A member asked:

Had a throat infection. 4 months later still hav large tonsils no pain. swabbed it myself as dr dismissed me! found group a strep. is treatment needed?

2 doctors weighed in across 2 answers
Dr. Steven Warren answered

Specializes in Family Medicine

Not necessarily: Group A strep is a common bacteria in your system and can grow on culture but usually does not cause infections unless immune system is very low Tonsils because of infections can stay big for a long time but can be free of infection If you have a hard time swallowing or other problems with your throat go to an ENT provider for an evaluation I would not treat a group A strep unless additional sy

Answered 3/13/2020

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Dr. David Lipkin answered

Specializes in Internal Medicine

No: Antibiotics are given to prevent Rheumatic Heart Disease(RHD), NOT to cure the sore throat. At best they may reduce the duration of symptoms by 16 hours. The incidence of Rheumatic Fever(RF) in the U.S. is one in a million cases of strep throat. Only one out of three patients with RF develop RHD. For every three million antibiotic Rx's only one case of RHD is prevented. **See my comments below:

Answered 10/9/2015

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