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Throat Infection Treatment for Children

This page has been medically reviewed by Dr Gabriel Chain, March 2025.

What is a throat infection?

Throat infections are common in children, especially during cold and flu season. Two of the most frequent conditions affecting the throat are pharyngitis and tonsillitis. While they share some similarities, they affect different parts of the throat and may require different treatments.

What is pharyngitis?

Pharyngitis refers to inflammation of the pharynx, the back of the throat, which can cause discomfort, irritation, and difficulty swallowing. It is often caused by viral infections, such as the common cold or flu, but can also be due to bacterial infections, most commonly Group A Streptococcus (strep throat).

What are the symptoms of pharyngitis?

  • Sore, dry, or scratchy throat
  • Pain or discomfort when swallowing
  • Fever
  • Swollen lymph nodes in the neck
  • Hoarseness or voice changes
  • General fatigue or malaise

What is tonsillitis?

Tonsillitis is the inflammation of the tonsils, the two oval-shaped lymphoid tissues at the back of the throat. Like pharyngitis, tonsillitis can be caused by viruses or bacteria, with strep throat being a common bacterial cause.

What are the symptoms of tonsillitis?

  • Sore throat and difficulty swallowing
  • Red, swollen tonsils (sometimes with white or yellow patches)
  • Fever
  • Swollen lymph nodes in the neck
  • Bad breath
  • Ear pain
  • In severe cases, difficulty breathing due to swollen tonsils

Diagnosing a throat infection involves:

  • Physical examination – A doctor will check for redness, swelling, and any patches on the tonsils or throat.
  • Strep test or throat swab – If a bacterial infection is suspected, a rapid strep test or throat culture can confirm the presence of Group A Streptococcus.

Treatment for pharyngitis and tonsillitis

Viral Infections:

Most cases of pharyngitis and tonsillitis are viral and do not require antibiotics. Treatment focuses on symptom relief, including:

  • Plenty of fluids to stay hydrated
  • Rest to help recovery
  • Over-the-counter pain relief (such as paracetamol or ibuprofen)
  • Gargling with salt water to soothe the throat
  • Humidifiers or steam inhalation for added moisture

Bacterial Infections (Strep Throat):

If the infection is caused by Group A Streptococcus, antibiotics will be prescribed to:

  • Treat the infection
  • Reduce the duration and severity of symptoms
  • Prevent complications such as rheumatic fever

In some cases, recurrent or severe tonsillitis may require an ENT referral to discuss potential tonsil removal (tonsillectomy).

How can Kidswell Health help?

At Kidswell Health, our paediatric specialists provide expert assessment and treatment for throat infections, ensuring the best care for your child. We offer:

  • Thorough examinations to determine whether the infection is viral or bacterial
  • Rapid strep tests to confirm bacterial infections quickly
  • Personalised treatment plans, including symptom relief guidance and prescriptions when necessary

Additional resources

NHS: Sore throat

NHS: Tonsillitis 

Disclaimer: Information contained on this page is intended as general advice and does not replace a medical assessment. If you are concerned about your child’s health, please contact your doctor for advice. In an emergency or for urgent care, call 999 or visit your local A&E.

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