Early Signs of Strep Throat: When to See a Doctor

Julie Sillar • April 29, 2025
Early Signs of Strep Throat: When to See a Doctor

Strep throat is a bacterial infection commonly affecting children that spreads easily in places like schools and daycare. While it might seem like a typical sore throat at first, strep can cause prolonged suffering with persistent pain, fever, and discomfort.


Catching the early signs is the key to ensuring your child gets prompt treatment and recovers faster. 


Sang Pediatrics
is here to provide you with the support your child needs to bounce back into their healthier, happier selves. Learn to spot strep throat symptoms early, when to call your pediatrician, and care for your child with confidence and compassion. 


Sore Throat or Strep? Let’s Clear Things Up!

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What Is Strep Throat?

Strep throat sneaks up on kids like an uninvited guest - it is a contagious throat infection caused by group A Streptococcus bacteria. This often leaves kids feeling tired, achy, and unlike themselves. While strep symptoms in kids might start with a simple sore throat, prompt medical treatment is necessary to prevent it from worsening.


Here’s what every parent should know:


  • It’s bacterial, not viral.

Unlike the common cold or the flu, strep throat is caused by bacteria and usually requires strep throat medication like antibiotics to clear it up and prevent complications.


  • It spreads easily.

Kids can catch it through coughs, sneezes, or by sharing food, drinks, or toys, especially in schools and daycare centers. 


  • Good hygiene helps but doesn’t guarantee protection.

Handwashing, covering coughs, and not sharing personal items can lower the risk, but strep is still highly contagious. 


  • It’s not “just a sore throat.”

Strep symptoms tend to be stronger and need prompt treatment to avoid issues like ear infections or rheumatic fever.


We know how quickly strep can sneak up on families. But with proper care and a little help from our trusted pediatric team, we ensure your kids can recover quickly.


Early Signs and Symptoms of Strep Throat

So, how can you tell if your child’s sore throat is just a minor irritation or something more serious? It can be tricky to identify the early symptoms of strep, especially since young children may not always be able to describe what they’re feeling.


Below are some of the most common early
signs of strep throat to help guide you:


  • Sudden, severe sore throat

If your child wakes up complaining that it really hurts to swallow, it might be more than just a dry throat.


  • Headache, nausea, or stomach pain

These symptoms among younger children are surprisingly common and can show up along with throat pain.


  • Swollen lymph nodes

Gently feel under your child’s jaw and along their neck. Swollen, tender lymph nodes can be a sign that the body is fighting a strep throat infection.


💡Parent Tip: If your child has a runny nose, cough, and hoarseness, it’s less likely to be strep and more likely a viral cold. But if you're still worried it might be strep, a home strep test can be a great way to quickly assess the situation and give you a clearer idea of what to do next.


When to See a Doctor for Strep Throat

So, when is the best time to bring your child in for a strep throat test? At Sang Pediatrics, we always say: When in doubt, check it out. It’s better to have peace of mind than to worry at home. 


Here are a few situations where it’s a good idea to call or visit your pediatrician:

  • Severe throat pain lasting more than 48 hours
  • High fever that doesn’t go down
  • Trouble swallowing or breathing
  • Loss of appetite
  • Presence of a rash


Doctors often use a rapid strep test or throat culture to determine if your child has strep throat. The
rapid strep test provides results in just minutes. Meanwhile, a throat culture may take a bit longer but offers a more accurate diagnosis. Both tests help ensure your child gets the right treatment quickly. 


How Is Strep Throat Treated?

The primary strep throat treatment in kids that doctors often prescribe is penicillin or amoxicillin, both of which are safe and effective at fighting off the bacteria causing the infection. 


Why Antibiotics Matter:


  • It helps your child feel better faster within a day or two. 
  • They reduce the risk of complications like ear infections, sinus problems, or rheumatic fever.
  • They stop the infection from spreading to others.


Be sure your child finishes the entire course of antibiotics, even if they seem to be feeling better. Stopping too soon can cause the infection to return or become more challenging to treat.


Important note: To help your child feel more comfortable while recovering at home, keep them well-hydrated, encourage plenty of rest, and, if they’re old enough, have them gargle with warm salt water to ease throat pain. 


Preventing Strep Throat in Children


Once your child starts feeling better, you might be tempted to jump back to your routine—but strep throat is still contagious during the early stages of treatment. A few simple steps can go a long way in protecting your family and others from getting sick. 



Prevention Tip Why It Matters
Encourage frequent handwashing. Washing with soap and water removes the bacteria that cause strep throat.
Avoid sharing food, drinks, or utensils. Saliva spreads germs easily, and even a quick sip can pass them on.
Teach kids to cover coughs and sneezes. Using a tissue or elbow to cover a cough or sneeze keeps droplets from spreading to others.
Disinfect commonly touched surfaces. Clean doorknobs, remotes, and toys to prevent lingering germs from spreading.
Keep your kids at home for 24 hours after starting antibiotics. Children usually stop being contagious after 24 hours of proper treatment.


Your Trusted Partner in Pediatric Health

A child hugging her mother happily after recovering from a strep throat infection.

We know how unsettling it can be when your child isn’t feeling well. Fortunately, strep throat treatment is possible. With the right care, your little one will return to their playful self in no time. You don’t have to face this alone—we’re here to guide and support you throughout the recovery process of your child.


At
Sang Pediatrics, we’re committed to providing fast, compassionate care to ensure your child gets the proper strep throat treatment and attention they need when they need it most. 


Suspect your child might have strep? Schedule a same-day appointment with us today!


Strep Symptoms? Let Us Help Your Little One

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Frequently Asked Questions

  • Can strep throat go away on its own without antibiotics?

    Sometimes, strep throat can go away on its own but it’s generally recommended to treat it with antibiotics to prevent complications and speed up recovery.

  • Is it possible to have strep throat without a fever?

    Yes. Kids can still have strep throat without a fever; other strep throat symptoms like sore throat and swollen glands may still be present.

  • Can adults catch strep throat from kids?

    Yes, adults can absolutely catch strep throat from children as it can spread easily through respiratory droplets. 

  • When should I schedule a follow-up after treatment?

    A follow-up appointment is crucial for monitoring your child’s recovery from a strep throat infection. Generally, you should schedule your follow-up four to six weeks after your initial consultation. 

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