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I Am A 30 Year Old School Teacher. I Was

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Posted on Fri, 5 Oct 2018
Question: I am a 30 year old school teacher. I was diagnosed with strep throat 24 hours ago. I have pustules in my throat, fever, swollen glands, and bad neck and shoulder pain. I have had 2 doses of amoxicillin and am using ibuprofen. The fever has gone down to under 100 - my last medications taken 11 hours ago. I am waiting another hour to take my third dose. As the fever is down, the throat pain, neck & shoulder pain is severe. The pustules have increased in the throat. I was treated at a Walgreens clinic. My doctors office is closed today, should I go to an ER. Thank you
doctor
Answered by Dr. Dr. Yogesh D (23 minutes later)
Brief Answer:
If the pain is severe and pustules are increasing, better to go to ER.

Detailed Answer:
Hello and welcome to Ask A Doctor service.

I have carefully studied your query and understand your problem.

Yes, you should better go to an ER and get yourself treated for the strep throat.

Pustules that are getting worse in the throat is not a good sign.

The fever seems to be slightly reduced due to the effect of ibuprofen.

Before starting you on amoxicillin, I hope your doctor at Walgreens took a throat swab for culture and sensitivity.

Resistance to amoxicillin is quite common.

In addition to taking the antibiotic, I would suggest you to do throat and mouth gargling with Chlorhexidine solution, 4 times a day.

Betadine throat paint application 3 times a day.

Salt water gargling 4 times a day.

These act locally and kill the bacteria more effectively.

If you are not allergic to Paracetamol (acetaminophen), you can take that in addition to ibuprofen for reducing the fever, usually I would prescribe 650 mg for adults.

It is best to visit ER if the symptoms are getting worse.

I hope that answers your query, feel free to write back to me if you have any doubts.

Hope to see you recovered soon.

Best regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dr. Yogesh D (7 minutes later)
Brief Answer:
You may take the third dose, yet it will be best to visit ER

Detailed Answer:
Hello,

I understood that part from the first query itself, you may take the third dose of Amoxicillin now and you can visit the ER after that.

Hope you will find this useful.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Yogesh D (9 minutes later)
I am on amoxicillin. Have had 2 doses already. Ready to take 3rd
Answered by
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Dr. Dr. Yogesh D

General & Family Physician

Practicing since :2009

Answered : 1130 Questions

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I Am A 30 Year Old School Teacher. I Was

Brief Answer: If the pain is severe and pustules are increasing, better to go to ER. Detailed Answer: Hello and welcome to Ask A Doctor service. I have carefully studied your query and understand your problem. Yes, you should better go to an ER and get yourself treated for the strep throat. Pustules that are getting worse in the throat is not a good sign. The fever seems to be slightly reduced due to the effect of ibuprofen. Before starting you on amoxicillin, I hope your doctor at Walgreens took a throat swab for culture and sensitivity. Resistance to amoxicillin is quite common. In addition to taking the antibiotic, I would suggest you to do throat and mouth gargling with Chlorhexidine solution, 4 times a day. Betadine throat paint application 3 times a day. Salt water gargling 4 times a day. These act locally and kill the bacteria more effectively. If you are not allergic to Paracetamol (acetaminophen), you can take that in addition to ibuprofen for reducing the fever, usually I would prescribe 650 mg for adults. It is best to visit ER if the symptoms are getting worse. I hope that answers your query, feel free to write back to me if you have any doubts. Hope to see you recovered soon. Best regards