Sudden severe pain
Pain with swallowing, fever and tender neck nodes can be reviewed.
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Video or phone visit with a licensed professional.
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Strep throat
Virtual triage and a testing path.
About
A sudden severe sore throat can be triaged by phone or video for patients in Quebec. Most sore throats are viral. Confirmed strep usually needs an in-person rapid test or swab. Antibiotics are not guaranteed and are not a substitute for testing when a test is required.
Group A strep can cause sudden severe throat pain, fever, tender nodes and tonsil exudate, often without cough or congestion. That pattern differs from a sinus infection. A clinician cannot confirm strep by video alone.
Drooling, stridor, trouble breathing, dehydration or a stiff neck needs emergency care. Call 911. Otherwise book an online doctor. A lab test requisition may be used when a swab is appropriate. Collection is in person.
Say whether you have cough, congestion, fever or trouble swallowing.
Pain with swallowing, fever and tender neck nodes can be reviewed.
White patches with little cough or runny nose raise the question of strep, which still needs a test.
Cough and congestion point more often to a virus or sinus symptoms.
Drooling, stridor or one-sided severe pain with trismus needs emergency in-person care.
The visit decides whether you need a test, supportive care, or urgent in-person assessment.
Viral sore throat, strep pattern and sinus symptoms are separated as far as a virtual history allows.
A rapid test or swab is collected in person when indicated. Video does not replace the swab.
Antibiotics are considered for confirmed strep or when clinically indicated. They are not guaranteed without that assessment.
Non-emergency throat symptoms can look for a same-day time, subject to availability.
Start with an online doctor. If a swab is needed, the clinician explains the in-person step.


A clinician may request a throat test when appropriate. Collection is in person.
The visit decides whether you need a test, supportive care, or urgent in-person assessment.
Open live availability for the matching Eden service.
Describe symptoms, timing and medicines already tried.
Self-care, a prescription, testing or in-person care based on the visit.
Fast triage with an honest limit: strep confirmation needs a test.
Phone or video first.
Swabs are not done on camera.
Viral throats are not treated as strep by default.
Live times are in the booking flow.
What to know before you book.
The history can be triaged online. Confirmation usually needs an in-person test.
Often yes, before antibiotics, unless the clinician documents another appropriate indication.
In Greater Montreal, book the at-home strep test for a nurse visit at home. This page is the online consultation, which is a different service.
Sinusitis usually features congestion and facial pressure. Strep is more often a sudden sore throat with less nasal congestion.
Same-day times depend on the schedule.
Not as a routine. The clinician decides if treatment is indicated.
Drooling, trouble breathing or severe one-sided pain needs emergency in-person care. Call 911 if breathing is affected.
Strep throat is a bacterial infection, usually group A Streptococcus. Most sore throats are viral and are not strep.
Sudden sore throat, painful swallowing, fever, headache, swollen neck nodes, and sometimes a rash or body aches. Cough and congestion are more often viral.
Group A strep spreads by coughs, sneezes and close contact. Allergies and irritants can cause a sore throat that is not strep.
Confirmed strep is often treated with antibiotics. Salt water or lozenges may ease pain but do not clear the bacteria. Untreated strep can rarely lead to rheumatic fever or kidney problems. Antibiotics are not guaranteed without an appropriate assessment, and a test is usually required.
Wash your hands, cover coughs and sneezes, and avoid close contact while sick.
Examples a clinician may consider include penicillin, amoxicillin, amoxicillin-clavulanate (Clavulin), clarithromycin (Biaxin) and azithromycin. The choice is made only when treatment is indicated.
Confirmation needs an in-person rapid test or throat culture. In Greater Montreal, the at-home strep test is a separate nurse visit. This page is the online consultation, not that test.
If you cannot swallow, are drooling, or cannot breathe, go to emergency care or call 911. Otherwise check availability. Private care billed outside RAMQ.