This content was originally produced for audio. Certain elements, such as tone, sound effects, and music, may not fully capture the intended experience in textual representation. Therefore, the following transcription may have been modified for clarity. We recognize not everyone can access the audio podcast. However, for those who can, we encourage subscribing and listening to the original content for a more engaging and immersive experience.
All thoughts and opinions expressed by hosts and guests are their own and do not necessarily reflect the views held by the institutions with which they are affiliated.
Why Is Strep Throat Common in Kids?
Strep throat, it's one of those things parents immediately think their kid has when their kid says they have a sore throat and it hurts to swallow. Strep is most common in kids ages 5 to 15, mainly because they are in school and they tend to share things that go in their mouths, like food and drinks. It usually takes about two to five days after someone has been exposed to strep to develop symptoms.
Symptoms of Strep Throat
Kids who have strep often have more than just throat pain. They'll also have red spots on the back of their throat, and that's called palatal petechiae. Their tonsils are usually red and can have a white coating called exudate. Their tonsillar lymph nodes are swollen too. And they can also have a stomachache or a rash.
Scarlet Fever
If they have a rash that looks like a sunburn over their body and the rash feels like sandpaper, that's when strep throat becomes scarlet fever. Parents often get super concerned when they hear scarlet fever because it brings up when strep wasn't treated and patients were at risk for scary things like rheumatic fever. But it's basically a strep throat with a rash and treated the same way.
When Should Your Child Get Tested for Strep Throat?
Since we have been able to test for strep, the incidence of rheumatic fever has gone way down. Your child's doctor, unfortunately, can't just look at a throat and say definitively if a child has strep. Adenovirus can present the same way, for example, and so can Epstein-Barr virus, which is mononucleosis or mono.
The only way a provider can tell if your child has strep is to do a strep test. So if your child has a sore throat, any of those other findings, a few other viral symptoms, like a cough or runny nose, and you think your child might have strep, it's best to take them to their doctor for a strep test. The sooner your child is tested and treated, if they do have strep, the faster they will get better and the lower the risk of spreading it to others.
More Answers to Your Questions on Keeping Your Kid Healthy and Happy
Latest trends and issues in children's health on the Healthy Kids Zone with Dr. Cindy Gellner
What That Smell Means: A Parent's Guide to Child Odors
Kids can be messy, sweaty, and occasionally smelly. But some odors may point to a medical issue instead of just needing a bath. Learn what is usually harmless, what simple fixes may help at home, and when certain smells could signal infections, constipation, diabetes, or other concerns worth checking out.
When Does My Child Need to Go to the ER for a Nose Injury?
Does your child's nose seem to be a trauma magnet, constantly getting bumped, bruised, and bloodied? It is pretty typical for kids to hurt their noses as they play and explore. Learn when you should treat your child's injured nose at home and when it is time to go to the doctor.
How to Treat Your Child's Cold Sore
Cold sores are common in adults, but they can surprise parents when they appear in children. Caused by the herpes simplex virus, these painful blisters often return during illness, stress, or fatigue. Learn when to ask your doctor about prescription treatment.
Is Your Child Peeing Too Often? Frequent Urination in Young Children Explained
Your preschooler suddenly needs the bathroom every few minutes—but seems otherwise fine. While alarming for parents, this common phase is often harmless and linked to stress, routine changes, or bladder habits rather than disease. Learn the warning signs that deserve medical attention and how reassurance often becomes the best treatment.
Treating Your Child's "Barking Cough" at Home
Has your child got a bad cough that almost sounds like a seal? Hearing a child with croup is concerning to any parent. Learn about at-home treatments, how a pediatrician can help, and when it is time to go to the ER.
My Child Has Night Terrors—What Can I Do?
It can be hard to watch your child have night terrors—when they scream and cry inconsolably at night. Although night terrors usually stop eventually, learn to recognize signs that it may be something more serious, and when you should take your child to the doctor.
How to Make Your Child Comfortable While They Recover From the Flu
If your child comes down with the flu, there is, unfortunately, not much you can do except make them comfortable and wait for the virus to run its course. Learn what foods your child should eat, how much water they should drink, their medications, and when they can go back to school.