For a respiratory infection that causes sore throat, fever, cough, runny nose and muscle aches, how do doctors determine whether antibiotic treatment is required?

Doctor's Answers 1

Thank you for your enquiry.

A common cold is caused by a virus and the symptoms that you've just described, "sore throat, fever, cough, runny nose and muscle ache", are very suggestive of a cold. However, in the early stages, bacterial sinusitis can also present in a similar fashion. A bacterial sinus infection (sinusitis) requires treatment with oral antibiotics while a common cold usually resolves on its on with adequate rest and hydration.

As a guide, if your cold-like or flu-like symptoms are worsening after 5 days or last longer than 10 days, antibiotics will likely be prescribed. Sometimes, if there are other symptoms suggesting a complicated sinusitis e.g. associated neurological symptoms (e.g. headaches, giddiness etc) or eye symptoms (eye redness, swelling or visual deficits), antibiotics will likely be started earlier.

If in doubt, it is best to visit a General Practitioner or an ENT Specialist for an assessment.

Hope this helps and all the best!

Similar Questions

Could I have throat cancer if I have a persistent sensation in throat?

Thank you for your question. From the clinical history that you provided, I agree with the doctor whom you saw and with Dr Winston Lee that your symptoms are suggestive of acid reflux from the stomach. Specifically, since your symptoms are mostly in the throat, it is called Laryngopharyngeal Reflux (LPR). The most likely reason that you have a feeling of something stuck in the throat or a feeling of a “lump” in the throat (aka as globus sensation) is due to swelling of the voicebox (larynx).

Photo of Dr Eng Cern Gan

Answered By

Dr Eng Cern Gan

ENT Doctor

Can my 4 year old child take Ibuprofen for sore throat if he doesn’t have a fever?

Thank you for your question. Yes the ibuprofen can still be continued to help with the throat pain. Children are so lovely, when they are not sick. But when they are sick with throat pain, there just doesn't seem to be a good way to completely treat it. You could try the following which seems to help with my child. They are really distractable. Playing, singing and talking to them and holding them is pretty useful to soothe their pain. Cold stuff. Ice kacang, ice creams, ice sticks and similar things are pretty helpful.

Photo of Dr Paul Ang

Answered By

Dr Paul Ang

General Practitioner

Ask any health question for free

I’m not so sure about a procedure...

Ask Icon Ask a Question

Join Human

Sign up now for a free Human account to get answers from specialists in Singapore.

Sign Up

Get The Pill

Be healthier with our Bite-sized health news straight in your inbox