July 6, 2009

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Sore Throat (cont.)

Medical Treatment

Care of a sore throat involves treatment of pain, dehydration, or difficulty breathing (airway problems are common with croup or epiglottitis).

  • Antibiotics
    • Antibiotics are not helpful when a virus causes a sore throat.

    • Sometimes it is difficult to determine whether the cause is viral or bacterial, so antibiotics may be prescribed as a precaution.

    • Antibiotics speed the resolution of a strep throat by an average of only 1.5 days.

    • Antibiotics are helpful in preventing rheumatic fever (an uncommon but severe complication of a streptococcal infection, which may cause severe inflammation of the heart muscle and heart valves).
  • Corticosteroids can be helpful in the treatment of a few select types of sore throats. Although they impair immune function, the anti-inflammatory effect can be very useful. They are mostly used in cases of severe tonsillitis or in cases of croup.



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