Strep throat signs and symptoms
It’s common for people to confuse strep throat with other sore throat infections. Viral infections cause about 80% of sore throats, but strep throat is caused by bacteria called group A streptococcus or group A strep. Strep throat only accounts for about 15% of all sore throats in adults.
A viral sore throat is usually accompanied by a cough, sneeze, runny nose or hoarse voice. Bacterial strep can make it painful to swallow and often comes with a high fever.
Signs and symptoms of strep throat include:
- Throat pain or painful swallowing
- Red and swollen tonsils, sometimes with white patches or pus
- Tiny red spots on the roof of the mouth
- Swollen, tender lymph nodes in your neck
- Fever
- Headache
- Rash
- Nausea or vomiting
- Body aches
Strep throat treatment
Most health care providers can diagnose and treat strep throat. If you have a sore throat, a medical staff member might swab your throat to see if you have an infection.
- Negative results: Your doctor may recommend pain medication and general fluids to manage your symptoms
- Positive results: Your doctor will likely recommend antibiotics to ensure the infection doesn’t turn into something more serious
Left untreated, strep throat can cause:
- Kidney damage: caused by the immune system’s response to fight off strep throat
- Scarlet fever: symptoms include bright red rash, sore throat and high fever
- Rheumatic fever: a condition that causes painful joints, rash and heart problems
- Pneumonia: symptoms vary from mild fever and cough to difficulty breathing and sepsis
How to prevent strep throat from spreading
Strep throat can spread through direct contact, such as kissing or sharing utensils. You usually aren’t contagious after taking antibiotics for 48 hours. If you choose not to take antibiotics, you may be contagious for up to three weeks.
While there is no vaccine to prevent strep throat, there are steps you can take to protect yourself and others:
- Frequently wash your hands
- Cover your mouth when you cough or sneeze
- Avoid sharing utensils and drinking glasses
- Avoid kissing anyone while you are contagious
If you have a sore throat that persists for several days or does not get better with over-the-counter medicine, it’s a good idea to see a medical professional in person or through a telehealth visit. Call 402.554.2374 to schedule a visit at the UNO Health Center.