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Acute Sore Throat

Acute Sore Throat

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Please select an appropriate time for the pharmacist to conduct a video consultation with you to review your condition.

Name(Required)

It is important to first check if individuals are experiencing any red flag symptoms which may indicate serious illnesses such as sepsis. Red flag symptoms include:

  • Confusion
  • Raised respiratory rate/breathlessness
  • Raised heart rate
  • Drop in blood pressure
  • Stridor (noisy or high pitched sound with breathing)
If the patient is experiencing any of the critical symptoms outlined above, IMMEDIATE ACTION is required. They must dial 999 without delay or visit their local accident and emergency center. Prompt action is crucial for their safety.

You can find your nearest A&E by clicking on this link.

Before proceeding further, it is essential to ensure that the patient is not exhibiting any symptoms of epiglottitis. Please confirm if any of the following symptoms are present:

  • a. Dysphagia (Dysphagia involves difficulty swallowing, leading to sensations of food stuck in the throat and potential choking. It's more common in older adults and can be caused by neurological issues or oesophageal obstructions. Complications may include malnutrition. Treatments vary, including dietary changes and therapy. You can find more information on dysphagia by clicking here)
  • b. Dysphonia (Dysphonia affects voice quality, making it hoarse, weak, or strained, and can impact communication. It results from disrupted vocal cord vibrations, often due to larynx abnormalities or factors like acid reflux and stress. You can find more information on dysphonia by clicking here).
  • c. Drooling
  • d. Distress (extreme anxiety or pain)
  • e. Dehydration (symptoms include thirst, dry mouth, fatigue, decreased urine output, dark yellow urine, dry skin, and dizziness). For further information please click here.
  • f. Pharyngeal abscess (this is a pus-filled swelling in the pharynx, the part of the throat behind the mouth and nasal cavity, often resulting from infection. It can cause severe throat pain, difficulty swallowing, fever, and swelling in the neck.) For further information please click here.
  • g. Stridor (Stridor is a high-pitched, wheezing sound caused by disrupted airflow, typically heard during inhalation. It indicates a blockage or narrowing in the upper airway and requires immediate medical attention.)
Please choose one option(Required)

If the patient is experiencing any of the critical symptoms outlined above, IMMEDIATE ACTION is required. They must dial 999 without delay or visit their local accident and emergency center. Prompt action is crucial for their safety.
You can find your nearest A&E by clicking on this link.

if you are unsure about your symptoms please contact the pharmacy on 01204 456390 and speak to our pharmacist.
What is the individual's gender at birth?(Required)
MM slash DD slash YYYY
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Sore throats in children under 5 are not treated under the Pharmacy First service because young children cannot easily describe their symptoms, and they're at higher risk of complications. This age group requires a thorough medical assessment by a GP or paediatrician to ensure appropriate treatment and rule out serious conditions.

Please contact your GP to arrange an appointment, or contact your local Accident & Emergency centre (A&E) if symptoms are severe. You can find your nearest A&E by clicking on this link.
Is the individual female, under 16, and pregnant?(Required)

Pregnant individuals under 16 are not eligible for sore throat treatments under the Pharmacy First scheme due to the need for specialised medical care. This demographic requires careful consideration of any medication's potential impact on both the young mother and the foetus. Some treatments for sore throats might not be safe without a healthcare professional's evaluation, necessitating a more thorough medical assessment and care that extends beyond the Pharmacy First service's scope.

Please contact your GP to arrange an appointment, or contact your local Accident & Emergency centre (A&E) if symptoms are severe. You can find your nearest A&E by clicking on this link.

Does the patient have any of the following:

  • Signs of scarlet fever?
  • Scarlet fever often starts with flu-like symptoms such as a high fever, sore throat, and swollen neck glands, followed by a rash 12 to 48 hours later. This rash, starting on the chest and tummy, feels like sandpaper and appears as small, raised bumps. On white skin, it's pink or red, while on brown and black skin, the colour change may be less noticeable, but the texture and bumps are still evident.
    You can find more information about Scarlet Fever by clicking here.

  • Signs of Quinsy?
  • Quinsy is a severe infection where pus forms near the tonsils, often following tonsillitis. Symptoms include a very sore throat, trouble swallowing, fever, and swelling in the throat, causing a change in voice.
    You can find more information about Quinsy by clicking here.

  • Signs of Glandular Fever?
  • Glandular fever is a virus causing fever, sore throat, tiredness, and swollen glands, mainly in teens and young adults. It spreads through saliva.
    You can find more information about Glandular Fever by clicking here.

Do you have any from the above?(Required)

Individuals showing signs of glandular fever, quinsy, or scarlet fever are not suitable for treatment under the Pharmacy First service because these conditions require more comprehensive medical assessment and treatment than the pharmacy first service can provide.

- Glandular Fever: This viral infection needs careful monitoring due to its potential to cause significant fatigue and complications like an enlarged spleen. There's no specific treatment, but the condition often requires medical advice on managing symptoms and avoiding complications.

- Quinsy: As a serious complication of tonsillitis leading to an abscess near the tonsils, quinsy requires immediate medical intervention, including possible drainage of the abscess and antibiotics, which are beyond the scope of Pharmacy First services.

- Scarlet Fever: This bacterial infection can lead to severe complications if not treated with the appropriate antibiotics. It also requires a healthcare professional to confirm the diagnosis and prescribe the correct treatment.

These conditions all potentially pose serious health risks and can require specific treatments such as antibiotics (for bacterial infections) or other medical interventions, as well as close monitoring for complications. Therefore, they necessitate a level of care that is beyond the advisory and treatment capabilities typically available through the pharmacy first service.

Please contact your GP to arrange an appointment, or contact your local Accident & Emergency centre (A&E) if symptoms are severe.
You can find your nearest A&E by clicking on this link.
Is the patient immunosuppressed?(Required)
Someone can be immunosuppressed or immunocompromised through various means, including:

1. Medical Conditions: Certain diseases such as HIV/AIDS, cancer, and diabetes can weaken the immune system.

2. Medical Treatments: Treatments like chemotherapy, radiation therapy, and certain medications used for autoimmune diseases can suppress the immune system.

3. Organ or Stem Cell Transplants: Patients may take immunosuppressive drugs to prevent organ rejection, which lowers their immune response.

4. Genetic Disorders: Some people are born with conditions that affect their immune system's ability to function properly.

5. Malnutrition: Poor nutrition can weaken the immune system, making it harder to fight off infections.

6. Chronic Stress: Long-term stress can negatively affect the immune system's effectiveness.

Being immunosuppressed increases the risk of infections and can affect the body's ability to recover from illnesses.

Please contact your GP to arrange an appointment, or contact your local Accident & Emergency centre (A&E) if symptoms are severe.
You can find your nearest A&E by clicking on this link.
To assess the severity of symptoms, the FeverPAIN score is used. Please tick all the symptoms that are present:(Required)
Please tick all the boxes that apply to you. If you have 0 to 3 symptoms from the above list, self-care and over-the-counter treatments are recommended, and antibiotics are not necessary. Based on your responses, the next course of action will be determined.
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If your FeverPAIN score is 0 or 1, self-care and pain relief measures are advised. Antibiotics are not necessary at this stage. Ensure you drink adequate fluids to stay hydrated. If there is no improvement after 1 week, please revisit the community pharmacy for a reassessment by the pharmacist.

if you are unsure about your symptoms please contact the pharmacy on 01204 456390 and speak to our pharmacist.

If your FeverPAIN score is 2 or 3, focus on self-care and pain relief. Antibiotics have minimal impact on the duration of symptoms, and withholding antibiotics is unlikely to result in complications.

Should symptoms fail to improve within 3-5 days (or if your condition worsens), please contact the pharmacy on 01204 456390 for an additional assessment.

If your FeverPAIN score is between 4 and 5, please click "Next" to schedule an appointment immediately.
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