This parent friendly article covers the signs and symptoms of sore throats, the treatment and complications that can occur in children with sore throats.
What is a sore throat?
Sore throats are part and parcel of life with children – they are normally a mild condition, caused by a virus, that passes in a few days.
Sore throats can be part of a cold or flu, or be part of more serious conditions such as glandular fever.
Approximately 20% of sore throats that are caused by the streptococcus bacteria. These need medical attention and treatment with a course of antibiotics.
Your child may also have a sore throat if they have whooping cough, croup, measles or chickenpox.
Other causes of sore throats include:
- Allergies
- Reflux – where acidic stomach contents burn the throat
- Irritations – from smoke, spicy foods, or from yelling and screaming
- Tumours – investigation is needed of any long term sore throats particularly if associated with pain radiating to the ear, hoarseness of the voice, weight loss and lump in the neck
- Epiglottitis – a medical emergency where bacteria have caused the voice box (larynx) to swell and risk closing the airway. Symptoms include extremely painful throat, muffled speech, drooling and difficulty breathing.
Signs and symptoms of a sore throat
- Pain
- Discomfort
- A scratchy or raw feeling in the throat
- Crying during feeding
- Loss of appetite
- Strep throat may cause abdominal pain and a red rash with small spots under the arms and in skin creases.
Treatment for sore throats
See a doctor if your child is:
- Quite unwell,
- Running a fever
- Complaining of earache
- Has a rash
- Is refusing to take fluids
- The sore throat persists
- You see white patches at the back of your child’s throat
- They are having difficulty any difficulty talking, swallowing or breathing
- A hoarse voice lasts more than two weeks
- There is a lump in the neck or blood when they cough up saliva
Your doctor will do a physical examination of the throat and take a throat swab. If bacteria cause the sore throat, antibiotics will be prescribed - mild painkilling mixtures may also be prescribed.
Risks & complications of sore throat
Recurrent sore throats may mean your child will need a tonsillectomy.
Left untreated strep throat can progress to cause serious problems such as:
- Heart damage – damaging the heart valves (rheumatic fever)
- Kidney problems
- Pneumonia
- Ear infections causing earache
- Scarlet fever
Cures & Remedies for sore throats?
- Children with strep throat need to be kept home from school until their fever has gone and they are feeling better
- Older children can be given medicated lozenges to suck on – or try a teaspoon of honey for them to suck on
- Older children could be taught to gargle with warm, salty water
- Give soothing foods – such as cooling ice-cream or perhaps an ice block
- Try and encourage your child to keep drinking as this will help hydrate and flush the body – avoid pineapple and citrus juices which might burn the throat.
Helpful articles:
For more information on infections that may cause a sore throat, such as chicken pox or measles, visit our section on Skin Rashes & Conditions
Fever can be really uncomfortable, but there is much you can do at home to keep your child comfortable. Visit our Fever article for some great tips.
Kimberley Paterson is a writer and public relations expert living in Whangaparoa.
She had an initial career as a registered nurse and has spent the last 20 years writing about health and well-being.
Article Sore Throats written by Kimberley Paterson.