Sore Throat

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Sore Throat?

Sore throat can be caused by many things.
Pharmacist

Such as:

  • Viruses
    (cold, flu and mononucleosis)
  • Bacteria
    (strep throat)
  • Allergies
    (pollens, pet dander, or molds)




Lady holding the throat

Of these, the one most likely to cause serious complications is having a strep throat. Because if it isn't treated on time, it may lead to kidney inflammation or rheumatic fever. Rheumatic fever can lead to a rash, inflamed joints and, in severe cases, damage to the valves of the heart.

With this in mind, let's get started.

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Sore Throat

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Is it strep throat?

The top question regarding sore throat is usually:
"Is this a strep throat?"

Pharmacist

Let's start with that.

Symptoms alone cannot diagnose strep throat. You will need a rapid test or throat culture to test for strep throat at the healthcare provider's office.

The earlier we send you to the doctor's office, the better for you and your family

Strep is contagious.

 

In addition to this sore throat, do you also have or had a fever?
Pharmacist

Yes No

 

 

 

 

 

Sore throat

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With Fever

Did this fever start suddenly?
Pharmacist

 

Yes?

 

Was this fever highest on the second day?
Pharmacist

 

Yes?
Hmmm. Start suspecting strep. Although not so fast.
Pharmacist

 

Do you also have headache with this fever and sore throat?
Pharmacist

 

Yes?
This is a symptom of a strep throat infection.
Pharmacist

 

Fever of strep throat starts suddenly and ...

... Would be at its highest point on the second day.
Pharmacist

Let's answer a few more questions and see if you may be looking at strep.

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Sore throat

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Take a look at your tonsils in the mirror.

Are they red and swollen?
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Tap on "FYI" below to turn on your device's camera lights so you can see better.

 

Yes?

 

Are the lymph nodes in the neck swollen?
Pharmacist

 

Yes?

 

Are you experiencing loss of appetite?

Or abnormal taste in the mouth?
Pharmacist

 

Yes?

 

Using a mirror, look near the back of the throat towards the tonsils.

Any white or yellow spots on the throat and tonsils?
Pharmacist

Note that, the throat can also appear bright red or dark red with spots on the roof of the mouth.

Tap on "FYI" below to turn on your device's camera lights so you can see better.

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Suspect strep throat.

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Look over the neck and chest region.

Any skin rash that was not there before?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Suspect strep especially if there is also fever and sore throat.

Nearest Clinic

 

Alright.
Those were symptoms of a strep throat infection.
Pharmacist

If those apply to you, seek urgent care or call the doctor.

Let's rule out other things that can cause a sore throat which may need doctor visit if you don't think they apply to you.

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Sore Throat

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Other symptoms?

Which of the symptoms listed below are you also experiencing right now?
Pharmacist


Pharmacist

You may not be looking at a strep throat infection.
Pharmacist

You may be looking at a cold or flu here.

Cough, laryngitis, and stuffy nose are not characteristic of strep throat infection. Their presence suggests another cause (usually viral or allergic).

If you feel it is a strep throat, visit the nearest urgent care clinic. Even if it comes out negative and is a flu, you can still get started with flu treatment such as tamiflu.

Would you like to see what a pharmacist recommend you use over the counter to give you some relief for the sore throat or see the nearest urgent care to you?

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None of these?
Looking at a high probability of strep throat or infectious mononucleosis.
Pharmacist

If all you have is just a sore throat and fever, let's continue to see if you are looking at strep throat or infectious mononucleosis.

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Sore throat

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Strept or Mono?

It is highly recommended you visit the nearest urgent care clinic or call the doctor.
Pharmacist

You will need a rapid test or throat culture to test for strep throat.

This is the way to distinguish between infectious mono and strep throat.

Even, detection of streptococci in the throat area does not exclude infectious mononucleosis.

The doctor would have to make sure that your spleen is not enlarged. If it is, then would probably rule in infectious mononucleosis and do some other tests.

Let's continue and see if we can rule out infectious mono for now.

 

Did the sore throat develop quickly (suddenly) or slowly (gradually) over time?
Pharmacist

Suddenly Gradually

 

 

 

 

Sore throat

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Started suddenly

Did you have a fever that was highest on the second day?
Pharmacist

 

Yes?
This is a sign and symptom of a strep throat infection.
Pharmacist

Strep symptoms include:

  • Sore throat that starts suddenly.
  • Fever highest on the second day.

 

Are you experiencing any chills?
Pharmacist

 

Yes?
This is a symptom of strep throat infection.
Pharmacist

Strep symptoms include:

  • Sore throat that starts suddenly.
  • Fever highest on the second day.
  • Chills

 

Are you experiencing loss of appetite?
Pharmacist

 

Yes?
Suspect strep if you are experiencing the symptoms listed below.
Pharmacist

Strep symptoms include:

  • Sore throat that starts suddenly.
  • Fever highest on the second day.
  • Chills
  • Loss of appetite

 

If you answered "No" to the questions so far ...

You may not be looking at a strep throat infection.
Pharmacist

Moving forward, we will assume that the sore throat started slowly or you are not sure how it all started.

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Sore throat

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Gradually

Now, is the sore throat getting worse by the day?
Pharmacist

 

Yes?

 

Do you have a fever that normally peak in the afternoon or early evening?
Pharmacist

 

Yes?
Chances we are looking at infectious mono increasing.
Pharmacist

Symptoms of infectious mono include:

  • Starting gradually.
  • Sore throat getting worse by the day.
  • Fever usually peaking in the afternoon or early evening.

 

Have you been feeling fatigued for a while now?
Pharmacist

 

Yes?
This is a sign and symptom of infectious mono.
Pharmacist

Symptoms of infectious mono include:

  • Starting gradually.
  • Sore throat getting worse by the day.
  • Fever usually peaking in the afternoon or early evening.
  • Feeling fatigued for sometime.

 

Do you have tender lymph nodes along the back of the neck?
Pharmacist

 

Yes?
A symptom of infectious mono.
Pharmacist

Symptoms of infectious mono include:

  • Starting gradually.
  • Sore throat getting worse by the day.
  • Fever usually peaking in the afternoon or early evening.
  • Feeling fatigued for sometime.
  • Tender lymph nodes along the back of the neck.

 

What about feeling drowsy? In addition to the sore throat and maybe fever.
Pharmacist

 

Yes?
This is a symptom of infectious mono.
Pharmacist

Symptoms include:

  • Sore throat that started slowly.
  • Sore throat getting worse by the day.
  • Fever usually peaking in the afternoon or early evening.
  • Feeling fatigued for sometime.
  • Tender lymph nodes along the back of the neck.
  • Feeling drowsy

 

Are you experiencing muscle aches or stiffness?
Pharmacist

 

Yes?
There is usually muscle aches and stiffness with infectious mono.
Pharmacist

 


Those were to rule in or out strep throat or infectious mono.
Pharmacist

If you suspect any of those two from the discussions above, you should visit the nearest urgent care clinic or your doctor's office as soon as possible.

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If the healthcare provider suspects mono, they will need to examine you and do some blood tests especially what is called a monotest.

This test looks for antibodies that form in the body during the infection, called heterophile antibodies.

If strep is the suspicion, then the doctor would have to do a rapid test or throat culture to test for strep.

This is the way to distinguish between infectious mono and strep throat.

Even, detection of streptococci in the throat area does not exclude infectious mononucleosis. The healthcare provider would have to make sure that your spleen is not enlarged. If it is, would have to rule in infectious mononucleosis and do some other tests.

Would you like to see what a pharmacist recommend you use over the counter to give you some relief for this sore throat?

Or you think you should see the nearest urgent care to you from the discussions so far?

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