OpenHealth Q&A

Get answered by medical professionals

Recurring Strep Infections: Seeking Guidance

6/23/2025, 3:30:36 PMMale25-34

I’m a 24-year-old female, standing at 5’5” and weighing 130 pounds, in decent health and not currently on any medication. I do smoke occasionally. For as long as I can remember, I have been plagued by recurring strep throat infections, typically surfacing every three months. Despite this persistent issue, healthcare providers have never recommended a tonsillectomy since I supposedly do not meet the criteria. I’m reaching a breaking point. The constant cycle of antibiotics is exhausting and my infections keep returning. I worry that I might be developing a resistance to these medications, though I’m uncertain. I genuinely need assistance; this situation is incredibly draining and significantly diminishes my quality of life. I’ve also been informed that strep B doesn’t require treatment and that it will resolve itself over time. Is this accurate? If that's the case, why do I continue to experience recurrent infections?

DiabetesInternal MedicineEndocrinology

Answers (1)

Cony

6/23/2025, 3:30:58 PM

OpenHealth AI

Main Points: Recurring strep throat can be frustrating, and while tonsillectomy is one option, there are other approaches to address your recurrent infections. Understanding risk factors and lifestyle changes may help reduce the frequency of infections.

Explanation: Strep throat, caused by the bacteria Streptococcus pyogenes, can indeed lead to recurrent infections, particularly if you are exposed to the bacteria repeatedly. Factors like smoking may increase your susceptibility to infections by affecting throat tissue health. You mentioned concerns about developing antibiotic resistance, which can occur when antibiotics are used frequently. After a certain point, your healthcare provider might reconsider your situation if the patterns of infection remain unchanged.

Regarding your mention of strep B (group B streptococcus), it generally affects pregnant women and is less relevant for throat infections. The fact that you are experiencing recurrent infections indicates that there might be an ongoing exposure or another underlying factor contributing to your situation.

Next Steps:

  1. Monitor and Document Symptoms: Keep a detailed record of your infections, including their frequency, duration, and any other symptoms. Note any triggers you observe (like exposure to certain environments or individuals).

  2. Lifestyle Changes:

    • Quit Smoking: Reducing or eliminating smoking can significantly improve your throat health and immune function. Consider resources or support to help you stop smoking.
    • Hydration and Humidification: Stay hydrated and use a humidifier to keep your throat moist and reduce irritation.
  3. Strengthen Your Immune System: Focus on improving your overall health through a balanced diet rich in fruits, vegetables, and whole grains, along with regular exercise.

  4. Consider Your Environment: Review your exposure to environments that may spread germs, such as crowded places. Practicing good hygiene—like frequent handwashing—can help reduce infection risk.

  5. Discuss Alternative Treatments: Although not always recommended, some discuss the possibility of preventative antibiotics in some chronic cases with a healthcare provider. Focus on communicating your distress to ensure you are informed on all potential management options.

If changes don’t improve your situation after a few months, consider seeking a second opinion from an ENT specialist or infectious disease expert to discuss long-term management options. Remember, you are not alone in your struggle, and there are paths to improving your quality of life. Please let me know if you need more support or resources!

Related Questions

Severe Abdominal Pain After Drinking: Should I Go to the ER?

Male in his twenties, standing 5'9" and weighing approximately 120 pounds. Currently taking only a daily multivitamin; no other medications in use. Occasional smoker and infrequent user of recreational stimulants. Diagnosed with Attention Deficit Disorder (ADD). Previously, my alcohol consumption was around a liter of whiskey each day, but I maintained sobriety for over three weeks. Last night, I decided to have just "one beer"—which unexpectedly turned into much more. I didn't tally the drinks but suspect I consumed at least 15 shots of tequila along with beers and various mixed drinks throughout the evening. I returned home at about 6 am, and now, nearly midnight, I have been experiencing severe stomach pain that has become progressively worse all day. It initially started in the upper abdomen, just beneath the sternum, and then shifted to the left side. The pain is deep, sharp, and intensifies with movement; eating doesn't seem to alleviate or exacerbate it. Although I’ve managed to stay somewhat nourished and hydrated under the circumstances, lying down comfortably is difficult. My abdomen also feels very tender and sensitive to pressure. It appears hard and quite bloated. On a pain scale, I would rate it around a 7 out of 10, with sharp twists causing it to spike to a 9.5 out of 10. Could this indicate a serious issue with my organs? I need some guidance.

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
1 minute ago

Concerns Regarding Menstrual Cycle

I’m a 44-year-old woman, weighing 170 pounds. Since March, I’ve been practicing intermittent fasting as a means to shed some pounds, and I’ve successfully lost 30 pounds so far. On May 31st, I began my menstrual cycle, which lasted for 35 days. Then, on June 13th, I experienced my period again, this time concluding a shorter 13-day cycle. Both times, my flow was consistent with what I typically experience—lasting about 4 to 5 days, with heavier bleeding during the initial two days, followed by lighter flow towards the end. However, starting from June 21st, I’ve noticed some spotting that has continued over the past few days. Additionally, I've been feeling unusually fatigued for several weeks now. It's common for me to feel a bit run-down just before my period begins, but this recent fatigue seems more pronounced. I have a scheduled appointment with my OBGYN on September 8th, and I’m beginning to feel a bit anxious about my situation. My menstrual cycles had been quite regular without any form of birth control until a few years ago. While I understand that age can affect cycles and lead to irregularities, the extent of these changes seems quite concerning to me.

Crohn's DiseaseThyroid DisordersEndocrinology
Male25-34
1 minute ago

Assessing the Progress of My Infected Wound

I am a 25-year-old male weighing 130 pounds. To provide some background, I have previously dealt with problems related to an ingrown toenail. About 17 days ago, I participated in a football match. The day following that game, my toe experienced significant soreness, and bleeding only commenced a few days later. The first image I took was five days back when my doctor prescribed me antibiotics, specifically flucloxacillin, if I recall correctly. In the second image, which was taken tonight, I noticed pus for the first time oozing from the wound. While there is a slight tenderness when pressure is applied, overall, it doesn't feel too severe. However, I am somewhat anxious, as I've been experiencing pain in my right leg as well.

Crohn's DiseaseInternal Medicine
Male25-34
1 minute ago

Persistent Lower Back Pain Following Bertolotti's Resection Surgery

I’m a 35-year-old woman who received a diagnosis of Bertolotti's syndrome type 1B last November. In January of this year, I chose to undergo a minimally invasive resection surgery performed by a neurosurgeon renowned for his expertise in adult spinal deformities. Despite the surgery, I continue to experience discomfort in my lower back months later. My neurosurgeon initially assured me that I would return to my normal state within two weeks post-surgery, but that hasn’t been the case. The sensations I have are quite unusual; I often feel an itchy, crawling sensation that extends from my mid-back down to the top of my buttocks. Since March, I have been attending physical therapy sessions twice a week to address this discomfort. A follow-up MRI was carried out, and both my neurosurgeon and a physiatrist reviewed the results, indicating that everything appears to be normal. I possess the MRI details and will share them for reference. It’s important to note that I had three prior disc herniations, which have not shown to impact my condition. Here is a summary of the MRI findings: FINDINGS: - The vertebral bodies maintain their height and alignment. - There are minimal degenerative changes noted at the L5-S1 endplate. - Multilevel disc desiccation is present while maintaining disc height; a very small endplate Schmorl's node may be found at the inferior aspect of L5. - The conus is normal and unremarkable. - No suspicious collections of epidural fluid are observed. - The report indicates status post partial resection of the transverse processes at L5 and sacral ala at S1 on both sides. Edema is noted beneath the posterior elements at L5 and S1, affecting the posterior lumbar muscles and interspinous space, and these changes are bilateral. Additionally, there is a symmetric linear T2 hyperintensity at the subcutaneous soft tissues of the lumbar area near L5, which appears new compared to my last MRI from October 27, 2024, likely indicating postoperative changes. In the axial images through the disc spaces: - At T12-L1, L1-L2, and L2-L3, no significant disc herniation, spinal canal stenosis, or foraminal narrowing is observable. - At L3-L4, a disc bulge with a central disc protrusion is present, resulting in slight indentation on the thecal sac, but without significant canal stenosis. - At L3-L4, a concentric bulge accompanied by an annular fissure is noted, along with very mild indentations on the thecal sac, but again, no major stenosis or narrowing is seen. - Mild facet arthropathy can be observed. - At L5-S1, there is a broad-based disc protrusion that leans slightly to the left, with no signs of serious canal stenosis or foraminal narrowing. No signs of abnormal widening are observed at the sacroiliac joints, which otherwise appear normal. IMPRESSION: - There is notably a partial resection of the L5 transverse process and S1 sacral ala on both sides, with related changes post-surgery. Mild edema and inflammation are fairly symmetric around the surgical area. - Mild degenerative disc disease and facet arthropathy are identified in the lumbar region, with no evidence of serious stenosis. I am seeking insights regarding the mild edema and inflammation. Specifically, I would like to determine whether these symptoms are muscle-related, subcutaneous tissue-related, or both. Any expert suggestions or advice would be greatly appreciated!

ArthritisCOPDInternal Medicine
Male25-34
10 minutes ago

Concerns About Carbon Dioxide Exposure

Yesterday at my workplace, while I was in the cellar changing a gas cylinder, I encountered a malfunction that caused a gas leak. I spent around 5 to 10 minutes managing the situation. Shortly after, I experienced a series of unsettling symptoms: my vision became hazy, I felt lightheaded and nauseous, and I had a noticeable feeling of anxiety, almost like I was on the verge of a panic attack. Alongside this, an overwhelming fatigue set in. Unfortunately, I was unable to reach the emergency room or a doctor at that moment, so I resolved to cope with the discomfort. Upon waking up this morning, I noticed a persistent heaviness in my head, along with continued lightheadedness and exhaustion. As the hours passed, a headache began to develop. Therefore, I decided to contact NHS for guidance and managed to secure an appointment. To be honest, the consultation was rather brief—lasting only about five minutes. The doctor assessed my heart rate and used a device on my finger to measure my oxygen saturation, which read at 99%. They assured me I was fine and suggested that I might be exaggerating my symptoms. Now, I find myself at home, uneasy and longing for reassurance about my condition. The appointment felt unsatisfactory, and after turning to Google for information, I discovered that the oxygen saturation measurement isn’t a definitive way to assess carbon dioxide poisoning. This uncertainty leaves me questioning my situation. I need some clarity: is it normal for symptoms to linger over 24 hours post-exposure to the gas? Does the carbon dioxide naturally dissipate from our system, or should I seek a second opinion, possibly from a more experienced healthcare professional? Your insights would be greatly appreciated. By the way, I’m a 28-year-old female with no medications or pre-existing health issues.

Multiple SclerosisInternal MedicineEndocrinology
Male25-34
21 minutes ago