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The most consistent and prominent symptoms are a sore throat and pain with swallowing. Classically the throat is solidly red and swollen with white patches (called exudates) although this can vary. The palate (roof of the mouth) may have small red dots (petechiae). Swollen lymph nodes ("glands" ) in the front of the neck are almost always present. A high fever and generalised aching in the joints and/ or muscles are also common.

A diffuse red rash that is commonly described as "sand paper" and is associated with a red "strawberry" tongue suggests scarlet fever which is also caused by strep. The rash is generally not itchy and does not include hives. Other rashes are more suggestive of viral infections.

Small children sometimes present with abdominal pain and even vomitting but this is not a common or prominent symptom in adults (unless from the antibiotics).

Diarrhea generally is not from strep. Runny nose, head congestion and cough are also usually not associted with strep (they suggest viral infections).

Strep is obviously contagious but not to the degree that most people assume. Only about 5% of siblings will catch strep when it is in the house. An infection "running through the whole house" and infecting multiple family members or a large percentage of the children in a day care center or school is usually a virus rather than strep. It should be kept in mind that the rapid strep tests (that give a result in 5 minutes) will be positive in 10% of people who do not have strep. So if 20 kids in a class get sick 2 will test positive by random chance even if it is just a virus. Despite this, people will cite those two cases and say that "strep is going around".

Difficulty swallowing; uneven swelling of the throat (more swollen on one side); pain that goes down into the chest, especially with swallowing, and stiff neck are all signs of other complications and reasons to see the doctor immediately.
Symptoms of Strep are high fever, soar throat and vomiting.
symptoms

  • difficulty swallowing
  • sudden fever
  • discomfort
  • loss of appetite
  • nausea
  • rash
  • red throat, with pus pockets
  • sore throat
  • tenderness in the neck
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10y ago
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13y ago

The most common symptoms of strep throat are:

  • A sudden, severe sore throat.
  • Pain when you swallow.
  • Fever over 101F.
  • Swollen tonsils and lymph nodes.
  • White or yellow spots on the back of a bright red throat
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12y ago

The most common symptoms of strep throat are:

  • A sudden, severe sore throat.
  • Pain when you swallow.
  • Fever over 101F.
  • 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.

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.

directly from web MD

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13y ago
  • red and white patches in the throat
  • difficulty swallowing
  • tender or swollen glands (lymph nodes) in the neck
  • red and enlarged tonsils
  • headache
  • lower stomach pain
  • fever
  • general discomfort, uneasiness, or ill feeling
  • loss of appetite and nausea
  • rash
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12y ago

The acute symptoms include a sore throat, fever, body aches, white patches on the throat, swollen "glands" in the front of the neck, little red dots (petechiae) on the roof of the mouth.

A runny nose, cough, sinus pressure, and chest congestion are almost never seen with a strep throat and make the cause highly likely to be a virus (for which antibiotics will likely only make you sicker).

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9y ago

A few of the most common symptoms of strep throat are a severe sore throat, fever over 101 degrees, and swollen lymph nodes in the neck and throat. http://www.webmd.com/oral-health/tc/strep-throat-symptoms

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12y ago

Symptoms of strep throat include a fever, a sore throat, enlarged lymph nodes and a change in eating habits. On examination you might also find the throat to be red, enflamed and there may be white dots of pus on the tonsils.

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14y ago

Fever, white spots on the back of the throat, sore throat..Diagnosis is a must to say for sure.

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9y ago

There is pain the throat. That means you have sore throat. There is body ache and fever.

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13y ago

sore and swollen throat and white spots in your throat

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Q: What are the signs of strep throat?
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