Is It Strep or Just a Sore Throat?
Most sore throats are viral. A few things point toward strep, but none of them settle it on
their own.
Telling Them Apart
| Feature |
More like strep |
More like a virus |
| How it starts |
Suddenly, often with fever |
Gradually, alongside other symptoms |
| Cough |
Usually none |
Common |
| Runny nose |
Usually none |
Common |
| Tonsils |
Red and swollen, sometimes with white patches |
Red, usually without patches |
| Glands in the neck |
Swollen and tender |
Often normal |
| Who gets it |
Most common in children aged 5 to 15 |
Any age |
Do You Need Antibiotics for Strep?
Only if the strep test is positive. Strep throat is bacterial, so antibiotics work and they
matter: they shorten the illness, make you non-contagious faster, and lower the risk of the
complications strep can cause if it's left untreated.
If the test is negative, antibiotics won't help because the cause is almost certainly viral.
That's not a disappointing result; it's a useful one. You'll leave knowing what will
actually make you feel better instead of taking something that won't.
When Can You Go Back to School or Work?
Once you've been on antibiotics for a full 24 hours and your fever has gone, you're
generally no longer contagious and can go back to work or school. Finish the whole course
even after you feel better. Stopping early is the main reason strep comes back.