Brief Answer:
If there is no fever it is unikely to be a bacterial infection.

Detailed Answer:
Hello,

Thank you for using Healthcaremagic to post your health query.
I read your question carefully and I saw the photo.

It will need 3 of these 4 symptoms to decide the indication of an antibiotic:
- White spots on the tonsils and swelling (you have this)
- Tender and swollen lymph nodes in the neck
- Absence of a cough
- Fever (this is a must and is over 38 degrees celsius in general).

So seems like you do not fulfill those 3 criteria for now so I would say to wait.
Take Ibuprofen as needed for a sore throat.
Do gargles with salt to disinfect and clean the tonsils- sometimes food gets stacked in the holes of the tonsils and looks like white spots. It will also help with a sore throat.

If fever or any of the other symptoms start, do let me know so I can suggest what antibiotic to take and also let me know in advance which was the antibiotics that gave you those allergic reactions previously.


Hope this is helpful.
Let me know if you need more clarifications.

Regards,
Dr. Papaqako

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Brief Answer:
If not fever, then no need for antibiotics.

Detailed Answer:
Hello,

Thank you for the follow up question.

It is normal that the lymph node will be there, because it needs at least 4-6 weeks to decrease fully in size, but as soon as it is not tender, then it is not acutely enlarged.

I don't think you need antibiotics if you do not have fever.

IF fever start being high then of course you can use other antibiotics.
In case of allergy, Azythromycin is an antibiotic that is recommended. And no, you don't need to worry of being allergic from it, because the allergies are very class specific. The full treatment that is recommended is: Azythromycin 250mg, 2 tablets the first day at once, then 1 tablet for 4 other days at the same hours, 5 days total, 6 tablets in total.

Hope this clarifies and answers all your questions.

Kind Regards,
Dr. Papaqako

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Brief Answer:
There is always fever in a bacterial infection caused from strep throat

Detailed Answer:
Hello,

You are very young and have no reason to have weak immunity.
A bacterial infection surely would give fever.

So if you don't have any fever, and if by now you have developed other symptoms like runny nose and cough, then it is just a common cold.

But if you have fever or even if after 3-5 days you are not getting better, I would suggest to take an antibiotic.

Klamicid(Clarithromycin) is an antibiotic and I would not recommend it unless it is recommended (see above).

To be absolutely sure, you can consider doing a rapid strep test (strep culture) who would tell for sure if it needs or not antibiotics.

Meanwhile, try following the advises given in the first answer.

Feel free to ask as many questions as you want. I am here to help you.

Regards,

Dr. Papaqako

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Brief Answer:
Iron deficiency anemia

Detailed Answer:
Hello dear,
Thank you for the follow-up question.

I reviewed your lab results.
You clearly have Iron deficiency anemia.
This cannot be balanced by diet alone, as there is no food who has enough Iron as so replenish the empty deposits of Iron. You need to take it twice/day, before food if possible but take it with food itlf it gives you many side effects, and for at least 3 months. Check blood test again in one month after using Iron to see how is the increasing of Hemoglobin going.

I hope this is helpful.

Regards,
Dr.Papaqako

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Brief Answer:
The antibiotic should have worked if it was a bacterial infection.

Detailed Answer:
Hello,

You need to take Retafer(Ferrous sulfate) 100mg or Heferol 350mg, twice/day, before food and with one tablet of Vitamine C (depending on your location, you may need a prescription by your local physician to get Iron supplementation from the pharmacy).

You may start having black stools and metallic taste in the mouth- these are usual side effects of Iron supplementation, don't worry.

If you cannot tolerate that, then use just one tablet or Iron before food, and if that is still difficult, use it after food.

The antibiotic should start working after 24 hours. If it is not working, that means it is not a bacterial infection, so you didn't need the antibiotic in such scenario.

Regards,
Dr. Papaqako

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