How to tell the difference between sore throat and strep in kids?

Coughing and runny nose remain absent and they won't develop pink eye because of the strep bacteria. If your child has allergies, their sore throat could be accompanied by red, itchy eyes and nasal congestion, symptoms that would be absent with strep throat.

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What are the first signs of strep throat in a child?

Common symptoms may include:
  • Fever.
  • Pain when swallowing.
  • Sore throat that can start very quickly and may look red.
  • Red and swollen tonsils.
  • White patches or streaks of pus on the tonsils.
  • Tiny, red spots on the roof of the mouth, called petechiae.
  • Swollen lymph nodes in the front of the neck.

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How do you know if it's strep or just a sore throat?

Viral sore throat will go away on its own, while strep requires antibiotics. If your sore throat causes trouble swallowing, last longer than 48 hours and/or comes with a fever or rash, see your doctor.

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What does strep look like in a kids throat?

White spots on back of throat, tonsils, or tongue. Swollen, tender neck glands. Bright red tongue. Trouble swallowing.

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How do I know if my child has strep A or tonsillitis?

Signs that suggest your child might have Strep throat are:

Fever within the last 24 hours. White spots at the back of their throat (pus on their tonsils) Very large or red tonsils. Sore (tender) lumps under their chin.

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Medical Mondays: Strep vs.Sore throat & how to tell the difference

32 related questions found

How do you rule out strep throat?

Your doctor may perform a rapid antigen test on a swab sample from your throat. This test can detect strep bacteria in minutes by looking for substances (antigens) in the throat. If the test is negative but your doctor still suspects strep, he or she might do a throat culture.

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When should I check my child for strep?

If the rapid testing is positive, your doctor will order antibiotics. So the take home message is this, if your child has a sore throat, give him or her some pain reliever for 1-2 days. If it persists without any cold symptoms, especially if there is a fever, go see your doctor for a strep test.

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Will strep throat go away on its own in kids?

Although strep throat usually gets better without treatment, some children can get complications if they are not treated. Children get better faster when treated with an antibiotic. Your doctor will decide if an antibiotic is needed.

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Should I get tested for strep throat if my child has it?

A common misconception is that if a child has tested positive for strep, household members should also be tested. Medically, only patients who have symptoms should be tested unless other circumstances arise. Testing and treatment is not recommended for family members or close contacts unless they are ill.

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Do kids go to school with strep throat?

Your child can spread strep throat to others until 24 hours after he or she starts taking antibiotics. Keep your child out of school or daycare until 1 full day after he or she starts taking antibiotics. Follow-up care is a key part of your child's treatment and safety.

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Can I check for strep throat at home?

At-home tests for strep throat are available online or in pharmacies and are generally accurate when done correctly. However, they may give false-positive or false-negative results.

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Will strep throat go away without antibiotics?

Strep throat typically goes away in three to seven days with or without antibiotic treatment. However, if you don't take antibiotics, you can remain contagious for two to three weeks and are at a higher risk for complications, such as rheumatic fever.

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Can a sore throat turn into strep?

The main symptom of strep throat, a sore throat can also develop for other reasons, such as the flu or another viral illness. In fact, most sore throats are due to viruses. If you have a sore throat, it won't turn into strep throat.

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What happens if strep is untreated in kids?

Caused by the group A streptococcus bacteria, strep throat is an infection that requires prompt treatment, particularly in children over the age of 3. Left untreated, strep throat can lead to kidney inflammation or rheumatic fever, a serious illness that can cause stroke and permanent damage to the heart.

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Should I quarantine if my child has strep?

Yes. Strep throat is contagious. You can pass the strep infection to other people until you have been treated appropriately with an antibiotic. Children who have strep throat should not go back to school or daycare until their fever has gone away and they have taken an antibiotic for at least 24 hours.

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How long does strep throat last without antibiotics in kids?

Strep throat typically resolves in three to five days if untreated. Despite the short duration, antibiotic treatment is recommended to reduce the risk of complications. Symptoms typically resolve within one to three days following the start of antibiotics.

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How contagious is strep in kids?

Is Strep Throat Contagious? Strep throat is very contagious. Anybody can get it, but most cases are in school-age kids and teens ages 5 to 15. Infections are common during the school year, with peaks in winter and early spring, when big groups of kids and teens are in close contact.

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Does my child need antibiotics for strep throat?

If your child is diagnosed with strep throat, he will be prescribed antibiotics, such as penicillin or amoxicillin. An antibiotic will help reduce the duration of symptoms caused by strep throat, as well as decreasing the risk of rare but serious complications of the bacterial infection, such as acute rheumatic fever.

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What is the first line for strep throat?

Penicillin or amoxicillin is the antibiotic of choice to treat group A strep pharyngitis. There has never been a report of a clinical isolate of group A strep that is resistant to penicillin.

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What mimics strep throat?

Viral illnesses that resemble strep include:
  • The common cold is caused by one of many viruses, with rhinovirus being the most common. ...
  • Influenza is caused by infection with the flu virus. ...
  • Mono (mononucleosis ) is caused primarily by the Epstein-Barr virus (EBV).

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Can a child have a cough with strep throat?

Symptoms of Strep Throat Infection

Other symptoms include sore throat, fever, headache, stomach pain, nausea and vomiting. Cough, hoarseness, red eyes, and runny nose are not seen with Strep throat. These symptoms point more to a viral cause.

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Can a sore throat be bacterial but not strep?

New research from the University of Alabama at Birmingham suggests that Fusobacterium necrophorum more often causes severe sore throats in young adults than streptococcus — the cause of the much better known strep throat.

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What kills a sore throat fast overnight?

16 Best Sore Throat Remedies to Make You Feel Better Fast, According to Doctors
  • Gargle with salt water—but steer clear of apple cider vinegar. ...
  • Drink extra-cold liquids. ...
  • Suck on an ice pop. ...
  • Fight dry air with a humidifier. ...
  • Skip acidic foods. ...
  • Swallow antacids. ...
  • Sip herbal teas. ...
  • Coat and soothe your throat with honey.

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How long are you contagious with strep throat?

Strep throat can be contagious for about 2-3 weeks in individuals who are not taking antibiotics. However, individuals who do take antibiotics for strep throat usually are no longer contagious about 24- 48 hours after initiating antibiotic therapy.

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What do strep throat sores look like?

Take a Good Look

You might see white dots or patches in the back of your throat. Your tonsils -- the bumps on either side at the back of your throat -- might be red and swollen, too. These could be signs of bacterial infection like strep throat or oral thrush, or a viral infection like oral herpes or mononucleosis.

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