For Against Antibiotics will not reduce pain in the first 24 hours.
Antibiotics have side effects, eg vomiting, diarrhoea and skin rash.
Treating with antibiotics cuts down the risk of more serious spread of infection. To cure one child with an antibiotic the doctor needs to treat seven. That is, six out of seven do not need or do not respond to an antibiotic. All seven have to be treated, as it is impossible to tell which child will respond at the outset. Further attacks are just as likely to happen even after antibiotics.