Sore Throat

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Sore Throat?

Sore throat could have been caused by many things.
Pharmacist

Such as:

  • Viruses
    (Cold, flu and mononucleosis)
  • Bacteria
    (Strep throat)
  • Allergies
    (Pollens, pet dander, or molds)

 

Of these, the one most likely to cause serious complications is having a strep throat. If it isn't treated on time, it may lead to kidney inflammation or rheumatic fever.



Boy holding his throat

Let's see what your child is experiencing.

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Sore Throat

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"Is this a strep throat?"
Let's start with that.
Pharmacist

Symptoms alone cannot diagnose strep throat.

Your child will need a rapid test or throat culture to test for strep throat at the healthcare provider's office.

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

Strep is contagious.

 

With this sore throat, does your child also have or had fever?
Pharmacist

Yes No

 

 

 

 

 

Sore Throat

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Is it strep?

Did this fever develop quickly?
(Out of nowhere)
Pharmacist

 

Yes?

 

Was this fever highest on the 2nd day?
Pharmacist

 

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

 

Any headache with this fever and sore throat?
Pharmacist

 

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

 

Alright.
Just a few more questions regarding strep.
Pharmacist

Fever associated with strep throat usually starts suddenly and would be at its highest point on the second day.

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Sore Throat

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Thinking strep?

Take a look at your child's tonsils.

Are they red and swollen?
Pharmacist

 

Yes?

 

Are the lymph nodes in the neck swollen?
Pharmacist

 

Yes?

 

Is the child experiencing abnormal taste in the mouth?

Or loss of appetite?
Pharmacist

 

Yes?

 

Any white or yellow spots...

Towards the back of the throat?
Pharmacist

Have child open the mouth as wide as he or she can and look very near the back of the throat and more towards the tonsils.

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

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

  • Suspecting strep

Nearest Clinic

 

Take a look over the neck and chest region.

Any skin rash that was not there before?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

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

Nearest Clinic

 

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

Let's rule out other things that might cause a sore throat that will require doctor office visit.

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Sore Throat

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Which of these symptoms is your child also experiencing right now?
Pharmacist

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

He or she 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, have the child visit the nearest urgent care clinic.

Even if it comes out negative and is a flu, he or she can still get started with flu treatment such as tamiflu which has to be started within 48 hours of having a flu for it to be effective.

Would you like to see the nearest children's urgent care clinic to you or continue with pharmacist for now?

Urgent Care Continue

 

None of these?
High probability of strep throat or infectious mononucleosis.
Pharmacist

Let's see which of the two the child is most likely experiencing.

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Sore throat

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Strep or mono?

Highly recommended to take the child to the urgent care or call the pediatrician.
Pharmacist

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

Close

Rapid test or throat culture are the main ways 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 have to rule in infectious mononucleosis and do some other tests.

Let's take a look at the difference between a strep throat and infectious mono.

FYI

 

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

Quickly Slowly

 

 

 

 

Sore Throat

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Quickly

Did your child 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.

 

Does he or she have 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

 

Is the child experiencing loss of appetite?
Pharmacist

 

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

Strep symptoms include:

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

 


Those were symptoms of a strep infection.
Pharmacist

If you answered "No" so far, then there is a good chance your child may not be looking at a strep throat infection.

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

This will help us rule out infectious mono.

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Sore Throat

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Assuming gradually

Is the sore throat getting worse by the day?
Pharmacist

 

Yes?

 

Does your child have a fever that normally peak in the afternoon or early evening?
Pharmacist

 

Yes?
Chances this is infectious mono is 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.

 

Has he or she 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 see tender lymph nodes along the back of the neck?
Pharmacist

 

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

Symptoms 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 can be 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

 

Is he or she experiencing any muscle aches or stiffness?
Pharmacist

 

Yes?
This usually occur 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 have the child visit the nearest urgent care clinic or the doctor's office as soon as possible.

Close

If the healthcare provider suspects mono, they will need to examine your child 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 child's 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 is available over-the-counter to give relief for the sore throat or see the nearest children's urgent care clinic to you from the discussions so far?

FYI Urgent care Continue