California, MD
A 28-year-old female asked:
How long can you leave strep throat untreated before its could turn serious. i've had white spots in throat for four days now. no fever no pain?
4 doctor answers • 4 doctors weighed in

Dr. Oscar Novickanswered
Pediatrics 60 years experience
White spots: The white spots in your throat arent necessarily due to strep. The exsudate may in fact, be due to a virus. You should see your doctor for a culture for a definitive diagnosis. You can go about a week before a strep infection can start giving you problems.
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5k viewsAnswered >2 years ago

Dr. Charlene Sojicoanswered
Pediatrics 43 years experience
White spots: In the throat does not necessarily mean strep throat.You don't have any other signs and symptoms. More than likely food particles or tonsilloliths which are benign.Consult your physician if you start spiking a fever, swollen glands, fatigue, achy etc.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago

Dr. Mark Diamondanswered
Pediatrics 48 years experience
1 week: I think that the general consensus is that you have a week to treat in order to prevent serious complications such as rheumatic fever, heart disease, kidney disease, etc.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago

Dr. James Fergusonanswered
Pediatrics 48 years experience
Define "serious": The major issue I worry about is the 1/200 that will trigger antibodies that attack the heart/brain/kidneys, a process lumped into the Rheumatic fever label. Data suggests 10 days from the first fever as the window of opportunity to treat & stop RF. It is probably only 5-7 days to stop the kidney failure. Some strep cases actually improve without meds, but go on to develop the complications later.
Created for people with ongoing healthcare needs but benefits everyone.
706 viewsAnswered >2 years ago
Last updated Nov 12, 2020
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