Doctor insights on:
Adult Strep Symptom To Clear
Yes & no: The germ that causes group a strep disease, the common strep throat, can come in more than 1 strain.The germ may carry an additional piece of genetic information that gives it the ability to make "erythrotoxin", the material that will spread in the blood & cause the red rash & significant fevers of "scarlet fever".If your strain does not have the extra info, you don't. ...Read more
How would you treat a strep carrier that developed low grade fever with no sore throat ? Would you give antibiotic ? Which one ?
Do history and exam: If history suggests viral agent with nasal congestion and cough, then observation and Rx fever only would be appropriate for a person who is a strep carrier. However, many individuals do not complain of sore throat with strep, but on exam have a red palate, enlarged tonsils and cervical adenopathy. I would treat with amoxicillin or cephalosporoin or clindamycin. ...Read more
Child given Amoxicillin course for "pharingotonsilitis" w/o testing. Isn't this usually viral? He has mild fever, headache and a red, sore throat.
How will a doctor differentiate viral respiratory infection from bacterial infection? Signs are fever cough congestion, no sore throat - 4 days.
Usually easy: Normal w/ viral uri's to have a temp up to 72 hrs. If u have sore throat it's very unlikely to be strep when u also have cough/congestion (not always the case with kids). Flu is peaking now (in us) classic symptoms are high temp congestion, body aches, +\-sore throat or cough. If u r feeling unusually ill or measured temp exceeds 3 days u should be seen (sooner if u have chronic health cond. ...Read moreSee 1 more doctor answer
48': Usualy not contagious after 24 hours on antibiotics and sxs usually start improving within 48 hours on antibiotics. ...Read more
Strep throat: Actually, not. A strep throat affects the pharynx and tonsils and is caused by bacteria. On the other hand, laryngitis involves the larynx or voice box and is mainly cuased by viruses. You develop a sore throat with strep and hoarness of the voice (or loss of voice in extreme cases) with laryngitis. ...Read more
Are children with chronic benign neutrophenia supposed to get intravenus antibiotics at first sign of fever ?
What is the criteria for a tonsillectomy? How many episodes of strep throat does a child need to get them out?
How long does it take for a penicillin injection to clear up acute pharyngitis + ear infection . Does the injection guarantee to clear up my symptoms?
Day 4 of cold virus; with severe cough. No fever. Now no voice for 2 days.At what point would a visit to clinic be necessary? Remedies for laryngitis?
Clarify: I am presuming your question is about your son? Age? Based on the information given including history and meds, would suggest seeing a primary care doc. For an adult with no other history a viral illness is self limiting. But that is not the case for the history mentioned so seeking help us acceptable. Best of luck ...Read more
Can you suggest a home remedy for strep throat and blisters for a child with their molars coming in?
Is ciprofloxacin a good medicine for throat infection ? How to learn if throat infection is due to bacteria or virus ?
Over 90% viral...: ...and won't respond to any antibiotic. In early stages, it usually isn't possible to tell. After a few days, persisting fever (>38C), white patches in the throat, or enlarged/tender glands in the neck suggest strep or other bacteria. Ciprofloxacin is not the best choice for strep/bacterial pharyngitis. Amoxicillin, augmentin, (amoxicillin and clavulanate) or a macrolide (azithromycin etc) are more reliable. ...Read more
If pediapred (prednisolone) is an immune system suppressant why would my one-year-old's dr prescribe it along with antibiotics for her diagnosis of bronchiolitis and upper respiratory infection? Is this ok?
Short vs long term : The Pediapred (prednisolone) mimics a stress hormone we all make that helps us maintain the cell wall integrity & calm down inflammation. It is common to use Pediapred (prednisolone) in bronchiolitis & some other issues in young kids over a short 5 day period. Limiting the rx to several days avoids the immune suppression that occurs if you use it over weeks or months. I use it often for similar issues. ...Read moreSee 2 more doctor answers
How commun is rheumatic Fever from untreated strep throat? Also, is it still possible to contract strep throat after having the tonsils removed?
Rare and yes: Rheumatic fever is very rare these days. The reasons for its lower frequency than in past years are not completely known. Accurate diagnosis and prompt treatment of group A streptococcal infections are only part of the explanation. Strep throat certainly can occur after tonsillectomy. ...Read more
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