 [ Symptoms ] do penile pumps work [ Disease ] honestly the only way to diagnose strep is through a lab test even if all the signs like throat redness and symptoms like soreness are there it still may not be strep even white spots in the back of the mouth are no guarantee it is a case of strep strep throat is almost always accompanied by fever are you using a thermometer to measure your son is temperature or are you relying on the old hand to the forehead method it is very important to use a thermometer when assessing fever i mention this because it never ceases to amaze me how many people do not have this basic tool in their medicine cabinets keep in mind also if you are giving your son acetaminophen tylenol to ease the pain of the sore throat this could cause him to register a normal temperature on the thermometer because acetaminophen is a fever reducer instead of speculating about what might be going on with your son i suggest you take him to his pediatrician since the problem has been going on for nearly a week it is not a bad idea to get medical attention i hope your little boy feels better soon wishing you well