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Strep Throat

Most cases of sore throat are caused by viral infections, and disappear in a few days. However, some are caused by infection with Streptococcus (strep) bacteria, which can take weeks to go away. Strep throat causes pain on swallowing, redness of the throat, swollen tonsils, and tender lymph nodes in the neck. Strep throat cannot be distinguished from viral sore throat just by looking at the throat and tonsils. Fortunately, physicians now have swabs that can immediately test for the presence of strep.

Strep throat can lead to rheumatic fever, which causes arthritis, fever, and heart inflammation. Therefore, unlike viral infections, strep infections are treated with antibiotics to prevent damage to other organs. Unfortunately, these medications are not always effective.

Strep throat treated with herbal therapies should improve within three days and go away within three weeks. If it does not, it is possible that a more serious secondary infection is present. In that case, see a health-care professional.

Unless otherwise specified, the herb dosages recommended here are for adults. Children under age six should be given one-quarter of the adult dosage. Children between the ages of six and twelve should be given one-half of the adult dosage. Formula dosages for children should be discussed with a knowledgeable health-care practitioner.

Supplements and herbs

  • Barberry or coptis or goldenseal or Oregon grape root tincture. Take 15-20 drops in 1/4 cup water 3 times daily for 10 days.
    Keeps strep from attaching to lining of the throat.
    Do not use barberry, coptis, goldenseal, or Oregon grape root if you are pregnant or have gallbladder disease Do not use these herbs daily for more than 2 weeks Do not take these herbs with supplemental vitamin B, or with protein supplements containing the amino acid histidine. Do not use goldenseal if you have cardiovascular disease or glaucoma.
  • Echinacea E. purpurea tablets. Take at least 900 mg daily.
    Keeps strep from forming colonies in which they multiply rapidly.
    Avoid Echinacea if you have an autoimmune disease, such as rheumatoid arthritis or lupus. Do not use this herb if you have a chronic infection, such as HIV or tuberculosis.
  • Garlic oil. Take 3-4 drops in 1/4 cup water once daily as gargle.
    Relieves difficulty in swallowing.
  • Ginger tea (powdered), prepared with 1/3 tsp (1 gm) tea and 1 cup water. Take 1 cup 3 times daily.
    Relieves pain.
  • Myrrh tincture. Take 10-30 drops in 1/4 cup water up to 3 times daily.
    Soothes throat ulcers. Stops excessive formation of phlegm.

Additional things you may do

  • Take 250 to 500 milligrams of vitamin C four to six times a day. Vitamin C supplementation almost eliminates the risk of rheumatic fever and strep-induced rheumatoid arthritis.
  • Always take the full course of any prescribed antibiotic. Taking only part of the prescribed medication wipes out the weakest bacteria but leaves stronger bacteria resistant to the antibiotic to multiply. When these resistant bacteria reinfect you or infect someone else, the antibiotic may not work.
  • If you take antibiotics, also take a probiotic supplement such as Lactobacillus acidophilous or Bifidobacterium bifidus while you are taking the medication and for two weeks afterward. This will maintain helpful bacteria in the digestive tract and prevent a later yeast infection. Take the probiotic supplement as far apart in time from the antibiotic as possible. Check expiration dates to make sure the supplement is fresh and the bacteria are live.
  • Change your toothbrush every two to four weeks. Toothbrushes can be a reservoir for repeated strep infection.
  • Do not give aspirin or any aspirin-containing product to a child who shows symptoms of a viral infection. Aspirin use can result in Reye's syndrome, a potentially serious complication.
  • Antibiotics usually have little effect on the bacteria in the throat itself, and do not always prevent complications. About 20 percent of the time, antibiotics fail to kill off all of the strep bacteria. When antibiotic treatments for strep throat are unsuccessful, it is usually because there is a secondary infection with Staphylococcus aureus or Bacteriodies bacteria. These bacteria shield the strep bacteria by deactivating penicillin. To help penicillin (Bicillin, Pentids, PenVee, Pfizerpen, Veetids, Wycillin) or erythromycin (Eryc, Ilotycin, PCE, Pediamicin, Pediazole) treatment work better, gargle with 10 to 15 drops of oil of cloves mixed with 1/4 cup water twice daily, and take 500 milligrams of scutellaria three times daily as long as you are taking antibiotics. Oil of cloves kills staph bacteria that may be masking strep, and scutellaria kills staph bacteria that are resistant to penicillin.
  • Chronic hay fever and food allergies keep the lining of the throat irritated and susceptible to infection.

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