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Pharyngitis ("Strep Throat")
  Pharyngitis (Sore Throat)
 Signs, symptoms, indicators
 Conditions that suggest it
 Contributing risk factors
 It can lead to...
 It could instead be...
 Treatment recommendations
 Prevention
 


Pharyngitis may be caused caused by a viral infection (90% of cases) or by a bacterium (10%). If caused by the group A streptococcus, it is called "strep throat". The chronic form can be caused by a continuing infection of the sinuses, lungs or mouth, or by constant irritation from smoking, breathing heavily polluted air, food allergies or consuming too much alcohol, or by swallowing substances that scald, corrode or scratch the throat. Pharyngitis is a common illness. Risk Factors


Epidemiological surveys demonstrate a correlation between vitamin C deficiency and the development of post-streptococcal consequences. Rheumatic fever is virtually nonexistent in the tropics where vitamin C intake is higher; 18% of children in high risk groups have subnormal serum vitamin C levels.

Treatment & Prevention
Even strep throat is usually a self-limiting disease. Controlled trials show that clinical recovery is similar in cases with and without the use of antibiotics.

The "streptophobia" associated with the risk of rheumatic fever and post-streptococcal glomerulonephritis is probably unwarranted today, although proper care is still important.





Signs, symptoms & indicators of Pharyngitis ("Strep Throat"):
Symptoms - Head - Mouth/Oral  (Frequent) sore throat

Symptoms - Respiratory

  Regular/occasional/frequent sore throats (confirmed)

Conditions that suggest Pharyngitis ("Strep Throat"):
Organ Health  Rheumatic Heart Disease
 Rheumatic heart disease is a complication of rheumatic fever, which in turn results from an untreated strep throat. Rheumatic fever can damage the heart valves, causing them to fail to close properly or not open enough.

Risk factors for Pharyngitis ("Strep Throat"):
Allergy  Allergy to Foods (Hidden)
 The ear, nose, and throat are common target organs for food allergens. Congestion or inflammation of the nose (rhinitis), sinuses (sinusitis), and throat (pharyngitis) may be due to airborne irritants and allergens, but food allergy may be the undiagnosed cause of these common problems.

Environment / Toxicity

  Mercury Toxicity (Amalgam Illness)

Pharyngitis ("Strep Throat") can lead to:
Organ Health  Rheumatic Heart Disease
 Rheumatic heart disease is a complication of rheumatic fever, which in turn results from an untreated strep throat. Rheumatic fever can damage the heart valves, causing them to fail to close properly or not open enough.

Pharyngitis ("Strep Throat") could instead be:
Infections  Infectious Mononucleosis - Mono
 If your throat is sore, having a throat culture is usually a good idea for several reasons. First, the symptoms of mono and strep infection (including that caused by Strep-A, a particularly serious form of strep) are very similar. Second, strep throat or other throat infections can develop at any time during or shortly after infectious mononucleosis infection. In any case, it is important that throat infections be diagnosed as soon as possible and treated with antibiotics that can kill the organism responsible for the infection.

Recommendations and treatments for Pharyngitis ("Strep Throat"):
Animal-based  Propolis
 Propolis has proven effective in helping to deal with a wide variety of infections including sore throat. [Doroshenko, P. N. (1978, 1981, 1990) (U.S.S.R.)]

Botanical

  Goldenseal
 The berberine alkaloid found in goldenseal stops the growth of streptococcus, the organism most often associated with bacterial pharyngitis. It also promotes easier removal of the bacteria by inhibiting their ability to adhere to tissue surfaces.

  Echinacea (Coneflower)
 To promote the spread of colonies, streptococci secrete large amounts of hyaluronidase. This enzyme is inhibited by echinacea and prevents tissue invasion by the bacteria. Echinacea also promotes increased phagocytosis and natural killer cell activity. Physical contact is required, so gargling or topical application is best.

  Frankincense
 Wayne McCarthy, ND, a naturopathic physician in Waikoloa, Hawaii, believes frankincense works wonders on a sore throat. He recommends mixing 2-3 drops of frankincense tincture with saliva in the back of the throat and then swallowing. "I found it to be so effective for throats that I just never want to be without it," he says.

  Slippery Elm
 For coating and soothing irritated or inflamed mucous membranes add 1 tablespoon of dried slippery elm per cup of hot water. Alternatively, mix 1 tablespoon of liquid extract in 8 ounces of hot water and drink up to 3 cups daily. Slippery elm lozenges are also available.

Diet

  Sugars Avoidance / Reduction
 Sugars have a depressive effect on the immune system.

  Reduced Calorie Consumption
 The old adage of drinking plenty of fluids, restricting food intake and getting plenty of rest often helps the immune system overcome a sore throat.

  Spicy Foods Avoidance
 Avoid spicy foods or acidic foods such as orange juice.

Drug

  Antibiotics
 Primary care physicians should avoid or delay prescribing antibiotics to patients with sore throats. Even when beta-hemolytic streptococcus has been cultured and thus shown to be present, antibiotic use may be no more effective than placebo. [Antibiotics are Ineffective for Sore Throat Treatment, Family Practice News, May 25, 1997; p.62, British Medical Journal, 1997;314: pp.722-27]

When antibiotics are required, a once-daily regimen of amoxicillin was found to be as effective as penicillin V administered tid to children with group A beta-hemolytic streptococcal pharyngitis. This reduces cost and inconvenience.

Homeopathy

  Kalium muriaticum Cell Salt

Mineral

  Zinc
 Zinc lozenges have been found to be effective when locally applied to an inflamed throat. Lower dosages of zinc (10mg) with more frequent application are best, and may help avoid any nausea which might result from higher doses.

  Colloidal Silver

Physical Medicine

  Steam / Spray Treatments

Preventive measures against Pharyngitis ("Strep Throat"):
Physical Medicine  Hydrotherapy
 Gargling with very warm salt water hourly can ease the pain and reduce the duration of a sore throat. Sometimes it works so well that people forget to continue gargling after the first couple of times and the sore throat returns. Use at least 1/2 teaspoon salt per cup of water. The water should be no hotter than your immersed finger is able to tolerate.


KEY
Weak or unproven link
Strong or generally accepted link
Proven definite or direct link
May do some good
Likely to help
Highly recommended


GLOSSARY

Allergen (Allergens)
A substance that is capable of producing an allergic response in the body.

Allergy (Allergies)
Hypersensitivity caused by exposure to a particular antigen (allergen), resulting in an increased reactivity to that antigen on subsequent exposure, sometimes with harmful immunologic consequences.

Bacteria (Bacterial, Bacterium)
Microscopic germs. Some bacteria are "harmful" and can cause disease, while other "friendly" bacteria protect the body from harmful invading organisms.

Chronic (Chronicity)
Usually referring to chronic illness: Illness extending over a long period of time.

Cup (Cups)
A unit of volume measurement equal to 8 fluid oz, or roughly 250ml. It also equals 1/2 pint, 1/4 quart and 1/16 gallon.

Enzymes (Enzyme)
Specific protein catalysts produced by the cells that are crucial in chemical reactions and in building up or synthesizing most compounds in the body. Each enzyme performs a specific function without itself being consumed. For example, the digestive enzyme amylase acts on carbohydrates in foods to break them down.

Glomerulonephritis
Inflammation of glomerulus. The glomerulus is part of a nephron, which in turn is the basic functional (working) unit of a kidney. Millions of nephrons acting together filter the blood to produce urine.

Immune System (Immune Response, Immunity)
A complex that protects the body from disease organisms and other foreign bodies. The system includes the humoral immune response and the cell-mediated response. The immune system also protects the body from invasion by making local barriers and inflammation. The process may involve acquired immunity (the ability to learn and remember a specific infectious agent), or innate immunity (the genetically programmed system of responses that attack, digest, remove, and initiate inflammation and tissue healing).

Lung (Lungs, Pulmonary)
Organ of the body, located in the chest cavity which is designed to bring oxygen from the air into the blood stream, while also expelling carbon dioxide and other waste gases out of the body. Pulmonary: Related to the lungs.

Milligram (mg, Milligrams)
0.001 or a thousandth of a gram.

Mononucleosis
Infectious Mononucleosis: An acute, infectious disease caused by the herpes virus or Epstein-Barr virus, with fever and inflamed swelling of the lymph nodes around the neck, under the arms, and in the groin. The general symptoms are fever,
sore throat, exhaustion, and abnormal white blood cells.

Mucous Membranes (Mucosa, Mucous Membrane, Mucus Membranes)
The membranes, such as the mouth, nose, anus, and vagina, that line the cavities and canals of the body which communicate with the air.

Naturopathy (Naturopath, Naturopathic, Naturopaths)
Medical practice using herbs and other various methods to produce a healthy body state by stimulating innate defenses without the use of drugs.

Nausea
Symptoms resulting from an inclination to vomit.

Ounce (Ounces, oz)
Approximately 28 grams.

Phagocytosis
Process of ingestion and digestion by cells of solid substances such as other cells, bacteria, dead tissue, and foreign particles.

Pharyngitis
Inflammation of the pharynx, either from irritation or infection. A sore throat.

Placebo (Placebos)
A pharmacologically inactive substance. Often used to compare clinical responses against the effects of pharmacologically active substances in experiments.

Propolis
A resinous, waxy material collected by bees from the buds of trees.

Rhinitis
Inflammation of the sinus membranes and nasal mucous membrane, sometimes extending to the eyes and ears. It may be caused by a head cold, hay fever, or a chemical irritant.

Saliva (Salivary)
The watery mixture of secretions from the salivary and oral mucous glands that lubricates chewed food and moistens the oral walls.

Serum
The cell-free fluid of the bloodstream. It appears in a test tube after the blood clots and is often used in expressions relating to the levels of certain compounds in the blood stream.

Sinuses (Sinus)
Four pairs of air pockets lined with membranes in the bones around the nose. The ethmoid sinuses are located on each side of the nose between the eyes; the maxillary sinuses are located in the cheek above the teeth and below the eyes; the sphenoid sinuses are located deeply behind the eyes; the frontal sinuses are located in the forehead.

Sinusitis
Inflammation of the sinuses, with causes ranging from dust to hay fever. Obstinate cases can be caused by chronic sinus infections or the continued exposure to allergens from food, pets or environmental irritants.

Streptococcus (Strep)
A genus of gram-staining chain-forming cocci bacteria. Some are responsible for common and potentially serious human infections, ranging from scarlet fever and strep throat to bacterial endocarditis and pus pockets. Most of the disease-potential streps are also a normal part of the skin, mouth and upper respiratory flora.

Tablespoon (Tablespoons, tbsp)
Equivalent to 15cc (15ml).

Teaspoon (Teaspoons, tsp)
Equivalent to 5cc (5ml).

TID
Three times a day.

Tincture
An alcohol or water-alcohol solution, usually referring to a preparation from herbal materials.

Topical
Most commonly 'topical application': Administration to the skin.

Tropics (Tropical)
The region of the earth's surface lying between 23°27 North of the equator and 23°27 South of the equator.

Vitamin C (Ascorbic Acid)
A water-soluble antioxidant vitamin essential to the body's health. When bound to other nutrients, for example calcium, it would be referred to as "calcium ascorbate". As an antioxidant, it inhibits the formation of nitrosamines (a suspected carcinogen). Vitamin C is important for maintenance of bones, teeth, collagen and blood vessels (capillaries), enhances iron absorption and red blood cell formation, helps in the utilization of carbohydrates and synthesis of fats and proteins, aids in fighting bacterial infections, and interacts with other nutrients. It is present in citrus fruits, tomatoes, berries, potatoes and fresh, green leafy vegetables.

Zinc
An essential trace mineral. The functions of zinc are enzymatic. There are over 70 metalloenzymes known to require zinc for their functions. The main biochemicals in which zinc has been found to be necessary include: enzymes and enzymatic function, protein synthesis and carbohydrate metabolism. Zinc is a constituent of insulin and male reproductive fluid. Zinc is necessary for the proper metabolism of alcohol, to get rid of the lactic acid that builds up in working muscles and to transfer it to the lungs. Zinc is involved in the health of the immune system, assists vitamin A utilization and is involved in the formation of bone and teeth.




Last updated: Jul 19, 2008


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