What Is Angina (Strep Throat) And How To Handle It

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What Is Angina Strep Throat And How To Handle It? In this article, you will read what is angina, types of angina, symptoms of angina, consultation in case of angina, diagnosis of angina, angina treatment, is angina contagious, and prevention of angina.

Angina is an inflammation of the throat and in particular of the tonsils. It is also known as ‘Strep Throat’. We sometimes speak of red or white angina depending on the appearance of the tonsils. At the origin of a sore throat and difficulty swallowing, angina is sometimes accompanied by fever. It has a viral (most often) or bacterial origin. Depending on the diagnosis of its origin (virus or bacteria), the required treatment will be different.

What Is Angina Strep Throat And How To Handle It

What Is Angina?

Angina (Strep Throat) is an acute inflammation of the throat and the tonsils. There are two types of inflammation:

-Tonsillitis is when inflammation predominates over the tonsils.

-Pharyngitis is when the inflammation is more extensive.

The main problem with angina is whether or not it is due to beta-hemolytic streptococcus which is responsible for subsequent cardiac ( acute rheumatic fever or AAR) and renal ( acute glomerulonephritis or GNA ) complications. In this case, antibiotic treatment is necessary.

Types Of Angina (Strep Throat):

There are mainly two types of angina

1.Viral Angina:

Today, angina is most often viral and benign. Between 50 and 90% of cases are viral. They are therefore caused by a virus. Antibiotics are not effective against this type of angina.

2.Bacterial Angina

Bacterial tonsillitis is mainly caused by a bacterium called beta-hemolytic streptococcus, group A.

Whether angina is viral or bacterial, it can be red or white depending on the symptoms.

What Is Angina (Strep Throat) And How To Handle It - chart
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Symptoms Of Angina:

In both cases, the pain in the throat is of a squeezing type; which is why its name comes from the Greek “angerer: to squeeze”. Here, I have mentioned various types of Angina and their related symptoms.

-Angina red (erythematous):

In erythematous angina, the throat is uniformly red. It is an acute inflammation of the pharynx which shows a mucosa that is redder than normal. It occurs more often in children and results in:

-Intense pain when swallowing
-Migraines
-Fever

-White Angina (erythemato-pultacea):

White angina is actually erythemato-pultaceou. This complicated word simply means that the throat is red and white. However, there are greyish-white pultaceous coating that appears on the tonsils with whitish spots. The symptoms are the same :

-Sore throat
-Fever
-Migraines
This difference is only related to the presence or not of the pultaceous coating and has no pejorative importance. The causative germs are the same.

The vast majority of angina is of viral origin. Here are some of them:

-Herpangina:

Herpangina is caused due to the Coxsackie virus. It occurs in children under 7 years of age in small summer epidemics. The onset of symptoms is often brutal, and body temperature can reach 39°C.

There are vesicles on the soft palate and pillars. When they burst, they leave small, regular, and rounded ulcerations.

-Foot-Hand-Mouth Syndrome

The Coxsackie A16 virus causes Foot-Hand-Mouth Syndrome. The small blisters in the mouth appear that quickly wilt to give way to ulceration. At the same time, there is a rash on the palms of the hands and soles of the feet.

-Adenovirus angina:

The adenovirus or APC virus angina is associated with conjunctivitis and rash.

-Angina with infectious mononucleosis:

The angina of infectious mononucleosis is often “false membranes”. The pultaceous coating which is thick and confluent can give the impression on examination of greyish and necrotic membranes. The breath is foul. The general signs are:

-Fever
-Asthenia
-Eruption
-Discreet yellow tint on the whites of the eyes
-Enlarged spleen

The blood test tells the diagnosis. Some antibiotics are contraindicated because they can lead to a troublesome rash.

What Is Angina (Strep Throat) And How To Handle It - signs

Consultation In Case Of Angina (Strep Throat):

Consultation is necessary:

-If the fever is high.
-If the start is brutal with a feeling of discomfort.
-In case of sharp pharyngeal pain.
-In case of isolated angina without nasopharyngitis, nasal obstruction, runny nose, laryngitis, or tracheitis. The doctor will suspect streptococcus and will take a throat swab.
-If the child has large glands in the neck

Diagnosis Of Angina (Strep Throat):

To know what treatment to administer to the patient, the doctor must know if the angina is bacterial or viral. In all cases, a clinical examination is carried out. To determine the origin of the infection, doctors, paediatricians and ENT specialists have free diagnostic tests called angina TROD. This is a rapid diagnostic orientation test for angina. Thus, the professional quickly know if the infection is bacterial or viral.

The TROD test is simple, painless and quick. The TROD test consists of taking a sample from the tonsils using a swab. As a reminder, a swab is a large cotton swab for medical use. The sample is placed in a tube containing a reagent. Next, a strip is immersed in the liquid in the tube.

Based on the colour of the test, the doctor knows whether the angina is bacterial or not.

Angina Treatment:

Initial Care:

The treatment differs according to the origin of angina, bacterial or viral.

Treatment consists mainly of monitoring the fever, treating it and giving plenty of fluid to drink. There are a large number of drugs which are combinations of products intended to reduce pain or eliminate bacteria through local sprays, lozenges, etc. Doing hot or cold wraps around the neck can also help.

In Case Of complications:

-If the patient is diagnosed with streptococcus, the doctor will prescribe an antibiotic based on penicillin (or erythromycin in case of allergy) for 8 to 10 days.
-In the event of frequent recurrences of bacterial febrile angina (5 to 6 per year for 2 years or 3 episodes per year for 3 years), surgical removal of the tonsils may be proposed from the age of 4 or 5 years.

Not To Do:

-Give an antibiotic without it being prescribed by the doctor.
-Interrupt antibiotic treatment before the scheduled end of the treatment.
-Do not do self-medication.

Is Angina Contagious?

Whether bacterial or viral, angina is a contagious disease. It is transmitted through infected droplets (during coughing, sneezing or sputtering) or soiled objects. It is therefore necessary to maintain a specific distance from the infected person.

Prevention Of Angina (Strep Throat):

To prevent the appearance of angina and limit the transmission of the disease, some hygiene measures are necessary:

-Wash your hands regularly with soap and water.
-Use hydro-alcoholic solutions. They are effective in eliminating many transmissible microbes.
-Use single-use paper tissues.
-If you cough or sneeze, use a tissue and throw it away immediately.
-If you don’t have a handkerchief, cover your mouth and nose with your sleeve (at the elbow crease).
-If you are contagious, avoid approaching fragile people like babies, sick or elderly people. You should wear a mask.
-Avoid direct contact during angina.
-Do not kiss your loved ones or do not shake hands.
-Do not share everyday objects and linens.
-Clean everyday objects such as children’s toys, computer keyboards, mobile, etc.
-Ventilate your home at least once a day for 20 minutes.

featured image source: patientpop.com

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