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Doctor insights on: Strep And Heart

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How long before strep can cause heart damage?

How long before strep can cause heart damage?

2-3 wks: The onset of acute rheumatic heart disease takes about 2-3 wks to get going if the strep is not treated. Not all individuals will suffer this or other strep related issues. If treated within 9 days from first strep symptoms the process can be stopped. ...Read more

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Does strep throat cause your heart rate to increase?

Does strep throat cause your  heart rate to increase?

No : Strep pharyngitis a bacterial throat infection can cause pain or fever and both pain and fever can cause increase in heart rate. ...Read more

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Just diagnosed w/ strep. Noticing chest tightness. Not pain, just sort of uncomfortable. Is this common with strep? I get anxious about heart stuff.

Just diagnosed w/ strep. Noticing chest tightness. Not pain, just sort of uncomfortable. Is this common with strep?  I get anxious about heart stuff.

Pharyngitis: Strep throat infections are rarely associated with lung involvement but can cause rheumatic heart complications although in this country with access to prompt antibiotic treatment of strep throat infections, that is a rare occurrence. Nevertheless if chest discomfort persists or if cough,fever,joint pains develop notify your physician. ...Read more

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Do most people that have broken heart syndrome experience intermittent chest pain even after recovery is complete?What's the diff.Between strep/mono?

Do most people that have broken heart syndrome experience intermittent chest pain even after recovery is complete?What's the diff.Between strep/mono?

Broken Heart Syndrom: When you suffer from this syndrome you release the stress hormone cortisol which can put extra pressure on your heart. Be careful however to check with your cardiologist as your chest pain could be due to other cardiovascular concerns. Your broken heart needs to grieve so confide in those close to you and share your sadness. Best wishes. ...Read more

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Given long term risks (heart, obesity, etc), would it be better to not get 4 y/o's tonsils out? He gets strep often but responds to meds.

Given long term risks (heart, obesity, etc), would it be better to not get 4 y/o's tonsils out? He gets strep often but responds to meds.

ENT: See an ENT doctor who has expertise with children. Tonsils are generally protective organs, but if the frequency of infections is truly excessive (you don't say how often they occur) the tonsils may need removal. It takes someone seeing your child, not on the internet. Good luck. ...Read more

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I've had untreated strep throat several times; is my heart damaged?

I've had untreated strep throat several times; is my heart damaged?

Needs an evaluation: Risk of heart or other damage from untreated strep runs 1/200 cases for each event and does decline some in adulthood.If you didn't seek treatment , you likely did not have confirmed strep (more than half of sore throats are not), your risk may or may not be lower than that. Only a checkup with your doc could assess your heart. ...Read more

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Was in the ER with suddenly high heart rate of 138bpm and suspected severe reflux. They diagnosed strep. Better 4 days later, by my chest aches. Why?

Was in the ER with suddenly high heart rate of 138bpm and suspected severe reflux. They diagnosed strep. Better 4 days later, by my chest aches. Why?

Return to ER: Unless you had high fever, your high heart rate may or may not be related to the strep. Return to the er or go to another er and get rechecked. Chest pain related to strep could indicate pericarditis. High heart rate and chest pain can also represent a pulmonary embolism, unrelated to strep. You need further evaluation as soon as possible. ...Read more

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Azithromycin i got prescribed for strep group c i was wondering if it is safe for your liver and heart? I saw the warning labels and was concerned.

Azithromycin i got prescribed for strep group c i was wondering if it is safe for your liver and heart? I saw the warning labels and was concerned.

Zithromax: Generally it is a pretty safe antibiotics. Is it without side effects? - no. In the absence of heart disease where heart rhythm is impaired, it is a safe option. If you do have a heart arrhythmia or if you are taking medications that are known to predispose you to one and at the same time prescribed zithromax, you may need to talk to your doc about that. As far as the liver is concerned, - ok. ...Read more

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Ear pounding everytime i swallow , if i move it gets really bad and poundsand i feel my heart beat, pain is a 8 on 1-10, have strep , what is wrong?

Ear pounding everytime i swallow , if i move it gets really bad and poundsand i feel my heart beat, pain is a 8 on 1-10,  have strep , what is wrong?

Infection: You have infection - possibly otitis media. If this has gone on for more than 2 days while taking amoxicillin, see your doctor immediately as you may need referral to an ENT to remove fluid from your middle ear. If you've just started the amoxicillin, give ita day or two to work. Meanwhile, use tylenol, (acetaminophen) advil/ibuprofen, or aleve/naprosyn for pain relief and to reduce fever. Hope you feel better! ...Read more

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Ive had strep throat 4 times from ages 10-20. Took antibiotics every time. Can i still get heart problems in the future or is that only if untreated?

Ive had strep throat 4 times from ages 10-20. Took antibiotics every time. Can i still get heart problems in the future or is that only if untreated?

WOULDN'T WORRY: Those who have untreated strep will have a full natural immune response that creates antibodies. In about 1/200 cases, those antibodies can attack normal body tissue in the heart/brain or kidney, resulting in the damage we want to avoid.Antibiotic treatment within the 1st 10 days of fever stops this from happening. ...Read more

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Are there cases where strep throat cause immune system to attack heart but it is very mild to be considered rheumatic fever?

Are there cases where strep throat cause immune system to attack heart but it is very mild to be considered rheumatic fever?

Doubtful: If you have confirmed strep throat, the treatment of amoxicillin or azithromycin would protect from rheumatic fever, scarlet fever, etc. There are other conditions that can cause systemic symptoms of fever and shortness of breath (Lemierre's syndrome). If the process was a viral syndrome e.g mononucleosis (which can cause an exudative tonsillitis) the fatigue, sweats would persist. See a doctor. ...Read more

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32 yo/F. I get strep throat 3-4 x's/yr. My tonsils get grotesquely swollen and completely covered in pus. Is this dangerous/bad for my heart?

32 yo/F. I get strep throat 3-4 x's/yr. My tonsils get grotesquely swollen and completely covered in pus. Is this dangerous/bad for my heart?

Heart and Tonsils: Bad for heart only if it is strep and develops into Rheumatic Fever and attacks the heart valve. Even at that. Pustular documented strep tonsillitis 3 to 4 times a year, I would see about getting my tonsils out. Not fun at your age, but you will be glad you did. ...Read more

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My 5 1/2 yr old son has complained this last week that his heart is beating fast. He did have strep throat the week before and was on amoxicillin. When I take his pulse for 10 secs and multiply by 6. It's been anywhere from 85-120. He feels this rapid

My 5 1/2 yr old son has complained this last week that his heart is beating fast. He did have strep throat the week before and was on amoxicillin.  When I take his pulse for 10 secs and multiply by 6.   It's been anywhere from 85-120.  He feels this rapid

Normal heart rate: this is a normal heart rate for a 5 and half years old child. Now a common reason for fast heart rate in children is fever, common colds and dehydration. Children tend to drink and eat less when they are not feeling well and eventually become dehydrated. Make sure that your child had adequate fluid intake, control fever if any with Tylenol (acetaminophen). if the problem persist, then consult with his doctor ...Read more

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Sinus surgery 3wks ago.running fever, sore throat, aches, heart beating fast. dr said not strep or flu. could it be from surgery? Debride once a week

Sinus surgery 3wks ago.running fever, sore throat, aches, heart beating  fast. dr said not strep or flu. could it be from surgery? Debride once a week

Concerned?: You may have contracted a cold which can cause the symptoms described. However if the fever is over 103 degree then I would suspected an infection. A rare bit problem from surgery may be a sponge left behind causing an infection. If the problem gets worse or lasts >a few days, you need to check with the surgeon again and perhaps even insist on an imaging study on the sinus. ...Read more