Strep Throat: Symptoms, Causes & Treatment

Published Jan 03, 2025

|

Updated Jan 06, 2025

|

Est. reading time: 4 minutes

Key points

  • Strep throat is a contagious bacterial infection caused by Group A Streptococcus, affecting the throat and tonsils, and is common among children.
  • Symptoms of strep throat include severe throat pain, difficulty swallowing, fever, swollen lymph nodes, and sometimes a rash.
  • The bacteria can be transmitted through respiratory droplets, sharing food or utensils, or touching contaminated surfaces, emphasizing the importance of good hygiene.
  • Treatment usually involves antibiotics to eliminate the bacteria and reduce symptoms, along with supportive care like pain relievers, hydration, and rest.
Strep Throat: Symptoms, Causes & Treatment

What Is Strep Throat?

Strep throat is an infectious disease caused by the Group A Streptococcus bacteria, according to the American Academy of Family Physicians (AAFP) — which primarily targets the throat and tonsils. This condition is known for its sudden onset and can lead to severe throat pain, making swallowing difficult — and although strep throat is particularly common in children it can affect individuals of any age.

The AAFP explains that strep throat is contagious and can easily spread from person to person. The bacteria are typically transmitted through respiratory droplets when an infected person coughs or sneezes. Additionally, sharing food, drinks, or utensils with someone who has strep throat can also facilitate the spread of the infection. Practicing good hygiene, such as frequent handwashing and avoiding close contact with sick people can help minimize the risk of transmission.

Is Strep Throat Contagious?

Strep throat is not only a painful condition but also a highly contagious one as well. It is primarily caused by the Group A Streptococcus bacteria, which can be easily transmitted from an infected person to others, according to the CDC. They explain that the bacteria spread through respiratory droplets released when an infected individual coughs, sneezes, or talks.

Close contact with someone who has strep throat, such as hugging or sharing personal items like utensils or drinks, can also facilitate the transmission. Additionally, the bacteria can survive on surfaces for a short period, allowing for indirect transmission if someone touches a contaminated surface and then their mouth or nose. This ease of spread underscores the importance of maintaining good hygiene practices to prevent infection, especially in communal environments.

Strep Throat Symptoms

Recognizing the symptoms of strep throat is important because it can help you or your child get timely diagnosis and treatment.

Common Symptoms of Strep Throat, according to the CDC, include:

  • Throat pain that can be severe

  • Painful swallowing

  • Red and swollen tonsils, sometimes with white patches or streaks of pus

  • Fever, often above 101°F (38.3°C)

  • Headache

  • Body aches or general discomfort

  • Rash, which may appear in some cases

  • Nausea or vomiting, particularly in younger children

  • Swollen lymph nodes in the neck

  • Loss of appetite

Strep Throat Prevention Tips

Preventing strep throat is the most effective way to reduce the risk of infection, especially in environments where the bacteria can easily spread such as schools, daycares, nursing homes, or hospitals. Some practical tips from the CDC to help minimize their chances of contracting strep throat include:

  • Wash your hands frequently with soap and water, especially after coughing, sneezing, or being in public places.

  • Use an alcohol-based hand sanitizer when soap and water are not available.

  • Cough and sneeze into a tissue or your elbow to prevent the spread of respiratory droplets.

  • Avoid sharing cups, utensils, or personal items with others to reduce the risk of transmission.

  • Stay away from individuals who are exhibiting symptoms of strep throat to minimize exposure.

Strep Throat Treatment

Doctors typically begin the treatment process by conducting a thorough examination and may perform a rapid strep test or throat culture to confirm the presence of Group A Streptococcus bacteria, according to the CDC. If the test is positive, they will often prescribe antibiotics — which are effective in eliminating the bacteria and reducing the duration of symptoms. Common antibiotics for strep throat include penicillin and amoxicillin, which not only help to clear the infection but also lower the risk of complications, such as rheumatic fever or kidney inflammation according to the CDC.

In addition to antibiotics, the CDC notes that doctors may recommend supportive care to relieve symptoms. This can include over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help reduce fever and throat pain. Staying hydrated and resting are also crucial components of recovery. The CDC stresses that following the prescribed treatment plan and completing the full course of antibiotics, even if symptoms improve, is extremely important to ensure the infection is fully eradicated and to prevent recurrence.

When to See a Doctor for Strep Throat

While some symptoms may be manageable at home, certain signs indicate the need for professional evaluation and care, according to the AAFP.

Signs You Should See a Doctor for Strep Throat Treatment

  • Swollen lymph glands in the neck that are painful or tender

  • A sore throat that lasts longer than 48 hours without improvement

  • A persistent fever, especially if it exceeds 101°F (38.3°C)

  • A sore throat accompanied by a rash, which may indicate a more serious condition

  • Difficulty breathing or swallowing, which could signal complications

  • Severe headache or stomach pain that accompanies throat symptoms

Urgent care near me

Find and book same-day appointments for top-rated urgent cares, lab tests and telemed. Download the Solv app today! Convenient care, simplified with Solv.


FAQs

What is strep throat and who can get it?

Strep throat is a bacterial infection primarily affecting the throat and tonsils, causing severe discomfort and pain. It is caused by the Group A Streptococcus bacteria and is known for its sudden onset. While it is more common in children, it can affect individuals of any age.

How is strep throat transmitted?

Strep throat is highly contagious and can easily spread from person to person. The bacteria are typically transmitted through respiratory droplets when an infected person coughs or sneezes. Sharing food, drinks, or utensils with someone who has strep throat can also facilitate the spread of the infection.

What are the symptoms of strep throat?

Symptoms of strep throat include severe throat pain, painful swallowing, red and swollen tonsils, fever often above 101°F (38.3°C), headache, body aches, rash, nausea or vomiting, swollen lymph nodes in the neck, and loss of appetite.

How can one prevent strep throat?

Preventive measures include frequent handwashing, especially after coughing or sneezing, using an alcohol-based hand sanitizer when soap and water are not available, avoiding sharing cups, utensils, or personal items with others, and staying away from individuals who are exhibiting symptoms of strep throat.

How is strep throat treated?

Doctors typically perform a rapid strep test or throat culture to confirm the presence of Group A Streptococcus bacteria. If the test is positive, they will prescribe antibiotics, which are effective in eliminating the bacteria and reducing the duration of symptoms. Over-the-counter pain relievers may also be recommended to help reduce fever and throat pain. It's crucial to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is fully eradicated and to prevent recurrence.

Dr. Justin Bowles is a Board-Certified Family Medicine physician with expertise in urgent care, wilderness medicine, and medical education. He is affiliated with MultiCare Health System in Washington.

How we reviewed this article

Medically reviewed

View this article’s sources and history, and read more about Solv’s Content Mission Statement, editorial process, and editorial team.

Sources

3 sources

Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

History

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • January 03 2025

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

3 sources

Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • January 03 2025

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

Topics in this article

IllnessPrimary CarePreventionMedication

This site uses cookies to provide you with a great user experience. By using Solv, you accept our use of cookies.