Doctor insights on:
Can You Have Strep Throat Without Tonsils
I was told I have strep throat without doing a culture (pus on tonsils) is it normal to have a runny nose with this? Or could it be something else?
Strep or not: It is often difficult to distinguish strep from a virus. Often the diagnosis is made on exam with responsible certainty. The other option is to wait until the screen/ culture comes back, often up to 3 days and often with questions about processing. Many physicians, rightly or wrongly treat every throat as strep. If you are not quickly getting better, be rechecked. All the best. ...Read more
Essentially the same: Strep throat is strep throat--a bacterial infection due to exposure to a specific germ called streptococcus. Headache, sore throat, red throat, swollen lymph nodes of the neck, nausea, vomiting, generalized achiness or malaise, even a fine sandpapery red rash known as scarletina can occur whether one has tonsils or not. Admittedly the chance of strep throat seems less after tonsillectectomy. ...Read more
Yes: If recurrent cultures of the tonsils, when infected, demonstrate streptococcus and you are significantly ill and it occurs 3 to 4 times a year, you should have a tonsillectomy. Rarely, but definitely, the recurrence of true strep tonsillitis may lead to heart or kidney disease. I believe this rare but potential danger should motivate you to have surgery on the tonsils. ...Read more
Hard to say: I wouldn't think about a "look" of strep in the throat. It can be hard to predict sometimes by looking. Instead, if a child has a sore throat with a fever in the absence of cold symptoms like cough and runny nose, they should be checked for strep. Whether or not they have tonsils, they can also have headache, abdominal pain, vomiting and/or rashes. ...Read moreSee 1 more doctor answer
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