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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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11y ago

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