Pharyngitis and tonsillitis are infections in the throat that cause inflammation. If the tonsils are primarily affected, it is called tonsillitis. If the throat is primarily affected, it is called pharyngitis. A person might even have inflammation and infection of both the tonsils and the throat. This would be called pharyngotonsillitis. These infections are spread by close contact with other individuals. The majority of pharyngitis cases occur during the winter or colder months.
There are many causes of infections in the throat. Viruses are the most common cause and do not require antibiotics. Treating viral pharyngitis is a common reason for the inappropriate use of antibiotics, which should be used only for the treatment of bacterial infections. The following are other common and not-so-common causes:
The symptoms of pharyngitis and tonsillitis depend greatly on the cause of the infection and the person affected. For some people, the onset of symptoms may be quick; for others, symptom onset is slow. The following are the most common symptoms of pharyngitis and tonsillitis. However, each individual may experience symptoms differently. Symptoms may include:
The symptoms of pharyngitis and tonsillitis may resemble other medical conditions or problems. Always consult your doctor for a diagnosis.
In most cases, it is hard to distinguish between a viral sore throat and a strep throat based on physical examination. It is important, though, to know if the sore throat is caused by GABHS, as this requires antibiotic treatment to help prevent the complications that can occur with these bacteria.
As a result, most people, when they have the above symptoms, will receive a strep test and throat culture to determine if it is an infection caused by GABHS. This usually involves a throat swab in the doctor's office.
Quick tests, called rapid strep tests, may be performed. This may immediately show as positive for GABHS and antibiotics will be started. If it is negative, part of the throat swab will be kept for a throat culture. This will further identify, in two to three days, if GABHS is present. Your doctor will decide the treatment plan based on the findings.
Specific treatment for pharyngitis and tonsillitis will be determined by your doctor based on:
If bacteria are not the cause of the infection, then the treatment is usually more for comfort. Antibiotics will not help treat viral sore throats. Treatment may include:
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