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Do I Have Strep Throat or is it Just a Cold?

patient blowing their nose after being tested for covid-19

It often starts quietly. Maybe your throat feels dry during your morning commute, or you notice a scratchy sensation while walking around Uptown Cheapskate or running errands at Costco. By the end of the day, swallowing feels uncomfortable, your voice sounds hoarse, and sleep doesn’t come as easily. In Charlotte, sore throats are one of the most common reasons people seek urgent care, especially during colder months or when seasonal illnesses move quickly through schools, offices, and households. 

What makes sore throats frustrating is figuring out what’s behind them. Is it just a lingering cold that needs time, or could it be something more serious like strep throat? When symptoms hit in the middle of a busy day, between work, family obligations, and everyday errands, knowing the difference can help you decide when home care is enough and when it’s time to stop by AFC SW Charlotte 

Sore Throat From a Cold 

Most sore throats are caused by viral infections, including the common cold. These usually develop gradually and are often paired with other cold symptoms, such as: 

  • Runny or stuffy nose 
  • Sneezing 
  • Cough 
  • Hoarseness 
  • Mild fatigue 
  • Low-grade fever 

Cold-related sore throats often improve within a few days with rest, fluids, and over-the-counter relief. Because they’re viral, antibiotics won’t speed recovery. 

Signs Your Sore Throat Could Be Strep 

Strep throat is caused by a bacterial infection and often appears suddenly with more intense symptoms. Common signs include: 

  • Severe throat pain without a cough 
  • Painful swallowing 
  • Fever 
  • Swollen lymph nodes in the neck 
  • Red or swollen tonsils, sometimes with white patches 
  • Headache or stomach pain, especially in children 

Unlike a cold, strep throat usually doesn’t come with a runny nose or cough. 

Why Testing Matters 

Because symptoms can overlap, testing is the only reliable way to confirm strep throat. A rapid strep test can often provide answers during your visit. If strep is diagnosed, antibiotics are typically prescribed to shorten symptom duration, prevent complications, and reduce the spread of infection. 

When to Visit Urgent Care 

Come by AFC SW Charlotte if you experience: 

  • A sore throat lasting more than a few days 
  • A high or persistent fever 
  • Severe throat pain or difficulty swallowing 
  • Swollen glands or visible white patches in the throat 
  • Symptoms that worsen instead of improve 

Early evaluation helps ensure the right treatment is started as soon as possible. 

What You Can Do at Home 

While keeping an eye on symptoms, supportive care can help ease discomfort: 

  • Drink plenty of fluids 
  • Use throat lozenges or warm saltwater gargles 
  • Take pain relievers or fever reducers as directed 
  • Rest your voice and your body 

If symptoms improve quickly, home care may be all that’s needed. If they linger or intensify, getting checked is a smart next step. 

How AFC Southwest Charlotte Can Help 

A sore throat doesn’t always mean strep, but ignoring persistent or worsening symptoms can delay proper care. If you’re unsure whether your sore throat is caused by a cold or something more serious, our experienced AFC providers at AFC Southwest Charlotte are here to help. With on-site testing, thorough evaluations, and personalized treatment plans, they’ll help you get answers and feel better faster, so you can return to your routine with confidence.

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