Strep Throat In Children

What is Strep Throat?

Strep throat is a bacterial infection caused by Group A Streptococcus (Strep A). It primarily affects the throat and tonsils, causing pain and inflammation. Unlike viral sore throats, strep throat requires antibiotic treatment to prevent complications.

Signs & Symptoms

• Sore throat (often severe and sudden)
• Pain when swallowing
• Fever (101°F or higher)
• Red, swollen tonsils (sometimes with white patches or pus)
• Swollen lymph nodes (tender lumps in the neck)
• Headache, stomach pain, or nausea
• Loss of appetite

 Symptoms NOT typical of strep throat:

•  Cough, runny nose, hoarseness, or congestion (these suggest a viral infection, not strep).

How is Strep Throat Diagnosed?

A rapid strep test or throat culture is needed to confirm the diagnosis. Your child’s pediatrician will swab the throat and test for the presence of strep bacteria.

Treatment

• Antibiotics (usually amoxicillin or penicillin) – Prescribed if the test is positive.
• After 24 hours on antibiotics – Your child is no longer contagious and can return to school if they feel better.
• Finish the full course of antibiotics even if symptoms improve early.

Home Care for Comfort

• Give acetaminophen (Tylenol) or ibuprofen (Motrin) for throat pain and fever.
• Encourage fluids (water, warm tea, broth, popsicles) to keep the throat moist.
• Soft foods (yogurt, mashed potatoes, smoothies) are easier to eat.
• Gargling warm salt water (for kids old enough) can soothe the throat.
• Use a humidifier to keep air moist and ease discomfort.

When to Call the Pediatrician

Seek medical care if your child has:

•  Difficulty breathing or swallowing
• Drooling excessively (could indicate a more serious throat infection)
• Persistent high fever (102°F+) despite medication
• No improvement after 48 hours on antibiotics

Preventing Strep Throat

• Good handwashing is key to preventing the spread.
• Keep toothbrushes separate and replace them after infection.
• Avoid sharing cups, utensils, or food with others.

Most children recover within a few days with proper treatment. If you have any concerns, call your pediatrician!

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