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The Duration Dilemma: How Long Does Strep Throat Last?

By Dr. Nikita Toshi +2 more

Key Highlights:

  • Strep throat is a bacterial infection that causes a sore throat.
  • Diagnosis depends on physical examination and throat culture.
  • Strep throat is commonly treated with antibiotics to reduce the duration, severity of symptoms, and risk of complications.
  • Preventive measures can significantly reduce the risk of developing strep throat.
  • Without treatment, strep throat usually improves within five to seven days, but individuals remain contagious longer and are at risk of complications.
  • Strep throat often gets confused with a regular sore throat due to similar symptoms.

Introduction

Have you ever had a nasty sore throat, so painful that swallowing felt like a chore? That might be strep throat. This common infection tends to give doctors a run for their money when it comes to diagnosis. Unlike a routine sore throat, strep throat poses bigger risks due to its bacterial nature. Wondering about its duration and potential pitfalls? We’ve got you covered!

strep throat

We’ll walk you through all you need to know about strep throat – from its onset to recovery. You’ll also learn the ‘why’s’ and ‘how’s’ – why it happens and how it can be diagnosed, treated, and prevented. And, importantly, we’ll clear up the confusion between a regular sore throat and strep throat.

Did You Know?

  • Viruses are the most common cause of pharyngitis in all age groups, causing 20% to 30% of cases in children and 5% to 15% in adults. source: CDC
  • Asymptomatic group A strep carriers usually do not require treatment and are less likely to transmit the bacteria. source: CDC
  • In the United States, there are approximately 14,000 to 25,000 cases of invasive group A strep disease each year, resulting in 1,500 to 2,300 deaths annually. source: CDC
  • Group A strep pharyngitis causes 20% to 30% of sore throats in children and 5% to 15% in adults. source: cdc.gov

Briefing on Strep Throat

Before we jump into the details, let’s take a short tour of what strep throat is all about.

Causes of Strep Throat

The culprit behind strep throat is often group A Streptococcus, a bad guy in the form of a bacterium.

How it Spreads

  • Highly catchable, strep throat can race like wildfire in schools and daycare centers.
  • The bacteria can travel through the air from an infected person’s sneezes or coughs.
  • Touching a surface with traces of the bacterium and then touching your face is another way to get infected.

Symptoms of Strep Throat

Strep throat has a stealth mode. It doesn’t show any visible signs on your skin. However, the real chaos happens internally.

Common Symptoms

  • You feel pain in your throat.
  • Swallowing becomes hard.
  • The lymph nodes in your neck may swell and become painful.
  • You may run a fever.
  • You feel tired all the time.

Severe Symptoms

While these symptoms are not as common, they indicate that the infection is more severe:

  • Headache
  • Skin rash
  • Feeling like throwing up
  • Aching all over your body

There are many different types of bacteria and viruses that can cause a sore throat. Many of the symptoms overlap between the agents causing sore throat (pharyngitis), streptococcal throat infection being one of them and therefore it is very difficult to differentiate between strep pharyngitis and other causes of pharyngitis without testing.

Dr. Ashish Bajaj, M.B.B.S., M.D. in Clinical Pharmacology and Toxicology

Diagnosing Strep Throat

Think you might have strep throat? Here’s what to do and what to expect during a doctor’s visit.

1. When should you see a doctor?

If you’ve got strep throat symptoms for more than a couple of days, it’s best to see a healthcare provider. Particularly if you have been around a strep throat sufferer.

2. Diagnostic Processes for Strep Throat

Two main steps help identify if you have strep throat.

3. Physical Examination

At first, your doctor will check for strep-related signs and symptoms. These include:

  • Red throat.
  • White spots in the throat area.
  • Swollen lymph nodes.
  • Fever that came on quick and strong.

4. Throat Culture

To confirm if it’s strep throat, your doctor will swab the back of your throat. Results can take up to two days.

Symptoms of strep throat infection usually begin to subside after 2-3 days of initiating the antibiotics. Since, this is a bacterial infection of throat, complete the full course of antibiotic as prescribed by your doctor. Patients often stop the medicines as soon as they start feeling better on the second day but this can lead to antibiotic resistance.

Dr. Arpit Verma, MBBS, MD (Pharmacology)

Treating Strep Throat

Once confirmed that it’s strep throat, let’s discuss the treatment options available and how to gear up for your doctor’s appointment.

1. Antibiotics for Strep Throat

Your healthcare provider may prescribe antibiotics, likely penicillin or amoxicophen if diagnosed with strep throat. If taken within 48 hours of the onset of the illness, antibiotics reduce the duration and severity of symptoms, as well as the risk of complications.

2. Symptom Relief for Strep Throat

Managing strep throat symptoms can help make the healing journey a bit less painful.

3. Home Remedies

Home treatments could also help with throat pain and swelling:

  • Drinking plenty of fluids to avoid dehydration.
  • Rinsing your mouth with warm salt water throughout the day.
  • Having warm drinks like herbal teas or soups.
  • Using a humidifier to add moisture to the air.

Ready for your Doctor’s Appointment

There are a few things you can do while waiting to see the doctor.

What to Expect

The doctor will do a routine check-up and might take a swab from your throat to test for strep throat.

What to do in the meantime

Try these strategies while waiting to visit your doctor:

  • Rinse with warm salt water.
  • Keep drinking plenty of liquids, hot or cold.
  • Run a humidifier for a moist throat.
  • Use painkillers like ibuprofen to manage symptoms.

Usually streptococcal sore throat lasts for 7 – 10 days without treatment. Following antibiotic treatment, patients may see the resolution of symptoms within one to 3 days and may return to work or school after 24 hours of treatment.

Dr. M.G. Kartheeka, MBBS, MD(Pediatrics)

The Risks, Prevention, and Complications of Strep Throat

Let’s shine a light on the possible pitfalls and ways to prevent them.

1. Risks of Strep Throat

Your chances of getting strep throat rise if you’re near a person with strep throat.

2. How to Sidestep Strep Throat

Keeping clean and staying away from someone with strep throat can help dodge the infection.

3. Hygiene Habits

These habits can fend off strep throat:

  • Good hand hygiene.
  • Changing toothbrushes often.
  • Keeping distance from shared objects with an infected person.

4. Stay Away from Carriers

Avoid being near a strep throat sufferer at least till they’ve been on antibiotics for a day or two.

5. What If Strep Throat Is Ignored?

Not treating strep throat can lead to kidney disease and rheumatic fever, a rare disease that harms the heart.

Let’s recap the risks, prevention, and possible complications of strep throat:

Strep Throat RisksWays to Avoid Strep ThroatPossible Outcomes of Untreated Strep Throat
Nearness to a strep throat carrierStay clean & avoid contact with infected personsKidney disease, Rheumatic fever

Assessing The Length of Strep Throat

Knowing how long strep throat lasts can help you better navigate the recovery process.

1. Typical Recovery Time

With treatment, you could start feeling better in one to two days. Full recovery usually takes about a week. Without treatment, it still gets better in five to seven days but with a higher risk of problems.

2. Recovery with or without Antibiotics

Medical treatment can greatly impact the recovery timeline.

3. Treatment Speeds Recovery

With antibiotics, most people start to feel better within one or two days. They can return to normal life after a day of taking antibiotics. It normally takes about a week to fully recover.

4. No Treatment Equals Slower Recovery

Without antibiotics, strep throat generally takes five to seven days to improve. But, you risk staying contagious longer and inviting potential complications.

5. Just How Catchy Is Strep Throat?

Strep throat is highly catchy. Carriers can spread the infection until they’ve been on antibiotics for a day or two. If untreated, you can spread it to others for 21 days or more.

Strep Throat Vs Ordinary Sore Throat

Strep throat and a simple sore throat often get mixed up due to similar symptoms. It’s important to tell them apart for accurate treatment.

1. Telling Apart Strep Throat from an Ordinary Sore Throat

Sore throat and strep throat may seem alike, but they are different in terms of symptoms, causes, and treatment plans.

2. Look Out for These Symptoms

A sore throat and strep throat both cause throat pain. But strep throat could also come with:

  • White patches on the throat or tonsils.
  • Tiny red spots on the roof of your mouth.
  • Feeling nauseous or throwing up.

3. Different Causes

A viral infection like the common cold or the flu usually causes a sore throat. On the other hand, a bacterial infection (Group A Streptococcus) causes strep throat.

Here’s a helpful table on the difference between strep throat and a common sore throat:

TypeSymptoms of Strep ThroatSymptoms of a Sore Throat
CausesSore throat, white patches on tonsils/throat, tiny red spots on the roof of the mouth, might feel nauseous, or vomitSore throat only
CausesBacteria (Group A Streptococcus)Typically, virus (common cold, flu)

Conclusion

While strep throat is a common ailment, it deserves careful attention due to the discomfort and potential problems if ignored. Although it may seem mild, swiftly treating it is important to avoid serious issues down the road. Always consult with your healthcare provider at the onset of strep-like symptoms.

Never overlook antibiotics for treating strep throat and cutting down its course. Stick to your prescribed meds for full recovery. And keep in mind – easing symptoms and preventing spread also matter while you’re on the mend.

In short, knowing how to tell strep throat from a regular sore throat empowers you to make safer health decisions. Remember, when unsure, always turn to your healthcare provider for advice.

Frequently Asked Questions (FAQs)

How long does an untreated strep throat last?

If left untreated, strep throat can last from 5 to 7 days. However, treatment speeds recovery and prevents potential complications.

What can result from ignoring strep throat?

Untreated, strep throat can lead to kidney problems and rare rheumatic fever. It could also cause an abscess next to the tonsils or scarlet fever.

How can I speed up recovery from strep throat?

Quickly recovering from strep throat requires taking the full course of prescribed antibiotics, drinking lots of fluids, resting, and using over-the-counter remedies for symptom relief.

Can a strep throat get better on its own?

Although strep throat could get better after about a week, antibiotics are necessary. This cuts down on symptom duration, avoids problems, and reduces infection spread chances.

References:

  1. National Center for Biotechnology Information (NCBI). Chamomile: A herbal medicine of the past with bright future – PMC [Internet]. [cited 2023 Jul 17]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2995283
  2. Centers for Disease Control and Prevention (CDC). Strep Throat: All You Need to Know [Internet]. [cited 2023 Jul 17]. Available from: https://www.cdc.gov/groupastrep/diseases-public/strep-throat.html
  3. National Center for Biotechnology Information (NCBI). Streptococcal Pharyngitis [Internet]. [cited 2023 Jul 17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK525997
  4. National Center for Biotechnology Information (NCBI). Rapid Tests for the Diagnosis of Group A Streptococcal Infection: A Review of Diagnostic Test Accuracy, Clinical Utility, Safety, and Cost-Effectiveness [Internet]. [cited 2023 Jul 17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532707
  5. National Center for Biotechnology Information (NCBI). The Mysteries of Streptococcal Pharyngitis – PMC [Internet]. [cited 2023 Jul 17]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4486489
  6. Centers for Disease Control and Prevention (CDC). Pharyngitis (Strep Throat) [Internet]. [cited 2023 Jul 17]. Available from: https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html

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