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throat treatment

What are The Treatments to Strep Throat?

Strep throat is also known as streptococcal tonsillopharyngitis. Streptococcal is referring to the causative organism for this condition which is Streptococcus pyogenes. Tonsillopharyngitis is a medical condition where the tonsils and pharynx are inflamed. Streptococcus infection of the tonsils and pharynx is very common in any age group. Adults and children are both commonly affected by this condition despite their gender and race. Ask queries to DoctoronCall to get a valid medical explanation and opinion on health-related issues.

Tonsillopharingitis can also be caused by other bacteria, viruses, and non-infectious causes. The example of viruses are:

  • Adenovirus
  • Rhinovirus
  • Coronavirus

Other bacteria are:

  • Group C and G streptococcus
  • Arcanobacterium haemolyticum
  • Fusobacterium necrophorum

The example of non-infectious causes are:

  • Allergic rhinitis
  • Sinusitis
  • Smoking
  • Exposure to dry air
  • Trauma
  • Vocal strain

The main goals of managing pharyngitis are:

  • Exclusion of potentially life-threatening conditions
  • Identification of treatable causes

Before a treatment can be started, history taking, physical examination, and investigations are needed to formulate a diagnosis. History taking and physical examination are important for symptom analysis and signs identification. The clinical features of strep throat are:

  • Fever
  • Pus from tonsils
  • Neck lymph node swelling
  • Skin rash
  • Sore throat
  • Malaise
  • Loss of appetite
  • Cough
  • Changes in voice or hoarseness of voice
  • Watery nose
  • Weight loss

Severe strep throat may result in upper airway obstruction. The features of upper airway obstruction are:

  • ‘Hot potato’ voice
  • Hoarseness of voice
  • Drooling of saliva
  • Shortness of breath
  • Rapid breathing
  • Noisy breathing

Upper airway obstruction which is caused by severe strep throat requires urgent management and intervention. Investigations are not needed if clinically, the doctor is very sure that your condition is due to viral infection. However, if you are suspected to have a bacterial infection, investigations are needed. The investigations are:

  • Sensitive rapid antigen test (RADT)
  • Throat swab for culture
  • Blood test

After a diagnosis of strep throat is confirmed, a treatment plan can be started. Antibiotic is always given for this condition. The treatment goals with the use of antibiotics are:

  • Symptoms severity and duration reduction
  • Prevention of acute complications
  • Prevention of delayed complications
  • Prevention of spread to other individuals

The treatment of choice for strep throat is the use of penicillin. Penicillin is a very good antibiotic in treating this condition. However, if the patient is allergic to penicillin or penicillin is not available, other antibiotics can be used. The antibiotics are:

  • Cephalosporins
  • Clindamycin
  • Macrolides

Supportive treatment is also important to achieve a cure. The supportive treatments are:

  • Rest
  • Drink a lot of plain and clean water
  • Consume soft food
  • Avoid respiratory irritants
  • Anti-fever medication and painkillers
  • Avoid oily food

Oily and fatty foods are to be avoided. Fatty and oily food is difficult for your body to digest. Due to this difficulty, your immune system will be suppressed by your body. Suppression of the immune system will put you at risk to develop a strep throat or worsen your condition if you are suffering one.

The complications of strep throat are:

  • Middle ear infection
  • Pus formation
  • Other opportunistic infections
  • Acute rheumatic fever

Ask queries to get a valid medical explanation and opinion on health-related issues.