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My son has had strep throap off and on for over


Sent to Health Experts June 27, 2006 2:24 p.m.

My son has had strep throap off and on for over two years and it never really goes away. How bad is this for him.? He never show any syemtems only the rash when it's really bad. please help me. This can not be good for him?

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Male , Age: 12

Already Tried:
antibiotic like amox/k clav 400mg
Customer (name blocked for privacy)
Status: Closed   Value: $9   
Info Request
June 27, 2006 2:36 p.m. (11 minutes and 48 seconds later)
REPLIED to Info Request Check Mark

Can I ask what investigations etc he has had?

Is the throat swabbed each time and presence of strep confirmed?

How is his general health? Does he take any medication for other problems?

How long does he take the antibiotics for in each course?

Does the rash appear before or after he starts the amoxicillin?

Thanks



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Reply to Pauline
Sent June 27, 2006 2:48 p.m. (12 minutes and 15 seconds later)

1. none
2.throat swabbed every time.
3.general health good, not growing with age grop those and takes no medication.
4. take his antibiotics intill it gone
5. rask appear first that how i know he has it.
I tell the doctors he has it because of the way he acts, they don't beleave me intill they do the test.

Edited by Customer (name blocked for privacy) on June 27 2006 at 2:54pm
Customer (name blocked for privacy)
Answer
June 27, 2006 3:09 p.m. (20 minutes and 48 seconds later)
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There are some importnat things to consider about a child who gets recurrent strep throats. Over 5 or 6 infections in a couple of years, often leads to removal of the tonsils. Has this been discussed as an option?

To investigate the reason why so many infections, I would request a full blood and differential white cell count be done to check that his immune system is functioning within normal ranges.

The throat swab should be cultured to check that the bacteria is fully sensitive to the antibiotic. Once the antibiotic is started a typical length of treatment in a recurrent patient should be ten days to ensure that no residual bacteria are left in place.

Sometimes the reason for recurrent episodes is due to repeated reinfection from the environment especially crowded schools, large family settings etc although it is difficult to know how to remove this as a problem without making drastic changes to lifestyle.

It may be useful to reswab after completion of the antibiotic course to ensure bacteria has been eradicated however a blood test for strep antibiotic both during and after an episode could indicate whether he is a strep carrier, and the reason for recurrent infections is that the bacteria take over when his immune system is low.

Taking recurrent antibiotics can reduce his normal 'friendly' bacteria and make it easier for repeated infections to take over. It is really important to ensure that he eats plenty of fruit and vegetables in order to maintain a healthy immune system.

Does this answer your question?



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If this answered your question please click ACCEPT, use reply if there is something else you need to know regarding your question.Positive feedback or bonus is very much appreciated.
PicturePauline  -- Pharmacist -- 99% Positive Feedback on 2953 Health Accepts
MRPharmS. Worked as Community pharmacist for 14 years. Undertaking a second degree in medicine.
5/7/2008 to 5/14/2008
Reply to Pauline
Sent June 28, 2006 9:48 a.m. (18 hours and 39 minutes later)

but i hard its bad for a child to get strep often
that it can hurt him health wise.how bad is it. that one of the things i asked, how bad is this for him ? They say his tonsils are not that bad, becase he gets the rash. I need someone to tell me what are the bad things to having strep so often. he's my son I want to know. And i get the run around up here please tell me. How bad is it for a child to get strep so often? And were talking it never goes away. he's had it for 2month now.
Customer (name blocked for privacy)

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