Symptoms of strep throat, which is very common among kids and teens, include fever, stomach pain, and red, swollen tonsils.
Strep throat usually requires treatment with antibiotics. With the proper medical care — along with plenty of rest and fluids — a child should be back to school and play within a few days.
Anybody can get strep throat, but it's most common in school-age kids and teens. These infections occur most often during the school year when big groups of kids and teens are in close quarters.
The bacteria that cause strep throat (group A streptococcus) tend to hang out in the nose and throat, so normal activities like sneezing, coughing, or shaking hands can easily spread infection from one person to another.
That's why it's so important to teach kids the importance of hand washing — good hygiene can lessen their chances of getting contagious diseases like strep throat.
Not all sore throats are strep throats. Most episodes of sore throat — which can be accompanied by a runny nose, cough, hoarseness, and red eyes — are caused by viruses and usually clear up on their own without medical treatment.
A child with strep throat will start to develop other symptoms within about 3 days, such as:
If your child has a sore throat and other strep throat symptoms, call your doctor. The doctor will likely do a rapid strep test in the office, using a cotton swab to take a sample of the fluids at the back of the throat. The test only takes about 5 minutes.
If it's positive, your child has strep throat. If it's negative, the doctor will send a sample to a lab for a throat culture. The results are usually available within a few days.
In most cases, doctors prescribe about 10 days of antibiotic medication to treat strep throat. Within about 24 hours after starting on antibiotics, your child will probably no longer have a fever and won't be contagious. By the second or third day after taking antibiotics, the other symptoms should start to go away, too. Even when feeling better, your child should finish the antibiotics as prescribed. If he or she stops taking antibiotics too soon, bacteria can remain in the throat and symptoms can return.
Sometimes a doctor might choose to treat strep throat with one antibiotic shot, without giving any medicine by mouth.
A person whose strep throat isn't treated is most infectious when the symptoms are the most severe but could remain contagious for up to 21 days. Lack of treatment — or not finishing the prescribed course of antibiotics — also can put someone at risk for other health problems, such as rheumatic fever (which can cause permanent damage to the heart), scarlet fever, blood infections, or kidney disease.
To prevent your sick child from spreading strep throat to others in your home, keep his or her eating utensils, dishes, and drinking glasses separate from others' and wash them in hot, soapy water after each use. Also, make sure your child doesn't share food, drinks, napkins, handkerchiefs, or towels with other family members.
Make sure your child covers his or her mouth and nose during a sneeze or a cough to prevent passing infectious fluid droplets to others. Also, throw out your child's toothbrush after the antibiotic treatment has been started and he or she is no longer contagious, and make sure your child uses a new one.
You can help your child feel better while battling strep throat. Provide plenty of liquids to prevent dehydration, such as water or ginger ale, especially if he or she has had a fever. Avoid orange juice, grapefruit juice, lemonade, or other acidic beverages that can irritate a sore throat. Warm liquids like soups, sweetened tea, or hot chocolate can be soothing.
As recovery progresses, talk to your doctor about when your child can return to school and other routine activities.
Reviewed by: Elana Pearl Ben-Joseph, MD
Date reviewed: October 2011
|Centers for Disease Control and Prevention (CDC) The mission of the CDC is to promote health and quality of life by preventing and controlling disease, injury, and disability. Call: (800) CDC-INFO|
|American Academy of Pediatrics (AAP) The AAP is committed to the health and well-being of infants, adolescents, and young adults. The website offers news articles and tips on health for families.|
|Word! Strep Screen If you've ever gone to the doctor with a really sore throat, you may have had a strep screen.|
|Tonsillitis If your tonsils get infected, it can make your throat feel very sore. Find out more in this article for kids.|
|Strep Test: Rapid A rapid strep test is done to help quickly determine whether a sore throat is caused by a strep infection vs. other germs (usually viruses) that don't require antibiotic treatment.|
|Strep Test: Throat Culture Is your child having a strep test or a throat culture? Find out how these swab tests are performed.|
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|Hand Washing Did you know that the most important thing you can do to keep from getting sick is to wash your hands? If you don't wash your hands frequently, you can pick up germs from other sources and then infect yourself.|
|Getting a Strep Test (Video) The test for strep throat doesn't hurt, but it might make you gag a little. Watch how it's done in this video for kids.|
|Strep Throat Strep throat is a common infection that usually needs to be treated with antibiotics. Find out how to recognize the signs of strep throat and what to expect if you have it.|
|Tonsillitis You wake up and your throat is swollen and you have a fever. Could it be tonsillitis? Find out what tonsillitis is, how to treat it, and how to prevent it.|
|A Kid's Guide to Fever What are fevers? Why do kids get them? Get the facts on temperatures and fevers in this article for kids.|
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