Know The Difference Between Strep Throat And Oral Gonorrhea

Differences between oral gonorrhea and strep throat

Strep throat and oral gonorrhea differ in many ways, despite both potentially causing a sore throat.

1. Symptoms

Strep throat and oral gonorrhea cause largely different symptoms, so you may be able to tell which condition you have based on how you’re feeling. However, remember that both conditions can cause a sore throat, swollen lymph nodes in the neck, and fever.

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Other symptoms of strep throat include:

• Pain when swallowing

• Swollen, red tonsils (you might see white patches or pus)

• Small red spots on the roof of your mouth

If you get a cough, runny nose, conjunctivitis, or a hoarse, raspy voice, you may have viral tonsillitis, not strep throat.

On the other hand, oral gonorrhea may not cause any symptoms at all. This is why regular testing is important if you are sexually active.

In addition to a sore throat, swollen lymph nodes in the neck, and fever, oral gonorrhea may also cause trouble swallowing.

It’s important to be aware of genital gonorrhea symptoms, too, as you risk spreading the bacteria to your throat if you or a sexual partner have it. Gonorrhea symptoms may include:

• Bleeding between periods

• Abnormal vaginal discharge (it may be bloody or yellow)

• Abnormal discharge from the penis (it may be white, yellow, or green)

• Anal discharge

• Itching around the anus

• A burning sensation or pain when you urinate

• Pain when you pass a stool

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  Painful or swollen testicles

2. Causes

Strep throat and oral gonorrhea are caused by different things.

Strep throat: how you might get it

Strep throat is caused by streptococcus bacteria.

You can contract strep throat by inhaling respiratory droplets containing bacteria or touching them and transferring the bacteria to your nose or mouth. Someone with the infection can spread the bacteria by talking, sneezing, or coughing.

Streptococcus bacteria can also cause impetigo, a skin infection that causes sores. You can contract strep throat by touching a sore or coming into contact with fluid from them.

You may develop strep throat two to five days after exposure to the bacteria. People infected with streptococcus bacteria don’t necessarily show symptoms, but anyone can spread it. People with symptoms are more contagious than those who don’t.

Oral gonorrhea: how you might get it

Oral gonorrhea is contracted differently. It is caused by Neisseria gonorrhea bacteria (also called gonococcus), which is mainly found in vaginal fluid and discharge from the penis.

You can contract oral gonorrhea if you have unprotected oral sex. It is less common than genital gonorrhea.

3. Complications

The two conditions carry different health risks and the possibility of complications. With either condition, risks arise from bacteria spreading to other parts of the body.

Strep throat: possible complications

Strep throat can be treated with antibiotics, but in rare cases, it can lead to complications. These include:

• Sinus infection — symptoms include a blocked nose and green or yellow nasal mucus

• Middle ear infection — symptoms include ear ache

• Peritonsillar abscess — symptoms include pain in the throat that gets progressively worse, difficulty opening your mouth, muffled speech, high temperature, body aches, nausea, and constipation

• Poststreptococcal reactive arthritis (PSRA) — symptoms include joint swelling and pain

• Scarlet fever — symptoms include high temperature, a red, patchy rash, a swollen tongue which may be white or red and bumpy, and swollen glands in your neck

• Rheumatic fever — symptoms include fatigue, swollen, painful joints, chest pain, breathlessness, rapid heart rate, small bumps under your skin, and jerky movements in your face, feet, or hands

• Post-streptococcal glomerulonephritis (a kidney infection) — symptoms include rust-colored urine, blood in the urine, or difficulty urinating

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Seek medical advice if you develop any of the symptoms listed above.

Oral gonorrhea: possible complications

Oral gonorrhea may spread if you do not get tested and leave the condition untreated. The bacteria can remain for three to four months, and you will be at risk of spreading the bacteria to sexual partners during this time.

In rare cases, Neisseria gonorrhea (the bacteria responsible for oral gonorrhea) can enter the bloodstream and cause disseminated gonococcal infection (DGI). DGI can cause serious complications, including septic arthritis, tenosynovitis, polyarthralgia, meningitis, or endocarditis.

Seek medical advice if you develop any of the following symptoms of DGI:

• Rash (red or pink spots that may be filled with clear fluid or pus)

• Joint pain

• Swelling around the joint

• Redness around the joint

• Fever

Pelvic inflammatory disease (PID) may occur if gonorrhea spreads to the reproductive organs. This can cause infertility, ectopic pregnancy, or long-term pelvic pain.

Gonorrhea can also cause problems in pregnant women. It may cause miscarriage, premature labor and birth, conjunctivitis in the baby, and permanent blindness.

The infection can cause fertility problems in men, as well as pain in the prostate gland and testicles.

4. Treatment

Antibiotics are the primary treatment for both strep throat and oral gonorrhea. However, each condition is treated with different antibiotics.

Penicillin or amoxicillin are prescribed to treat strep throat. If you are allergic to penicillin, your doctor may prescribe a different antibiotic.

Doctors typically prescribe cephalosporins, a type of antibiotic, to treat oral gonorrhea, but antibiotic resistance is worsening. Cephalosporins are currently the last available treatment for the condition. An antibiotic called ciprofloxacin used to be prescribed, but this is now largely ineffective.

These antibiotics come in different forms, including liquid, capsules, and tablets. Many antibiotics can cause side effects such as diarrhea, nausea, vomiting, stomach cramps, and headache. Only take antibiotics under medical supervision.

If you continue to experience symptoms after taking antibiotics for either strep throat or oral gonorrhea, see your doctor.

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