Throat flux is an infection of the tonsils that can be due to viruses or bacteria. The most common bacterium is streptococcus group A. It causes sore throat when you swallow and you may have a fever if you have throat flux. The infection can go away by itself, but sometimes you need treatment.

Symptoms of throat flux

Common symptoms of throat flu due to bacteria:

  • You have a sore throat when you swallow.
  • You have a fever.
  • The lymph nodes in the throat can swell, usually those at the jaw angles. Then you can feel them as sore balls under the skin.

Young children may have difficulty saying where it hurts. They often show that they are in pain because they do not want to eat or drink. Children can complain of headaches, pain in the ears and stomach ache.

Common symptoms of throat infection due to virus

You may have a sore throat without it due to bacteria. Then it is common to have other symptoms of throat flux at the same time such as sniffing, coughing and hoarseness. This is often due to a cold caused by viruses.

When should I seek care?

Most people with a sore throat do not need to seek care, but the problems usually go away by themselves.

If  you have one or more of the following problems, contact a  health care center  or an  on-call clinic :

  • You have a sore throat and fever for two days, but no cold symptoms such as sniffing, coughing or nasal congestion.
  • You have a sore throat and at the same time, you are swollen on the neck.
  • You have a sore throat, fever and small bumpy rashes.
  • You have a sore throat for a couple of weeks and have no other symptoms.   

If closed, you can wait until the on-call reception or medical center open.

If  you have one or more of the following problems, please contact a health care center  or an  on-call reception immediately  :

  • You have a lot of pain on one side of your neck and you have a hard time losing weight.
  • You have a decreased immune system due to another illness or drug treatment.

What can I do for myself?

The appetite may decrease when you have a sore throat, but it is good to try drinking, even if you have difficulty swallowing. Cold and hot beverages can have a sedative effect on the throat. It may also feel good to eat something cold like yogurt or ice cream.

Sometimes it feels better to have something to suck on and then you can try throat tablets that are available in pharmacies and in some grocery stores. They do not reduce the swelling of the throat itself, but it can feel soothing. The best thing for your teeth is to choose sugar-free tablets.

Prescription-free painkillers

There are several different non-prescription medicines for pain. Examples are drugs containing paracetamol and drugs belonging to the NSAID group, or cox inhibitors.

Here you can read about which prescription drugs are available and which may be suitable for you. 

There are also several different medicines in the form of lozenges and oral spray that relieve sore throat in different ways. Some of these drugs can be used by both children and adults, but not all. You can ask a pharmacy what medicines are available and how they work.

Investigation

At the health center, you are told about your symptoms of throat flux, and then the doctor examines you.

During the examination, the doctor looks into the mouth and throat with the help of a lamp. They also use a flat wooden stick to hold the tongue down. It makes them see the throat better. The doctor can then see if the tonsils are red, which is common in throat flux. They can also see if you have war plugs in your pockets.

During the examination, the doctor can also see if you have a scalp. Then, the gum arch on the side that you have the scrotum on the bulge out.

The survey may feel a bit unpleasant but only takes a few seconds.

The doctor also usually examines the neck on the outside. The doctor feels on his neck and around his jaws with his hands to find out if the lymph nodes are enlarged and tender.

Sometimes a quick test or bacterial culture is done

Sometimes the doctor takes a sample from the tonsils using a cotton-covered stick. The test shows if the throat flux is due to bacteria called streptococci. This test is called a fast test.

You may not submit a test for a quick test if any of the following is true:

  • The doctor finds that the throat infection is mild and that antibiotics will not help.
  • You have recently had an infection with streptococci. This is because there may be dead bacteria left that causes the test to fail.

The doctor may also take a sample from the tonsils to make a bacterial culture. It is done in the same way as the quick test, with a cotton-covered stick. This test is sometimes taken if you have regurgitation within a few weeks. It can also be taken if the quick test was negative but the doctor still suspects that you have an infection with bacteria. You will receive the test response after a few days.  

Treatment of throat flux

You can be treated with antibiotics if the infection is due to bacteria while you have major problems.

You are usually allowed to take antibiotics for ten days. You stop infecting after about two days. It can, therefore, be good to stay at home for at least two days. Then you can go back to school, or work when you can.

Side effects of the antibiotic

You can get side effects of antibiotics. For example, you may have diarrhea due to the gut bacteria being affected, or feeling nauseous and having to vomit.

You can also get the rash of antibiotics. Contact your health care provider if you experience rash when taking antibiotics.

You can get throat flux again

It is quite common to get throat flux again within a month. This may be because you have been re-infected or the bacteria remain inside the tonsils.

You will often receive another type of antibiotic if you have regained throat flux within a month. 

Tips for not getting infected again

You who have been given antibiotics for throat flux should replace or boil your toothbrush three to four days after you start the cure. This is because the bacteria can otherwise survive in the toothbrush. Then you can get sick again when the antibiotic course is over.

It is also good if you can wash pacifiers and toys that the child puts in his mouth if they have been given antibiotic treatment for throat flux.

Operate the tonsils

You can have the tonsils removed if you get throat flux often. For this to happen, you must have had three to five relapses in one or two years. You should also not have been helped by antibiotic treatment with the antibiotic types clindamycin or cefadroxil.

Several in the household may need to be examined and treated

Sore throat infect easily and it is easy for several people living together to become ill. It may be good for the doctor to examine everyone who lives together if there are several who have frequent infections with streptococci. This also applies to those who are healthy because they can carry the disease and infect others without being sick themselves. Then maybe needed so that you do not continue to infect each other. 

How to contract throat flux?

You can become infected with throat flux through direct contact, for example when you take someone in hand and then take yourself in the face, or if you kiss someone. It often takes two to four days from the time you become infected until you start getting symptoms.

How can I protect myself?

You can protect yourself by washing your hands frequently and avoiding taking sick people in hand. For young children, it is good to be outdoors to avoid getting infected.

It is good if you have each towel if you are several living together and one has throat flux.

What is throat flux?

Throat can be caused by bacteria or viruses. The most common type of bacteria that causes throat flux is Group A streptococcus. There are other bacteria that can cause throat flux but it is uncommon.

You can have streptococcal bacteria in the throat without having any symptoms. It is common in children attending preschool. You usually do not become infected and do not need to be treated if you are well.

The tonsils sit on either side of the throat, at the back of the mouth. They are part of the body’s immune system that protects against infections. The tonsils consist of lymphatic tissue.

The tonsils can get bigger if you get an infection or if you have multiple infections.

There are folds and pockets on the tonsils. There, mucosal cells accumulate. They may appear as white plugs, but usually do not cause any symptoms and need not be treated.

Complications and sequelae

Consequential diseases after a throat flux are uncommon. A sequela that you can get is throat scars. Then it has been formed where behind the tonsil and the swelling can spread down the throat. Usually, neck scars develop only on one side of the throat.

Common symptoms of throat scars:

  • You get a fever again.
  • You feel tired and lethargic.
  • You have a hard time gapping.
  • You have a harder time swallowing and breathing.

A neck collar is usually treated by an ear-nose-throat doctor. You sit up during treatment and receive first anesthetic spray and then a syringe with anesthetic in your mouth. The doctor then opens the buttocks so the item can run out. Usually, the doctor uses a special instrument that makes it easier to get the product out. The treatment of throat flux takes a few minutes and you are then given antibiotic tablets to take home.

It usually hurts after the treatment, but not as bad as it did before the bulb opening. It usually hurts less after a few days if it heals properly. You will have time for re-visits in connection with the opening of the bow. This is because the bulge can be filled with more after a while.

Children who have neck scars or adults who have had two neck scars may need to have the tonsils removed.

Other side effects that can occur after a throat flush are ear inflammation and rheumatic fever, but it is unusual. A very rare sequela is renal inflammation.

Influence and participate in your care

You can seek care at any medical center or open specialist clinic you want throughout the country. Sometimes a referral  to the open specialized care is required.

You should understand the information

In order for you to be involved in your care and treatment, it is important that you understand the information you receive from the healthcare personnel. Ask questions if you don’t understand. For example, you should get information about treatment options and how long you may have to wait for care and treatment.

Children should also be involved in their care. The older the child, the more important it is.

Ehtisham Nadeem

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