Treatment FAQ

when to get treatment for strep throat

by Juliet Hirthe Published 3 years ago Updated 2 years ago
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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.Dec 17, 2020

Symptoms

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.

Causes

Because strep throat is a bacterial infection, your doctor will prescribe an antibiotic to treat it. These medications inhibit the spread of bacteria and infections. Several types of antibiotics are available. It’s important that you finish your antibiotic treatment course to kill the infection completely.

Prevention

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.

Complications

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.

When should I go to the doctor for strep throat?

What is the treatment for strep throat?

When to take antibiotics for strep throat in children?

How long do antibiotics take to work for strep throat?

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When should I go to the doctor if I have 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.

Does strep throat need to be treated by a doctor?

Although more common in children, strep throat is an infection that affects the throat and tonsils, according to the Centers for Disease Control. Whether you are a child or an adult, it is always important to seek medical treatment if you have strep throat symptoms.

Do you need antibiotics for strep throat to go away?

These kinds of sore throats usually go away on their own in 4 to 5 days. If you have strep throat—which is caused by bacteria—your doctor may prescribe an antibiotic, such as penicillin. But strep throat goes away on its own in 3 to 7 days with or without antibiotics. Antibiotics may not make you well faster.

Does strep throat have to run its course?

Strep throat is usually treated with antibiotics. Since it is a bacterial infection, it will not “run its course” like viral illnesses. Left untreated, streptococcal bacteria can cause inflammation of the kidneys, scarlet fever, rheumatic fever and a specific type of arthritis.

What happens if strep throat is untreated?

Caused by the group A streptococcus bacteria, strep throat is an infection that requires prompt treatment, particularly in children over the age of 3. Left untreated, strep throat can lead to kidney inflammation or rheumatic fever, a serious illness that can cause stroke and permanent damage to the heart.

How do you tell if it's strep or just a sore throat?

A viral sore throat is typically accompanied by other cold-like symptoms, such as cough, sneeze, runny nose and a hoarse or raspy voice. “A strep infection can make it feel very painful to swallow, and often comes with fever of 101-degrees or higher,” said Schairer.

Are white spots in the throat always strep?

Strep throat is a common cause of white spots in the throat, but oral thrush, tonsillitis and other infections may also cause this symptom. White spots in the throat are most frequently caused by infections. There are several possible causes for white spots in the throat.

How long is one contagious with strep throat?

Strep throat can be contagious for about 2-3 weeks in individuals who are not taking antibiotics. However, individuals who do take antibiotics for strep throat usually are no longer contagious about 24- 48 hours after initiating antibiotic therapy.

What to do if I think I have strep throat?

Gargle with 1/4 teaspoon (1.5 grams) of table salt in 8 ounces (237 milliliters) of warm water. 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.

How long does strep throat last untreated?

A. Strep throat typically resolves in three to five days if untreated. Despite the short duration, antibiotic treatment is recommended to reduce the risk of complications. Symptoms typically resolve within one to three days following the start of antibiotics.

Can I have strep without fever?

While fever is a common symptom of strep throat, it is possible to have strep throat without a fever. When diagnosing you, a doctor may look for other common strep throat symptoms, such as a sore throat without a cough, swollen lymph nodes, white patches on the tonsils, and tiny red spots on the roof of your mouth.

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 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 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.

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 is the best medicine for throat pain?

To relieve throat pain and reduce fever, try over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others). Use caution when giving aspirin to children or teenagers. Though aspirin is approved for use in children older than age 3, children and teenagers recovering from chickenpox ...

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 help a child with strep throat?

Help prevent complications such as sinus and tonsil infections, and more serious things such as rheumatic fever. Doctors most often prescribe penicillin or amoxicillin (Amoxil) to treat strep throat.

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

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. Even after kids start to feel better, they should finish all their pills.

What is a strep test?

Strep throat, caused by bacteria, is one type of sore throat that can be treated. It isn't handled in the same way as sore throats caused by colds and other viruses, so your doctor will likely do what’s called a “rapid strep test” to be sure it's strep. If the test is positive (meaning you or your child has it), they’ll probably recommend:

What to take for a sore throat?

Until the antibiotics start to work, these home treatments can help you or your child feel better: Over-the-counter pain relievers: Take acetaminophen ( Tylenol) or ibuprofen (Advil, Motrin) to bring down a fever and ease the sore throat. Don't give aspirin to children and teens.

What happens if you don't treat strep?

If strep is not fully treated, it might lead to complications such as: Sinus and tonsil infections. Rheumatic fever, which can damage the heart, brain, and joints. Kidney problems. When people stop taking antibiotics too soon, the bacteria that cause strep can become resistant to the medication.

How to make your throat feel better?

They're easier to swallow. Cool-mist humidifier or saline nasal spray: Moisture can help make your throat feel better. Steer clear of anything that might bother your throat, like cigarette smoke, paint fumes, or cleaning products. Share on Facebook Share on Twitter Share on Pinterest Email Print.

What to do when your throat is cold?

If cold feels better on your throat, suck on a frozen pop or ice chips. Avoid orange juice, lemonade, and other drinks that are high in acid. These can burn your throat. Soft foods: Examples include yogurt, applesauce, or frozen yogurt. They're easier to swallow.

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 virus that causes pharyngitis?

Many viruses and bacteria can cause acute pharyngitis. Streptococcus pyogenes, which are also called group A Streptococcus or group A strep, cause acute pharyngitis known as strep throat.

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.

What is the most common cause of pharyngitis in children?

Viruses are the most common cause of pharyngitis in all age groups. Experts estimate that group A strep, the most common bacterial cause, causes 20% to 30% of pharyngitis episodes in children. In comparison, experts estimate it causes approximately 5% to 15% of pharyngitis infections in adults.

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.

Why do doctors prescribe antibiotics for strep throat?

Because strep throat is a bacterial infection, your doctor will prescribe an antibiotic to treat it. These medications inhibit the spread of bacteria and infections. Several types of antibiotics are available. It’s important that you finish your antibiotic treatment course to kill the infection completely.

What is the best medicine for strep throat?

Penicillin and amoxicillin are the most common medications given for a strep infection. If you’re allergic to penicillin or amoxicillin, your doctor may prescribe the antibiotic azithromycin. Find out more about azithromycin for treating strep throat.

How long does it take for a throat test to show a sore throat?

The sample is then sent to a lab to look for signs of bacteria. The results are available in about 5 minutes.

How long does a strep throat last?

Strep throat diagnosis. See your doctor if you experience any of the following: a sore throat that lasts longer than two days. a sore throat with white patches. dark, red splotches or spots on the tonsils or the top of the mouth. a sore throat with a fine, sandpaper-like pink rash on the skin. difficulty breathing.

What is the cause of strep throat?

Strep throat is caused by bacteria called Streptococcus pyogenes or group A Streptococcus (also known as group A strep, or GAS). You can become infected with strep throat if you touch your eyes, nose, or mouth after being exposed to these bacteria. Along with coughing and sneezing, strep throat can be spread when you share food or a drink ...

How do you know if you have strep throat?

Other people have more severe symptoms, including fever and difficulty swallowing. The common symptoms of strep throat include: a sudden fever, especially if it’s 101˚F (38˚C) or higher. a sore, red throat with white patches. a headache.

How to treat strep throat at home?

These remedies include: drinking warm liquids, such as lemon water and tea. drinking cold liquids to help numb the throat. turning on a cool-mist humidifier.

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Diagnosis

Treatment

Medically reviewed by
Dr. Mansi Shah
Symptoms
If you are experiencing new, severe, or persistent symptoms, contact a health care provider.

Severity of strep throat can vary from person-to-person. The common symptoms are as follows:

  • Sudden high fever
  • Mild soreness in throat
  • Redness in throat with white patches
  • Headache
  • Chills
  • Loss of appetite
  • Cervical lymphadenopathy (swollen lymph nodes in the neck)
  • Swollen tonsils
  • Difficulty in swallowing food or water
  • Pain when swallowing
  • Nausea and vomiting is seen in younger children

Causes

  • It is caused by the bacteria Streptococcus pyogenes. It spreads through airborne droplets released during a sneeze or a cough. Infection also spreads through contaminated surfaces such as a faucet, door knob, pen, pencil, or handkerchief.
  • The risk factors include:
  • Young age
  • Time of year - it spreads more in winter and early spring

Prevention

If you have strep infection there are things to be follow to avoid spreading:

  • Try and avoid contact with the person who has strep throat
  • If you are around someone who has strep, wash your hands often. Don't drink from the same glass or use the same eating utensils. Don't share toothbrushes.
  • Complete the prescribed course of antibiotics and over-the-counter medications as prescribed to prevent relapse.
  • Bacteria can live for a short time on doorknobs, water faucets, and other objects. It's a good idea to wash your hands regularly.
  • Use tissues to rub your nose and cover your mouth
  • Cover your nose when you sneeze
  • Cover your mouth when you cough
  • Wash your hands thoroughly
  • Stay away from school, college or office during infection

Complications

Complications can result from the strep infection spreading to other areas of the body.

  • Ear infection
  • Sinusitis
  • Rheumatic fever- an inflammatory condition affecting the heart, joints and skin
  • Inflammation of the kidneys
  • Infection of the mastoid bone in the skull (mastoiditis)
  • Scarlet fever, scarlet-colored rash over the body
  • Rheumatic heart valve disease

Lifestyle and Home Remedies

Preparing For Your Appointment

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,...
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

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