Strep throat is a common bacterial infection that primarily affects the throat and tonsils. It is caused by Group A Streptococcus bacteria. Many individuals wonder if their symptoms might intensify before they begin to subside, which is a common concern when starting treatment. Understanding the typical course of this illness can help manage expectations during recovery.
Understanding Initial Symptom Progression
After starting antibiotic treatment for strep throat, symptoms like fever or a sore throat may persist, or even feel slightly worse, for the first 24 to 48 hours. This is because antibiotics need time to effectively reduce the bacterial load. The medication targets and kills bacteria, but this process is not instantaneous. The body’s immune system also continues to respond to the infection, contributing to a general feeling of malaise.
The body needs time to clear dead bacteria and reduce inflammation, meaning immediate relief is not always experienced. While antibiotics begin their work, throat inflammation may still cause discomfort. This brief period of continued or slightly heightened symptoms is a natural part of the healing process. Patients typically feel significantly better once antibiotics have sufficiently decreased the bacterial population.
Expected Recovery Timeline
Noticeable symptom improvement usually occurs within 24 to 48 hours of starting antibiotics. Fever often subsides first, followed by a gradual decrease in throat pain and increased energy. Most symptoms largely resolve within three to seven days, though full recovery and bacterial eradication typically take about 10 days.
It is important to complete the entire course of antibiotics as prescribed, even if symptoms improve quickly. Stopping medication early can lead to infection recurrence or antibiotic resistance. Finishing the full course ensures all bacteria are eliminated, preventing complications and reducing the risk of spreading the infection.
When to Seek Further Medical Advice
While some initial symptom persistence is normal, seek medical advice if symptoms do not improve after 48 hours of antibiotic treatment. This lack of progress may suggest the antibiotics are ineffective or another issue is present.
New or worsening severe symptoms also warrant seeking medical advice. These include difficulty breathing or swallowing, a spreading rash, significant neck stiffness, or a severe headache. A returning or escalating fever after initial improvement also warrants prompt attention. These indicators can signal complications requiring immediate assessment.