help prevent spreading the bacteria to others. Wash your hands often to prevent the spread of germs that cause strep throat and other infections.

What if strep doesn't go away after antibiotics?

"When strep throat doesn't respond to frontline antibiotics such as penicillin, physicians must start prescribing second-line therapies, which may not be as effective against this organism."

When should I go back to the doctor for strep throat?

In most cases, your sore throat will improve with at-home treatment. However, it's time to see your doctor if a severe sore throat and a fever over 101 degrees lasts longer than one to two days; you have difficulty sleeping because your throat is blocked by swollen tonsils or adenoids; or a red rash appears.

Why is my strep throat not getting better?

Causes and complications If strep throat does not improve within two days of beginning treatment, it could indicate the presence of another infection, the spread of the strep bacteria to other areas outside the throat or an inflammatory reaction. GAS may infect the tonsils and sinuses if left untreated.

Is 7 days of amoxicillin enough for strep throat?

Editor—Zwart et al recommend seven days of treatment for streptococcal infections as opposed to three days. For several decades we were educated to continue penicillin for such cases for no fewer than 10 days.

Can strep come back after a week?

Compromised Immune System: In people who have an underlying condition that weakens the immune system, even a relatively simple bacterial infection like strep throat can be prone to recurring again and again.

Can you reinfect yourself with strep?

It is possible to reinfect yourself with a bacterial illness. If, for example, you have strep and your toothbrush has been colonized by the strep bacteria, you can get strep again.

Is it normal to still have a sore throat after antibiotics?

Chronic pharyngitis has many potential underlying causes, and if a sore throat does not clear up even after a course of antibiotics, it is best to seek further medical advice. Chronic pharyngitis may be caused by factors such as: Smoke or environmental pollutants. Infection.

How long does strep throat last with antibiotics?

How long do I take them? Most antibiotic treatments for strep throat last about 10 days. Kids usually feel better a day or two after they start them. Once they've been on these drugs for about 24 hours, they're no longer contagious and can go back to school.

How long does it take for strep throat to go away?

Strep throat is an infection in the throat and tonsils caused by a bacterium known as Streptococcus. With proper treatment, strep is usually cured within 10 days. Treatment includes antibiotics such as penicillin or amoxicillin.

What is severe strep throat?

Overview. Strep throat is a bacterial infection that can make your throat feel sore and scratchy. Strep throat accounts for only a small portion of sore throats. If untreated, strep throat can cause complications, such as kidney inflammation or rheumatic fever.

Return to The Emergency Department If

1. You have new symptoms like a bad headache, stiff neck, chest pain, or vomiting. 2. You are drooling because you cannot swallow your spit.

Contact Your Healthcare Provider If

1. You have a fever. 2. You have a rash or ear pain. 3. You have green, yellow-brown, or bloody mucus when you cough or blow your nose. 4. You are...

Prevent The Spread of Strep Throat

1. Wash your hands often. Use soap and water. Wash your hands after you use the bathroom, change a child's diapers, or sneeze. Wash your hands befo...

What to do if you have strep throat?

Antibiotics. If your doctor diagnoses you or your child with strep throat, your doctor will likely prescribe an oral antibiotic. If taken within 48 hours of the onset of the illness, antibiotics reduce the duration and severity of symptoms, as well as the risk of complications and the likelihood that infection will spread to others. ...

What to do if you think your child has strep?

What you can do in the meantime. If you think you or your child might have a strep infection, take steps to relieve symptoms and avoid spreading infection: Keep your hands clean, cover your mouth when you cough or sneeze, and don't share personal items.

How to diagnose strep throat?

Diagnosis. Your doctor will conduct a physical exam, look for signs and symptoms of strep throat, and probably order one or more of the following tests: Rapid antigen test. Your doctor may perform a rapid antigen test on a swab sample from your throat. This test can detect strep bacteria in minutes by looking for substances (antigens) in the throat.

What is the best medicine for strep throat?

Rest, drink fluids, eat soft foods and take pain relievers, such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others) to help ease symptoms. Strep throat: All you need to know. Centers for Disease Control and Prevention. https://www.cdc.gov/groupastrep/diseases-public/strep-throat.html?CD.

How to stop throat pain in older adults?

Avoid spicy foods or acidic foods such as orange juice. Gargle with warm salt water. For older children and adults, gargling several times a day can help relieve throat pain. Mix 1/4 teaspoon (1.5 grams) of table salt in 8 ounces (237 milliliters) of warm water.

How to get rid of strep throat in kids?

If you have strep throat, stay home from work if you can. If your child is ill, keep him or her at home until there's no sign of fever, and he or she feels better and has taken an antibiotic for at least 24 hours. Drink plenty of water.

What to do when making an appointment for a child's test?

What you can do. When you make the appointment, ask if there's anything you need to do in advance, such as fasting before having a specific test. Make a list of: Symptoms you or your child has, including any that seem unrelated to the reason for your appointment.

How to prevent strep throat?

Prevent the spread of strep throat: Wash your hands often. Use soap and water. Wash your hands after you use the bathroom, change a child's diapers, or sneeze. Wash your hands before you prepare or eat food. Do not share food or drinks. Replace your toothbrush after you have taken antibiotics for 24 hours.

How long does it take for antibiotics to make you feel better?

You should feel better within 2 to 3 days after you start antibiotics. Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take.

Can you use strep throat aftercare?

Strep Throat (Aftercare Instructions) - What You Need to Know. This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action.

How old is strep pharyngitis?

Group A strep pharyngitis can occur in people of all ages. It is most common among children 5 through 15 years of age. It is rare in children younger than 3 years of age.

When is strep pharyngitis most common?

In the United States, group A strep pharyngitis is most common during the winter and spring. CDC does not track the incidence of group A strep pharyngitis or other non-invasive group A strep infections. CDC tracks invasive group A strep infections through the Active Bacterial Core surveillance (ABCs) program.

How is strep pharyngitis transmitted?

Typically transmission occurs through saliva or nasal secretions from an infected person. People with group A strep pharyngitis are much more likely to transmit the bacteria to others than asymptomatic pharyngeal carriers.

What is the name of the rash caused by group A strep?

Anterior cervical lymphadenopathy. Patients with group A strep pharyngitis may also present with a scarlatiniform rash. The resulting syndrome is called scarlet fever or scarlatina. Respiratory disease caused by group A strep infection in children younger than 3 years old rarely manifests as acute pharyngitis.

Can a rheumatic fever be treated with antibiotics?

However, acute rheumatic fever and suppurative complications (e.g., peritonsillar abscess, mastoiditis) are more likely to occur after an untreated infection. Patients, regardless of age, who have a positive RADT or throat culture need antibiotics. Clinicians should not treat viral pharyngitis with antibiotics.

Can a rheumatic fever be detected in children?

Children younger than 3 years of age. Adults. Acute rheumatic fever is very rare in those age groups. Clinicians can use a positive RADT as confirmation of group A strep pharyngitis in children. However, clinicians should follow up a negative RADT in a child with symptoms of pharyngitis with a throat culture.

Can a rapid antigen test be used to differentiate strep pharyngitis?

However, clinicians cannot use clinical examination to differentiate viral and group A strep pharyngitis in the absence of viral symptoms. Clinicians need to use either a rapid antigen detection test (RADT) or throat culture to confirm group A strep pharyngitis.

How long does it take for a strep to come down?

Strep tests are not needed for children without any symptoms. Time It Takes to Get Strep Throat: Time from contact to Strep symptoms usually is 2 to 5 days.

How long does it take to get close to someone with a positive strep test?

Kissing relationship with someone (boyfriend, girlfriend) who has a positive Strep test. Close contact should be within 10 days of onset of symptoms in exposed child.

What is limited contact with strep?

Types of Limited Contact with Strep. Contact with someone outside the home with a positive Strep test. This type of contact occurs at school. Sometimes, the contact is with someone who was treated for Strep without testing. If fever is gone, children taking antibiotics for at least 12 hours do not spread Strep to others.

What is the best medicine for fevers above 102?

Use as needed. For fevers above 102° F (39° C), give an acetaminophen product (such as Tylenol). Another choice is an ibuprofen product (such as Advil). Note: Fevers less than 102° F (39° C) are important for fighting infections.

Is a strep test urgent?

What You Should Know About Strep Exposure and Sore Throats: A Strep test is not urgent. It could be a Strep throat or just a viral infection of the throat. A sore throat is often part of a cold. Until you get a Strep test, here is some care advice that should help. Sore Throat Relief: Age over 1 year.

ajcire

It just occurred to me that we have never been told to have any of us rechecked after being treated for strep.. none of the doctors I have seen with my kids with strep have ever said to come back after a certain time to retest.... Am I the only one who has not been doing this?

EAMom

We do it with our younger dd b/c she never shows signs in the first place. I don't think a dr. ever told us we should do it...we just told the dr. what we wanted to do and they went along with it.

What to do if you have strep throat?

If you suspect you have strep throat, scarlet fever, or rheumatic fever, it is best to seek treatment by a medical professional. Stop by a Advanced Urgent Care & Occupational Medicine location if you think you or your children might have strep throat.

What are the symptoms of strep?

A list of symptoms include: Children with strep may also experience headache, stomach pain, nausea, or vomiting. A medical professional, like the ones at Advanced Urgent Care & Occupational Medicine, will evaluate your symptoms and perform a rapid strep test or throat culture if necessary.

How long does it take for rheumatic fever to develop?

Rheumatic fever can develop if you do not seek treatment for strep throat or scarlet fever. According to the CDC, it can take one to five weeks after the onset of strep or scarlet fever for rheumatic fever to develop. Signs and symptoms of rheumatic fever include: Painful, tender joints.

What are the symptoms of rheumatic fever?

Signs and symptoms of rheumatic fever include: Painful, tender joints. Chest pain, shortness of breath, and/or fast heartbeat. Fatigue. Uncontrollable, jerky body movements. There is the potential for long-term damage if you have rheumatic fever and it is not treated right away. If you suspect you have strep throat, scarlet fever, ...

How to tell if you have a sore throat?

One telltale sign that you might have more than a sore throat is if you have pain in your throat and a fever, but do not have a cough, according to the CDC. A list of symptoms include: 1 Sore throat 2 Pain when you swallow 3 Fever 4 Red, swollen tonsils that sometimes have pus patches 5 Tiny, red spots on the roof of the mouth 6 Swollen lymph nodes on the neck

How common is strep in children?

Strep is most common in children aged 5 to 15 years old, but adults are susceptible if they have school-aged children or are in contact with children – like school teachers or daycare aides. Keep in mind that strep is highly contagious. If one member in the household has strep it is likely to spread to all members of the household.

Can strep throat cause scarlet fever?

Whether you are a child or an adult, it is always important to seek medical treatment if you have strep. Left untreated, strep throat can progress to scarlet fever or rheumatic fever.

How to tell if you have strep throat?

While throat pain and fever are the most common and notable symptoms of strep throat, other signs of this bacterial infection may include: 1 Body aches 2 Fatigue 3 Red, swollen tonsils (possibly with white patches or streaks of pus) 4 Tiny red spots on the back portion of the roof of the mouth 5 Swollen, tender lymph nodes in the neck 6 Headache 7 Nausea or vomiting (particularly in younger children) 8 Rash

What are the symptoms of strep throat?

“In general, people with strep don’t exhibit generic cold symptoms like coughs, runny noses, nasal congestion, or sneezing, ” says Moore. “If you are experiencing these types of symptoms ...

Do you need a strep test for a sore throat?

If you have generic cold symptoms with a sore throat, you probably don’t need a strep test – a virus is the more likely culprit. If you have throat pain, a fever, and not much else, go ahead and get tested. Strep tests are easy, fast, inexpensive, and painless. Strep throat is easily treated with affordable antibiotics.

Is strep throat contagious?

Moore also encourages people to avoid sharing drinks or foods with one another, even among family members. If you already have strep throat symptoms or have been diagnosed with strep throat, keep in mind that you are typically most contagious when you have a fever.

Can strep throat be caused by a virus?

The short answer is yes . “Unlike ear infections, which can be bacterial or viral in nature, strep throat is always caused by bacteria (group A streptococcus),” Moore clarifies. “Therefore, best practice is to prescribe antibiotics to prevent future problems and stop the spread of the infection.

Is strep throat easy to treat?

Strep tests are easy, fast, inexpensive, and painless. Strep throat is easily treated with affordable antibiotics. Keep washing those hands! Don’t depend on the internet for your diagnosis – count on experienced urgent care and primary care providers for a convenient, personalized diagnosis you can trust.

How long does it take for a sore throat to go away?

However, it’s time to see your doctor if a severe sore throat and a fever over 101 degrees lasts longer than one to two days; you have difficulty sleeping because your throat is blocked by swollen tonsils or adenoids; or a red rash appears.

How to treat a sore throat?

When it come to treating a sore throat, you can try: 1 Gargling at least once an hour with warm salt water to reduce swelling and discomfort. 2 Drinking hot fluids such as tea or soup, which soothe the throat and help thin sinus mucus allowing for better drainage and decreased stuffiness. 3 Stopping smoking and avoid secondhand smoke. 4 Taking nonprescription medications, such as throat lozenges, decongestants, acetaminophen or anti-inflammatory drugs like ibuprofen.

How to prevent a sore throat from smoking?

You can prevent a sore throat by replacing your toothbrush every month and tossing an old toothbrush once you’ve recovered from a sore throat to prevent re-infection. You should also refrain from smoking, which can be abrasive to the throat. “Be sure to wash your hands often, eat right and get plenty of sleep,” advises Dr. Scotch.

Can a doctor prescribe antibiotics for a bacterial infection?

In that case, your doctor may prescribe an antibiotic to treat your infection. “For adults who have repeated bacterial throat infections within a relatively short period of time, a physician may recommend a tonsillectomy,” says Dr. Scotch.

Is tonsilectomy the last resort for sore throat?

A biopsy is needed to evaluate a suspected tumor of the tonsil. “However, a tonsillectomy should always be the last resort for treating sore throats,” warns Dr. Scotch. “The best treatment for a sore throat is prevention.”.

Why did Levitis have strep?

Levitis, who had been battling a sore throat since leaving Madison several days earlier, called his doctor and was given a prescription for an antibiotic. Because the rest of his family was infected, he, too, was presumed to have strep. Advertisement. After a round of antibiotics, everyone seemed to recover.

How many weeks after the New Year's visit did Iris test positive?

Three weeks earlier Iris and two of the children were found to be infected. And two weeks following the New Year's visit, after everyone had taken a full course of antibiotics, two of the children tested positive. Advertisement.

Who saw Umberto in the hospital?

On April 4, while the entire family was taking antibiotics for the seventh bout of strep in as many months, Umberto was seen by Barry-Heffernan and a vet student. They whisked Umberto, who Barry-Heffernan said seemed “perfectly healthy,” into a nearby room and quickly swabbed his throat.

Has Umberto been strep?

In their absence Umberto was given his medication, and the house was professionally cleaned for a second time. Since then, Levitis said, no one has had strep. “Once we identified Umberto as a carrier, it was really easy to address,” Barry-Heffernan said. It seems likely that the infection was being passed among the asymptomatic cat ...

Can cats transmit strep?

“They all pretty much said the same thing: ‘There’s no evidence that cats can transmit strep to humans, but if you want to be safe, get rid of the cat,’ ” Levitis recalled.

image

Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Mansi Shah
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Medications are available to cure strep throat, relieve its symptoms, prevent its complications and spread.
Medication

Antibiotics: To get rid of bacterial infection.

Amoxicillin . Cephalexin


Analgesics: Used to relieve throat pain and reduce fever.

Ibuprofen . Acetaminophen

Procedures

Tonsillectomy: Removal the tonsils for recurring episodes of Strep throat or tonsillitis and other complications after infection settles.

Self-care

Always talk to your provider before starting anything.

Avoid dehydration, avoid caffeine, gargle with salt water, use throat lozenges for temporary relief.

Nutrition

Foods to eat:

  • Warm fluids such as hot cocoa, warm milk, and soup
  • Soft starches such as cooked, enriched pasta, instant or white rice, soft tortillas, soft bread
  • Soft proteins such as scrambled eggs or egg whites, low-fat yogurt or cottage cheese

Foods to avoid:

  • Avoid spicy foods
  • Avoid citric fruits such as oranges, lemons, tomatoes, and grapefruits
  • Avoid dry snacks such as chips and popcorn

Specialist to consult

Otolaryngologist
Specializes in the diagnosis and treatment of diseases of the ear, nose and throat.
Infectious disease specialist
Specializes in dealing with the diagnosis, control and treatment of infections.

Etiology

  • Your doctor will conduct a physical exam, look for signs and symptoms of strep throat, and probably order one or more of the following tests: 1. Rapid antigen test.Your doctor may perform a rapid antigen test on a swab sample from your throat. This test can detect strep bacteria in minutes by looking for substances (antigens) in the throat. If the test is negative but your doctor …
See more on mayoclinic.org

Clinical Features

  • Medications are available to cure strep throat, relieve its symptoms, and prevent its complications and spread.
See more on mayoclinic.org

Transmission

  • In most cases, antibiotics will quickly wipe out the bacteria causing the infection. In the meantime, try these tips to relieve symptoms of strep throat: 1. Get plenty of rest.Sleep helps your body fight infection. If you have strep throat, stay home from work if you can. If your child is ill, keep him or her at home until there's no sign of fever, and he or she feels better and has taken an antibiotic f…
See more on mayoclinic.org

Risk Factors

  • What you can do
    When you make the appointment, ask if there's anything you need to do in advance, such as fasting before having a specific test. Make a list of: 1. Symptoms you or your child has, including any that seem unrelated to the reason for your appointment 2. Key personal information, includi…
  • What to expect from your doctor
    Your doctor is likely to ask a number of questions, including: 1. When did the symptoms begin? 2. Have the symptoms changed over time? 3. How severe are the symptoms? 4. Have you or your child been exposed to anyone with strep throat in the last couple of weeks? 5. Does anything se…
See more on mayoclinic.org

Diagnosis and Testing

Special Considerations

Treatment

Carriage

Prognosis and Complications

Prevention

  • Clinicians should confirm group A strep pharyngitis in children older than 3 years of age to appropriately guide treatment decisions. Giving antibiotics to children with confirmed group A strep pharyngitis can reduce their risk of developing sequela (acute rheumatic fever). Testing for group A strep pharyngitis is not routinely indicated for: 1. Ch...
See more on cdc.gov

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9