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This page provides general information and does not replace a doctor’s consultation. If symptoms are severe, persistent or worsening, seek medical advice promptly.

Rheumatic fever is a very rare complication that can develop after a bacterial throat infection. It mainly affects children, and can cause painful joints and heart problems. Most people make a full recovery, but it can come back.

How rheumatic fever is treated

If you or your child are diagnosed with rheumatic fever, you'll have treatment to relieve the symptoms and control inflammation.

You may need:

  • antibiotics
  • painkillers – given as tablets, capsules or a liquid you drink
  • steroids – if your pain is severe
  • medicines to treat severe jerky, uncontrollable movements

Getting plenty of bed rest will also help with your recovery.

Most people usually make a full recovery by about 3 months. But it can sometimes take longer to get better.

Ongoing treatment for rheumatic fever

If you've had rheumatic fever once, it's more likely to come back, so make sure to get sore throats treated early.

You may also have to take antibiotics for several years to help stop it returning.

It's less likely that it will come back if it's been 5 years since you last had an episode. The younger you are, the more likely it is that rheumatic fever will come back.

It can also cause permanent damage to your heart (rheumatic heart disease). This can take years to show up, so you may need regular check-ups and further treatment when you're older.

Always ask a doctor what ongoing treatment you may need.

See a GP if:

  • you've had rheumatic fever before and you get a sore throat
  • you've had rheumatic fever before and you think it's come back
  • you've had a bacterial throat infection recently and you get symptoms of rheumatic fever

Symptoms of rheumatic fever

Symptoms of rheumatic fever usually appear 1 to 5 weeks after you've had a bacterial throat infection.

They can include:

  • a high temperature
  • pain and swelling in your joints (arthritis), usually ankles, knees, wrists or elbows – your joints may also look red, although this may be less obvious on brown or black skin
  • pain in your chest, breathlessness and a fast heart rate
  • jerky, uncontrollable movements in your hands, feet and face
  • tiny bumps under your skin
  • pale-red patches on your arms and tummy (abdomen) – these may be harder to see on brown or black skin

Causes of rheumatic fever

Rheumatic fever happens after a bacterial throat or skin infection. Most people who have an infection will not get rheumatic fever.

It's not caused by the bacteria itself but by your immune system fighting off the infection and attacking the healthy tissue instead.

It's not known why your immune system can suddenly stop working properly. But your genes may make it more likely that you'll get rheumatic fever.

Consult with a doctor about Rheumatic fever

Consult with a doctor about Rheumatic fever

Discuss your symptoms and possible next steps with a doctor online.

Online doctors for Rheumatic fever

Discuss your symptoms and possible next steps for Rheumatic fever with a doctor online.

5.0 (2)
Doctor

Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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€66
5.0 (5)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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€86
0.0 (0)
Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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€61
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