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.Our experienced pediatric team in Palm Springs is here to help with same-day appointments when your child isn’t feeling well.

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 — always follow the correct dosage based on your child’s age and weight. You can reference our Pediatric Medication Dosage Chart here.
  • 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! For more helpful tips on managing common childhood illnesses, check out our Parent Resources section.