Sore Throat or Something More? How to Know When to Worry
One minute your kid is fine — and the next, they’re refusing snacks, complaining that their throat hurts, and looking pretty miserable. Sore throats are a super common symptom, but not all are created equal. Here’s how to decode what’s going on and when to call the doctor.
What Causes Sore Throats in Kids?
Most sore throats are viral — meaning they’ll go away on their own with rest, hydration, and supportive care. But sometimes, it’s more than that. The main causes include:
Viruses (like the common cold, flu, or mono)
Bacterial infections (most commonly strep throat)
Post-nasal drip from allergies or congestion
Irritation from dry air or yelling
When to Call the Doctor
Here’s when a sore throat deserves a closer look:
Fever over 100.4°F that lasts more than 2 days
Trouble swallowing or refusing to eat/drink
Swollen tonsils with white spots or pus
Tender lymph nodes in the neck
No other cold symptoms (like a cough or runny nose) — this might actually increase the likelihood of strep
In these cases, a rapid strep test or throat culture may be needed.
What Makes Strep Throat Different?
Unlike viral sore throats, strep throat tends to come on quickly with:
Sudden sore throat
Fever
Swollen, red tonsils with white patches
No cough
Headache, stomachache, or nausea (especially in kids)
Only a test can confirm it — but these signs are classic.
How to Help at Home
For mild viral sore throats, focus on comfort:
Offer cool drinks, ice pops, or smoothies
Use acetaminophen or ibuprofen for pain or fever
Try warm salt water gargles (for kids old enough)
Use a cool mist humidifier at night
Keep an eye on hydration — a sore throat that makes a child avoid drinking can lead to dehydration quickly.
How Long Will It Last?
Viral sore throats usually improve within 3–5 days. If it lasts longer, or symptoms worsen instead of improving, it’s worth checking in with your pediatrician.
Dr. Alex’s Final Word
Sore throats are usually nothing to panic over — but trust your gut. If your child seems more uncomfortable than usual, isn’t drinking, or has strep-like symptoms, it’s a good idea to reach out to your doctor.
Need Sick Visit Support?
If you’re in the Palm Beach area and want convenient, compassionate care — right at home — get in touch to schedule your Curitas Pediatrics sick visit today. House calls, texting access, and no waiting rooms. Because modern pediatrics should feel personal.
Follow us on Instagram @CuritasPediatrics and check out the Ask Dr. Alex series!
