What exactly is strep throat?

iVillage Member
Registered: 03-05-2013
What exactly is strep throat?
Wed, 03-13-2013 - 1:03pm

I have heard so many people at work talking about having strep throat lately and just wondered what it was and what do you do about it.

Community Leader
Registered: 07-26-1999
Thu, 03-14-2013 - 10:16am

What is strep throat?

Strep throat is a bacterial infection in the throat and the tonsils. The throat gets irritated and inflamed, causing a sudden, severe sore throat.

What causes strep throat?

Strep throat is caused by streptococcal (strep) bacteria. There are many different types of strep bacteria. Some cause more serious illness than others.

Although some people are quick to think that any painful sore throat is strep, sore throats are caused by a viral infection and not strep bacteria. A sore throat caused by a virus can be just as painful as strep throat. But if you have cold symptoms such as coughing, sneezing, or a runny or stuffy nose, you probably do not have strep throat.

What are the symptoms?

The most common symptoms of strep throat are:

  • A sudden, severe sore throat.
  • Pain when you swallow.
  • Fever over 101°F (38.3°C).
  • Swollen tonsils and lymph nodes.
  • White or yellow spots on the back of a bright red throat.

You may also have a headache and belly pain. Less common symptoms are a red skin rash, vomiting, not feeling hungry, and body aches.

Strep throat can be passed from person to person. When a person who has strep throat breathes, coughs, or sneezes, tiny droplets with the strep bacteria go into the air. These droplets can be breathed in by other people. If you come into contact with strep, it will take 2 to 5 days before you start to have symptoms.

How is strep throat diagnosed?

Your doctor will do a physical exam, ask you about your symptoms and past health, and do a rapid strep test to diagnose strep throat. Sometimes another test, called a throat culture, is also needed.

If the rapid strep test says that you don't have strep (the test is negative) but your symptoms suggest that you do, your doctor may want to do a throat culture to be sure. This is because rapid strep tests are not always accurate. To do a throat culture, the doctor will swab a sample of cells from the back of your throat. The sample will go into a special cup (culture) where the strep bacteria can grow over time. If strep bacteria grow, the doctor knows that you have strep.

If the rapid strep test is positive and says that you do have strep, there’s no need to do the throat culture.

How is it treated?

Doctors treat strep throat with antibiotics. Antibiotics shorten the time you are able to spread the disease to others (are contagious) and lower the risk of spreading the infection to other parts of your body. Antibiotics also may help you feel better faster.

You are contagious while you still have symptoms. Most people stop being contagious 24 hours after they start antibiotics. If you don't take antibiotics, you may be contagious for 2 to 3 weeks, even if your symptoms go away.


Community Leader
Registered: 07-25-2000
Fri, 03-15-2013 - 9:47am

I see that Tracy has given you an excellent answer to your question. Thanks for stopping by. I hope you avoid the bug if it is going around your workplace. It is easily treatable with antibiotics, but can make you miserable for a few days, and it can have serious complications if it is not treated.

iVillage Member
Registered: 01-23-2013
Mon, 03-18-2013 - 8:55am

I once developed a kidney infection and had to go into the hospital for 2 days. I had no prior history of anything like that and one of the things they asked me if I had any kind of sore throat recently. A few weeks earlier I had a very bad sore throat for several days and didn't  go to the doctor. It turned out they said I had untreated strep throat and it caused me to have a kidney infection.

I would recommend anyone with a bad sore throat get it checked out. I got into very bad condition by not getting strep treated.