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Suggest Treatment For Streptococcal Pharyngitis

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Posted on Mon, 4 May 2015
Question: One week ago I was seen by a doctor who prescribed Benzonatate, Cefuroxime Axetil, Fluticasone Propionate Nasal Spray, Claritin (over the counter) and cheratussin AC Syrup. I had symptoms of diarrhea, coughing, and sore throat. He indicated I most likely had allergies along with a viral infection. Since that time my diarrhea has subsided and the coughing has decreased. However, my throat is painful and hard to swallow. I continue to get a tickling in my throat that causes me to cough and severed dryness occurring throughout the night. I am feeling terrible with this ongoing problem. My cheratussin AC syrup is depleted and I don't know what else to do. Please advise.
doctor
Answered by Dr. Sandip Kabra (34 minutes later)
Brief Answer:
You require cough suppressants rather than expectorants.

Detailed Answer:
Hi,

Welcome to health care magic,

Majority of cases throat pain are due to viral infection(EB virus,adenovirus) but in some cases it might be related to bacterial infection (streptococcal pharyngitis).

We differentiate the cause through routine blood counts with throat examination, pharyngoscopy to rule out non infective causes.

Therefore it is advisable to see the doctor,Preferably ENT specialist for complete medical history including history of sensitivity to antibiotics and thoroughly clinical examination.

The medicines you had taken are good like Cefuroxime Axetil is a very good broad spectrum bactericidal drug but it is not the first choice for upper respiratory tract infections rather we have drugs like levofloxacin or ofloxacin (quinolones group) or azithromycin (macrolides group) which are the first choice and much better than any other antibiotics as far as the respiratory tract infection are concern.

You might require antibiotics as i mentioned above (to prevent super infection if cause is viral) with analgesics, antiinflammatories,antihistamine and mast cell stabilizer combination (montelukast with levocetrizine) and steam inhalation 2 to 3 times a day.

Here,you should not take cheratussin Ac syrup as it contains Guaiphenesin which is an expectorant and helps to loosen congestion in your chest and throat, making it easier to cough out through your mouth.You do not seem to be congestive symptoms here as per your description,rather you have dry,irritating cough and sore throat.

Means you actually require cough suppressants like antihistamine rather than cough expectorants.

You can also have warm salt water gargles which helps to get relief from throat soreness and irritation.

I hope it will clear to you now that what exact treatment is to be taken in your case.

Consult ENT specialist for further advise.

Thanks and Regards,

Dr.SandipKabra
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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Suggest Treatment For Streptococcal Pharyngitis

Brief Answer: You require cough suppressants rather than expectorants. Detailed Answer: Hi, Welcome to health care magic, Majority of cases throat pain are due to viral infection(EB virus,adenovirus) but in some cases it might be related to bacterial infection (streptococcal pharyngitis). We differentiate the cause through routine blood counts with throat examination, pharyngoscopy to rule out non infective causes. Therefore it is advisable to see the doctor,Preferably ENT specialist for complete medical history including history of sensitivity to antibiotics and thoroughly clinical examination. The medicines you had taken are good like Cefuroxime Axetil is a very good broad spectrum bactericidal drug but it is not the first choice for upper respiratory tract infections rather we have drugs like levofloxacin or ofloxacin (quinolones group) or azithromycin (macrolides group) which are the first choice and much better than any other antibiotics as far as the respiratory tract infection are concern. You might require antibiotics as i mentioned above (to prevent super infection if cause is viral) with analgesics, antiinflammatories,antihistamine and mast cell stabilizer combination (montelukast with levocetrizine) and steam inhalation 2 to 3 times a day. Here,you should not take cheratussin Ac syrup as it contains Guaiphenesin which is an expectorant and helps to loosen congestion in your chest and throat, making it easier to cough out through your mouth.You do not seem to be congestive symptoms here as per your description,rather you have dry,irritating cough and sore throat. Means you actually require cough suppressants like antihistamine rather than cough expectorants. You can also have warm salt water gargles which helps to get relief from throat soreness and irritation. I hope it will clear to you now that what exact treatment is to be taken in your case. Consult ENT specialist for further advise. Thanks and Regards, Dr.SandipKabra