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What Is The Best Antibiotic For Sore Throat

Is A Sore Throat A Covid Symptom

Sore throat TREATMENT: Do antibiotics work on all sore throats? | Doctor Explains

Yes, a sore throat is one of the common symptoms of COVID-19. However, there are a lot of other illnesses, big and small, that cause a sore throat as well, including the common cold, the flu, strep throat, mono, GERD, as well as allergies, and dry air. If you’re worried your sore throat is a sign of the coronavirus, the best way to confirm is to take a rapid COVID test or molecular lab test at a local facility or via an at-home COVID test.

Is Tylenol Or Advil Better For Sore Throat

Either acetaminophen or ibuprofen can help with the pain of a sore throat. But Advil or ibuprofen also helps relieve inflammation, so you may score more sore throat relief by taking that. Just make sure you check that no other sore throat medicine you’re taking interacts with either type of pain reliever, or that no other medication you’re taking contains ibuprofen, which is an easy way to get too much of the pain reliever, points out Dr. McKnight.

Best Sore Throat Remedies To Make You Feel Better Fast According To Doctors

Some home remedies only mask painbut these solutions can help you get rid of your sore throat completely.

Sore throat symptoms can be rough. Your saliva goes down like sandpaper, every cough makes you wince, and the only thing you can think about is making that lump in the back of your throat go away.

But to ease the pain, you need to understand whats causing your sore throat in the first place: dry air, smoking, acid reflux, viral infections like the flu or common cold, and bacterial infections like strep can all lead to a sore throat.

In general, a viral infection usually comes with other symptoms, like muscle aches and fatigue, along with your sore throat, says Chester Griffiths MD, an otolaryngologist at Providence Saint Johns Health Center in Santa Monica, Calif. With a bacterial infection, on the other hand, the pain is usually more focused on your throat and the soreness tends to be pretty severe, Dr. Griffiths says. You may also have intense pain when you swallow, along with a high fever.

Exposure to smoke, breathing in dry air, and having acid reflux tends to feel very different from an infection, says Jason Abramowitz, MD, an ear, nose, and throat specialist at ENT and Allergy Associates. Usually patients do not feel as sick overall the pain is also usually not as severe, he says.

  • Severe, prolonged, or recurrent sore throats
  • Difficulty breathing, swallowing, or opening the mouth
  • Joint pains, earache, or a lump in the neck
  • Rash or a fever above 101°F
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    What Else Do You Need To Make Your Decision

    Check the facts

    • Youâre right. Most of the time, sore throats go away on their own. It may take a few days or up to a week, depending on the cause.
    • Sorry, thatâs not right. Most of the time, sore throats go away on their own. It may take a few days or up to a week, depending on the cause.
    • It may help to go back and read âGet the Facts.â Most of the time, sore throats go away on their own. It may take a few days or up to a week, depending on the cause.
    • Youâre right. Taking antibiotics too often or when you donât need them can be harmful and costly. The medicine may not work the next time you take it when you really do need it.
    • Sorry, thatâs not right. Taking antibiotics too often or when you donât need them can be harmful and costly. The medicine may not work the next time you take it when you really do need it.
    • It may help to go back and read âGet the Facts.â Taking antibiotics too often or when you donât need them can be harmful and costly. The medicine may not work the next time you take it when you really do need it.

    Why It Is Important To Do This Review

    What is a good antibiotic for throat infection?

    Whether or not to prescribe antibiotics for sore throat is controversial. The issue is important because it is a very common disease and differences in prescribing result in large cost differences. Moreover, increased prescribing increases patient attendance rates . This review is built on an early metaanalysis and is an update of previous Cochrane Reviews .

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    What Are The Best Ones

    The go-to antibiotics for strep throat are penicillin and amoxicillin.

    People who are allergic to penicillins may be prescribed a non-penicillin antibiotic, usually one of:

    • A cephalosporin

    • Azithromycin

    • Clarithromycin

    Your doctor will select the right one for you. Always check with your doctor and take the full course of prescription antibiotics as recommended.

    Recommended Reading: Yeast Infection While On Antibiotics

    Antibiotics For Strep Throat Treatment Which One Is The Best

    Strep throat is a common respiratory tract infection that affects mainly school-aged children between five and 15 years old. Strep throat infections account for nearly a quarter of all sore throat cases seen in primary care clinics.

    Strep throat is a self-limiting infection, which means it can resolve on its own without treatment, but who wants to wait out a sore throat? Or risk complications from untreated Strep throat infection?

    Oral antibiotics are commonly prescribed for sore throat cases. Even though not all sore throat cases need them. Some doctors almost automatically prescribe antibiotics to treat a sore throat, even without determining whether its cause is bacterial or viral. Unfortunately, if its a viral infection, the antibiotics wont do anything except contribute to the growing problem of over-prescribed antibiotics. In most cases of sore throat, its actually a virus causing the illness.

    Even if it is a bacterial infection, studies have shown that antibiotic therapy for a sore throat has a modest beneficial effect. However, if it is an actual Strep throat infection, there are real benefits of using antibiotics.

    Strep throat is caused by a bacterium called Streptococcus pyogenes, which belongs to Group A beta-hemolytic Streptococci bacteria. A bacterium that is thankfully very susceptible to antibiotics.

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    How Is Strep Throat Diagnosed

    If your child has a sore throat and other strep throat symptoms, call your doctor. The doctor will likely do a rapid strep test in the office, using a cotton swab to take a sample of the fluids at the back of the throat. The test only takes about 5 minutes.

    If itâs positive, your child has strep throat. If itâs negative, the doctor will send a sample to a lab for a throat culture. The results are usually available within a few days.

    Strep Throat Home Care

    Antibiotic Awareness: Sore Throat or Pharyngitis

    Until the antibiotics start to work, these home treatments can help you or your child feel better:

    • Over-the-counter pain relievers: Take acetaminophen or ibuprofen to bring down a fever and ease the sore throat. Don’t give aspirin to children and teens. It can cause a rare but serious condition called Reyeâs syndrome.
    • Rest: Stay home from school or work. You need extra rest to help your body fight off the infection.
    • Gargling: Rinse with a mixture of a quarter-teaspoon of salt and 8 ounces of warm water to relieve a scratchy throat.
    • Lozenges and hard candy: Older kids can suck on these to feel better. Avoid giving small pieces of candy to children 4 and younger.
    • Lots of fluids: Do this especially if you have a fever. Water and warm liquids such as soup or tea soothe the throat and keep you hydrated. If cold feels better on your throat, suck on a frozen pop or ice chips. Avoid orange juice, lemonade, and other drinks that are high in acid. These can burn your throat.
    • Soft foods: Examples include yogurt, applesauce, or frozen yogurt. They’re easier to swallow.
    • Cool-mist humidifier or saline nasal spray: Moisture can help make your throat feel better.

    Steer clear of anything that might bother your throat, like cigarette smoke, paint fumes, or cleaning products.

    Show Sources

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    Antibiotics To Treat Tonsillitis

    Tonsillitis, a common condition often referred to as a sore throat, is an inflammation of the tonsils caused by either a bacterial or viral infection. Treatment depends on the cause and usually is delayed until lab test results are known. If viral, only symptom relief medications are given and the body will fight the infection on its own. If the tonsillitis is caused by bacteria, antibiotics are prescribed.

    If you are experiencing serious medical symptoms, seek emergency treatment immediately.

    Do I Need An Antibiotic

    The teams at Pew, the Centers for Disease Control and Prevention, the University of Utah and elsewhere chose ear infections, sore throats and sinus infections because they generate 44 million antibiotic prescriptions a year.

    Its only appropriate sometimes to prescribe antibiotics for these conditions. Strep throat is easily treated with antibiotics, and if a child with a middle ear infection has pus oozing out, a pediatrician will usually give an antibiotic. Sinus infections that linger may be helped with antibiotics.

    But more sore throats and ear infections are caused by viruses, and an antibiotic will do nothing to help the patient. Sinus infections can sometimes involve bacteria but often are caused by viruses or fungi.

    When an antibiotic is called for, it should be a basic one usually amoxicillin, the Pew team said. Thats not what people usually get, however.

    The most commonly prescribed non-first-line antibiotics for sinus infections, middle ear infections and pharyngitis were macrolides , a class of broad-spectrum antibiotics frequently prescribed in outpatient settings, the Pew team wrote in their report.

    However, macrolides are not recommended for sinus or middle ear infections and are recommended for pharyngitis only for patients with an allergy to the penicillin class of antibiotics.

    Why would doctors prescribe the wrong drug?

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    Do I Need Antibiotics

    It depends.

    If you have or are likely to have strep, your doctor will treat you to help you get better sooner, stop you from transmitting strep to others, and also to prevent the rare occurrence of strep infection developing into complicationsâlike rheumatic fever, and heart, kidney, and nervous system disorders. Fortunately, those side effects are rare.

    Even if you are starting to feel better from a sore throat that was caused by strep, you still need treatment to prevent these possible complications.

    Your doctor will assess the risk that your sore throat is caused by strep, and decide if the chance is high and immediate treatment is warranted, or if you need testing to see if it is strep, or if it’s unlikely to be strep.

    The main factors that make it more likely that a sore throat is caused by strep include: History of recent exposure to someone who tested positive for strep, fever more than 100.4 degrees F, tender swollen lymph nodes in the neck, and white exudate or spots on the throat or tonsils. If you have at least 2 of these risk factors, your doctor may decide to go ahead and treat you without doing a test, or before any test results are back.

    One caveat is that if you have symptoms that suggest a viral infection â such as cough, runny nose, congestion, conjunctivitis, or sores in your mouth, then it is unlikely that your sore throat is caused by strep.

    Penicillin V Four Times Daily For Five Days Versus Three Times Daily For 10 Days In Patients With Pharyngotonsillitis Caused By Group A Streptococci: Randomised Controlled Open Label Non

    Does Your Sore Throat Need An Antibiotic?
  • Mia Tyrstrup, general practitioner2 3,
  • Charlotta Edlund, professor of microbiology1,
  • Christian G Giske, professor of clinical microbiology45,
  • Sigvard Mölstad, professor emeritus of general practice3,
  • Christer Norman, general practitioner6,
  • Karin Rystedt, resident in general practice7 8,
  • Pär-Daniel Sundvall, general practitioner8 9,
  • Katarina Hedin, associate professor of general practice3 10
  • 1Unit for Antibiotics and Infection Control, The Public Health Agency of Sweden, SE 171 82 Solna, Sweden
  • 2Lundbergsgatan Primary Health Care Centre, Malmö, Sweden
  • 3Department of Clinical Sciences in Malmö, Family Medicine, Lund University, Malmö, Sweden
  • 4Division of Clinical Microbiology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden
  • 5Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden
  • 6Salem Primary Health Care Centre, Rönninge, Sweden
  • 7Närhälsan Södra Ryd Primary Health Care Center, Skövde, Sweden
  • 8Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, Sahlgrenska Academy at the University of Gothenburg, Göteborg, Sweden
  • 9Research and Development Primary Health Care, Region Västra Götaland, R & D Center Södra Älvsborg, Borås, Sweden
  • 10Futurum, Region Jönköping County and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
  • Correspondence to: G Skoog Ståhlgren
    • Accepted 8 August 2019

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    What Is A Sore Throat

    Sore throats can be painful and annoying. But most of the time they go away on their own. It may take a few days or up to a week, depending on the cause.

    Most sore throats are caused by a virus, such as a cold. A bacterial infection can also cause a sore throat.

    If you have a sudden, severe sore throat without coughing, sneezing, or other cold symptoms, you could have strep throat. Strep throat is a bacterial infection of the throat and tonsils. About 1 out of 10 sore throats in adults is caused by strep throat. This means that 9 out of 10 sore throats arenât strep.

    When To See Your Doctor

    If your sore throat is severe, you have a rash, swollen tonsils, or a fever over 101 degrees that lasts for longer than a day, it’s time to make an appointment with your doctor. It’s likely strep or another bacterial infection. In this situation, you’ll typically be prescribed antibiotics and can continue the at-home remedies to soothe your throat pain.

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    How Do I Know If I Have Strep Throat

    In children, about 25% of sore throats are caused by strep. Adults have fewer strep infections, with strep causing about 10% of sore throats in adults. The only way to know for sure is to get tested. Testing is pretty fast and easy: a doctor or nurse will take a swab of your throat and test for group A Strep.

    That said, there are some telltale symptoms of strep that may lead you to see a doctor:

    • Sore throat

    • Red and swollen tonsils, sometimes with white spots

    • Small red dots on the roof of your mouth

    • Swollen lymph nodes in your neck

    Interestingly, strep often does not include symptoms like cough, runny nose, trouble speaking, or pink eye.

    Some people donât experience any symptoms at all, but can still spread strep throat by coming into contact with others and/or spreading respiratory droplets.

    Other Sore Throat Relief

    Using Antibiotics for Sore Throat Treatment: Are there any risks?

    Because most sore throats are viral in origin, rest and a good healthy diet help your immune system fight the infection. Keep foods soft and drinks cool so you don’t irritate your throat further. Soups provide good nourishment when eating is too difficult and lemon & honey and herbal teas contain antioxidants that are also beneficial for boosting your immune system.

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    Is This The Correct Antibiotic

    The good news is that most children with ear infections do get the right prescription. In a separate report in JAMA Internal Medicine, Dr. Adam Hersh of the University of Utah and colleagues found that 67 percent two-thirds of children with ear infections got the correct prescription. But only 37 percent of adults with sore throats and sinus infections did.

    This study provides evidence of substantial overuse of nonfirst-line antibiotics.”

    The teams used two big national surveys from 2010 and 2011, which they said were the latest available. We do not have reason to believe practice patterns have substantially changed, Hershs team wrote.

    Medical experts have been complaining about the misuse of antibiotics for two decades, but the message still is not getting through, Hyun said.

    Patients also need to get tough on themselves and their doctors. Ask: “Is an antibiotic really needed? Is this the correct antibiotic? he said.

    The CDC says more than 2 million people are infected by drug-resistant germs each year, and 23,000 die of their infections

    Whats The Best Way To Avoid Getting Strep Throat

    Strep is pretty common, and most people will get it at some point in their lives. But there are some common sense ways to avoid it:

    • Wash your hands regularly and correctly

    • If youâre sick, wear a mask to avoid spreading respiratory droplets

    • Avoid prolonged contact with someone who is sick

    • Donât share drink glasses or food with a sick person

    If you practice good standard hygiene, itâll go a long way toward reducing your chances of getting strep.

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    How Soon Will They Start Working

    Antibiotics start working right away and you should be feeling better within one to two days. The sore throat will feel better right away if you gargle with salt water , or if you use throat lozenges

    If itâs been longer than two to three days and youâre still feeling under the weather, or if you are feeling worse, talk to your doctor to see if something else is going on.

    What Is The Best Home Remedy For Strep Throat

    Throat Infection Cough Tablets

    While there is no known cure for strep throat with home remedies, there are ways to treat the symptoms of sore throat. Some options to help alleviate the symptoms of strep throat at home include:

    • Drinking plenty of warm liquids, such as hot tea, soups, or broth. This will alleviate some of the irritation of the sore throat and keep you hydrated. Adding honey, peppermint, licorice root, or ginger to your tea can also help soothe your throat.
    • Eating something cold, like a popsicle, or sucking on hard candy or lozenges can also help relieve some of the throat soreness.
    • Gargling with warm salt water may reduce swelling and irritation in the throat. Mix ¼ to ½ teaspoon of salt in 8 oz of warm water and gargle . This can be done every hour for relief.
    • Getting plenty of rest to help your body fight the infection.
    • Avoiding acidic foods that may irritate your throat, such as citrus fruits or tomatoes.
    • Taking over-the-counter medications and pain relievers, such as Tylenol, Motrin, Aleve, or Advil may be used to help reduce fever and pain associated with strep throat.
    • Running a humidifier can help keep mucous membranes moist and decrease some of the irritation caused by a strep throat infection.

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