18/02/2026
Is it just a sore throat…or something more? 👅
Sore throats are very common in children, especially during cold and flu season which is right now!
Most sore throats are caused by viruses and will get better on their own with rest, fluids and appropriate pain relief. A viral sore throat often comes with a runny nose, cough or other cold symptoms, and antibiotics won’t help.
Sometimes, though, a sore throat may be:
Tonsillitis, which is an inflammation of the tonsils. Your child may have a very sore throat, red or swollen tonsils, pain when swallowing, a fever, earache and just feel generally very poorly.
In more severe cases, you might see pus-filled spots or white patches on the tonsils, and/or swollen glands in the neck.
Tonsillitis is usually viral and will get better on its own but can sometimes be bacterial and require antibiotics. To help treat the symptoms, ensure your child gets plenty of rest, age-appropriate medication and cool drinks to soothe the throat.
It could also be Strep A which is a common type of bacteria which can cause a range of flu-like symptoms, such as high temperature, swollen glands or an aching body, as well as a sore throat. It can also cause a rash or scabs or painful, hot and swollen areas of skin.
Most Strep A infections are not serious and will get better on their own.
If you’re unsure, or if your child has any of the following symptoms, contact NHS 111 or your GP for advice.
- Severe or worsening symptoms that last more that 5-6 days
- Difficulty swallowing or drooling
- A high temperature that isn’t improving
- White patches or pus filled spots on the tonsils
- Signs they are becoming very unwell
- Your child is unable to eat or drink
As always, trust your instincts.
You know your child best 💚