What causes sore throats?

Most sore throats in children are caused by virus infections of the pharynx. This is called pharyngitis. Sometimes bacteria cause the infections. The most common of these is the streptococcal germ which causes strep throat. Other causes include nose or sinus drainage, burns or scratches to the throat, and infections of the neck that cause pain to the adjacent throat tissues.

How can I tell if I have strep throat?

There is no simple test that you can do at home that can tell the difference between strep throat and other causes of a sore throat. At the office there is a simple and quick test that can be used to determine who has sore throat.

Should all sore throats be treated with antibiotics?

No.

Antibiotics do not affect viruses and viruses cause most sore throats. Taking too many antibiotics can be bad for your health and can lead to the creation of bacteria resistent to treatments. Before expecting to take antibiotics you should have a test performed that will indicate if you have strep throat. Strep throat is one of the sore throats that does require treatment.

Are sore throats dangerous?

Most are not. However, when you have a sore throat if you have trouble breathing, trouble swallowing, high fever (over 102), or are feeling seriously ill in other ways you should see your doctor. Some throat problems can become serious quickly and require prompt attention.

Can a sore throat lead to rheumatic fever?

Yes.

Rheumatic fever is almost always caused by streptococcal infections (like strep throat) that are not treated properly. Rheumatic fever can cause heart damage and/or death. If you suspect you might have strep throat see your doctor to be sure. If you have been told you have strep throat take ALL of your medicine to prevent the complication of rheumatic fever.

Does foul smelling breath mean I have strep?

No.

Many people have heard that this is true but it is not. Any amount of pus or dead tissue (which comes during tissue infections) in your throat can cause a very bad odor. A foul odor may mean you have some throat infection, but it does not always mean that you have strep throat.

Symptoms and Sickness Guide

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