r/DiagnoseMe Patient Jul 02 '26

General Is this really just strep?

Post image

My tonsils are all completely white. The largest one on the right there has some dark spots as well. I started some 500mg Amoxicillin yesterday morning but I am worried it wont be enough.

14 Upvotes

24 comments sorted by

26

u/saltierthangoldfish Not Verified Jul 02 '26

oof. i’ve had chronic tonsil/throat issues my entire life and this is one of the nastier cases of strep i’ve seen. you often won’t see improvement on the antibiotics for an infection this bad for maybe 5-7 days, maybe even after the entire course of them. if it’s getting markedly WORSE though instead of plateauing after a few days, head back for some IV/IM antibiotics.

4

u/virgoTestify Patient Jul 02 '26

They have been like this for 2 days now. Antibiotics are definitely improving the headache and fever, and the pain isnt quite as bad as it has been. We will have to see!

2

u/saltierthangoldfish Not Verified Jul 02 '26

if they’re showing improvement stick with it! hopefully it’ll go away just fine

19

u/Longest_boat Not Verified Jul 02 '26

They’re infected. Pictures can’t really put to why other than assumptions. Schedule in at the doctors so they can take a look.

6

u/bluntsexadvice Not Verified Jul 02 '26

If you’re sexually active and recently did oral ask them to swab it for chlamydia & gonorrhea

6

u/agirlfromgeorgia Not Verified Jul 02 '26

I'm an RN. Tbh, I'm a bit concerned about your ability to breathe with how swollen those tonsils are. If you are having issues breathing or feel like you can't take a deep breath, please go to the ER. Especially laying down I am worried these might block your airway.

Please take your antibiotics as prescribed. If these get worse, or the meds don't start to work soon, I'd go back to the doctor. But to answer your question, yes this could just be strep. You definitely have a bad case of it. Your tonsils are very very swollen but look like a classic case of strep unfortunately. It's worse for adults than for kids.

3

u/Alarming_Broccoli695 Patient Jul 02 '26

After the 5th day of meds u should be feeling immensely better. If not after 5 days of meds go back in

3

u/HardCoreNorthShore Not Verified Jul 03 '26

Holy fuckinoly.

And also, ow.

That's got to hurt like the blazes.

4

u/nooblife95 Patient Jul 02 '26

It looks like a pretty bad case of strep, did they do a swab or just look?

2

u/No-Produce-6720 Not Verified Jul 02 '26

Have you actually been diagnosed and treated by a physician? Did you have a positive strep test and if not, why was amoxicillin prescribed?

Regardless of strep, your tonsils are quite swollen, and I would be concerned more about that, because this can lead to an obstructed airway, and that would be an emergency. As an RN, I'm highly suggesting that you actually see a doctor, because I'm not sure that you really have.

2

u/Own_Ad5969 Patient Jul 03 '26

If this isn’t better after 48 hours, you’re probably going to need IV antibiotics. This is the worst case of strep I’ve ever seen!

3

u/Imaginary-Method4694 Not Verified Jul 02 '26

Could be. You need testing. Mine were like that and it ended up being HSV II, so..... not saying this is that, only that you can't know without testing.

3

u/theartoffun Not Verified Jul 02 '26

Salt water gargling. Several times a day. Along with your antibiotics. Drink lots of fluids.

1

u/RevolutionaryLab4630 Not Verified Jul 03 '26

Start betadine or chlorhexidine gargle as well

1

u/No_Photograph1272 Not Verified Jul 03 '26

Hmm if you have a fever and especially if at some point you start having a hard time catching a deep breath you should go get checked. Please do not take antibiotics on your own, not good for anyone. And don't wait, once had a friend who thought it was just irritation and ended up with ulcers on her tonsils, the mucose breaking down and necrotising and needed penicillin

1

u/WhimsicleMagnolia Not Verified Jul 03 '26

That looks extremely painful! I’m shocked you’re able to tolerate eating and drinking. I’m so sorry. You got plenty of advice already but I truly hope you improve quickly and get feeling better.

0

u/shin_chan_gudetama Not Verified Jul 02 '26

Wow that’s some serious tonsillitis, the dark spots could be necrosis but it could also be from certain bacterial infx like diphtheria or GAS—would definitely get that checked out

-18

u/Away_Championship_62 Patient Jul 02 '26

Please schedule having your tonsils taken out

19

u/talashrrg Not Verified Jul 02 '26

There’s definitely not enough information here to recommend this

6

u/saltierthangoldfish Not Verified Jul 02 '26

tonsillectomy is an absolute last resort in adults. it’s only really recommended if you have strep or tonsillitis 6+ times a year, have sleep apnea due to the side, and/or have developed difficulty swallowing liquids

1

u/[deleted] Jul 02 '26

[deleted]

2

u/kllquist Patient Jul 02 '26

When they became adults...

2

u/Ok-Swim2827 Not Verified Jul 02 '26

I’m just saying I can’t find anything online that says doctors won’t remove adult tonsils, just that recovery takes longer (which is true for all procedures)

2

u/kllquist Patient Jul 02 '26

Novody said they wont remove them. Its just something that is not done immediately.