Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

154 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Got strep throat, fever and joint pain. Taking althrocin and ominicortil. Suggest effective medicine

Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 15705 Questions

default
Posted on Mon, 11 Feb 2013 in Infections
Question: I am 40. I got strep throat. not treated properly. Next I got fever with severe joint pains. I got ASO positive blood report. What is my problem? I used Althrocin 500 mg (erithromycin) for 20 days twice a day and Ominicortil for 30 days twice a day and Paracetamal for fever for 30 day. I became alright and for 3 months I am alright. Now again the same infection relapsed. What happened to me. Suggest a suitable medicine.
doctor
Answered by Dr. Michelle Gibson James 48 minutes later
Hi, thanks for using healthcare magic

Strep throat infections are common. A study showed that persons who delayed the use of antibiotics by 48hrs were less likely to have a recurrent event.

Normally they are treated with antibiotics in the penicillin family, erythromycin is used for persons who are allergic to penicillin which may be the reason for use for you.

If recurrences occur, a swab should be taken to determine whether there is any issue of resistance to the typical medication.
Some persons may become carriers of the bacteria, it is found in their throat but they do not have any symptoms.

In case of recurrences, antibiotics in the cephalosporin family are used. There are alot of antibiotics in this family and your doctor will choose one that is available at the local pharmacy.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Michelle Gibson James 44 minutes later
After 3 months time I got the same type of throat infection again. I used althrocin for 10 day twice a day. I got cured of throat infection. after 3 week now I got all joint pains like before. Now I met another doctor and he prescribed penicillin injections 1 per week for 3 weeks. and after that 1 per month for continuously 5 years. I have already taken one injection today. Is this correct treatment.
What other precautions are necessary.
One more question please.
Of recently whenever I take head bath I catch a cold. and after that this above problem occurs to me.
Can this be a Rheumatic fever? Can this be true if I get this fever at this age?
What is this problem called? Is this a disease? What is its name?

Thank You in anticipation of an early reply.
doctor
Answered by Dr. Michelle Gibson James 7 hours later
HI

To diagnose rheumatic fever, certain criteria must be met.
The criteria are divided into major and minor ones and a person can either have 2 major ones or one major and 2 minor for a diagnosis to be made.
The major criteria are inflammation of several large joints, inflammation of the heart which would be detected if the doctor hears abnormal sounds, nodules over bones or tendons, a specific rash and movements called sydenham's chorea.
The minor criteria are fever, joint pain without swelling, elevated white cell count, elevation of certain markers in the blood that assess inflammation (ESR), ECg showing certain changes, previous episode of rheumatic fever.

BASED on the fact that your doctor started you on penicillin for a 5 yr period, it indicates that he or she does believe that you had an episode of rheumatic fever. In patients who have a history of rheumatic fever without inflammation of the heart, the penicillin is given for 5 yrs.
The use of the penicillin is to reduce the chances of further episodes and hence the chances of any problems with the heart.

In terms of the head bath, the use of cold water can result in drainage of the sinuses and cause symptoms such as sore throat due to the sinus problems that result from the cold exposure.
It would cause the strep throat because this requires transmission of the bacteria from one person to the next

Feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  
Drug/Medication

Recent questions on  Joint pains

doctor1 MD

sir, the son of my friend was feeling backpain,and knee joint pain and also abdominal pain for last six months.now after making usg the local doctor could not find his left kidney,he was moved to a hospital. there . after scanning the doctor says that his left kidney has dried and non functioning.but no report yet to receive.now the patient feeling pain as earlier with fever.the doctor suspect there may be a stone in dried kidney and it is to be examined. please advise me what to do now because my friend is very much worried thinking the future of his son

doctor1 MD

sir i m rohit i m suffering from neurocystciercosis my seizure size is 2.2mm my age is 20 and my weight is 40kg doctor suggest me eption but i am not getting rsults i am taking medicine from lst 3 month and i m facing fits vomitting joint pain and weakness please help e

doctor1 MD

I am 67 and I am an RN. I have a very health diet, but am experiencing some sciatica and joint pain. Do you believe an anti-inflammatory diet works. I also have developed some osteoporosis. I take helath supplements but I do not feel it is helping. I am active and exercise.

doctor1 MD

Yes I have been taking Aleve for joint pain and it was very effective but recently I have been getting nose bleeds. I am thinking this has to do with the Aleve so I have stopped taking it. Does MegaRed joint care have anything in it that will also cause my nose to bleed?

doctor1 MD

I'm 27 year old female from past few days I have got joint pains . especially while climbing up and down the stairs along with the cracking sound. went to orthopedician they suggested couple of tests related to auto immune arthiritis, results are...

doctor1 MD

The joints in my hands have become very painful. Only my left thumb swells (I'm right handed) and does not have full movement. this has been going on for abt 3 weeks. Now the joints in my toes and feet are starting to get the same type of pain.

doctor1 MD

7 y/o female. Sick for 14 days now. (started with fever/ vomiting ), has included stiff neck/ headaches from time to time. Fevers come back at night. Vomiting has stopped 9 days ago. Still getting fevers (especially if more physical exercise)....