Paediatrics·Paediatrics
Sore throat in children
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A sore throat is pain, scratchiness, or irritation of the throat that often worsens when you swallow. In children, it is usually caused by a viral infection like a cold or flu, but sometimes a bacterial infection (like strep throat) can be the cause. Most sore throats in children get better on their own within a week.
Key facts
Yes, sore throat is one of the most common reasons children visit a doctor. Almost every child has at least one sore throat per year.
Sore throats can affect children of any age, but they are especially common in school-aged children (ages 5–15). Younger children (under 3) can also get sore throats, but they may not be able to describe the pain as clearly.
A doctor will usually diagnose a sore throat by asking about symptoms and looking at your child's throat and neck. They may shine a light in the mouth and gently feel the neck for swollen glands.
The doctor may ask about your child's fever, drinking, and any other symptoms. They might also check the ears and nose. The examination is quick and not painful, though the throat swab can be briefly uncomfortable. The doctor will then advise on whether treatment is needed.
Treatment depends on the cause. Viral sore throats do not need antibiotics and usually get better on their own. Bacterial sore throats (like strep) are treated with antibiotics to cure the infection and prevent complications. Most children recover fully with rest and home care.
While your child has a sore throat, they may be more tired and irritable. Keep activities low-key, like reading books or watching a movie. Try to keep them comfortable and ensure they drink regularly. Most children feel better within a few days.
There are no specific dietary restrictions, but soft, soothing foods can help. Offer lukewarm liquids, and avoid very acidic or spicy foods that might sting. Once the sore throat improves, your child can resume their normal diet and gentle activities as they feel able.
It is not always possible to prevent a sore throat, but you can reduce the risk by encouraging good hygiene: regular handwashing, covering coughs and sneezes, and not sharing personal items. Avoiding close contact with sick people also helps.
There is no vaccine specifically for most sore throats, but vaccines for flu and COVID-19 can help prevent viral infections that may cause sore throat. The chickenpox vaccine also helps prevent one cause of throat illness (varicella). Talk to your doctor about recommended vaccinations for your child.
There is no routine screening for sore throat in children. If your child has recurrent sore throats, your doctor may evaluate for underlying causes like allergies or reflux.
The outlook for children with sore throat is very good. Most recover completely within a week with simple home care. When bacterial infections are treated promptly with antibiotics, the risk of complications is greatly reduced. Your child will soon be back to their usual self.
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Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 9, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.
For bacterial sore throats, a doctor will prescribe a course of antibiotics. It is important to give the full course even if your child feels better after a few days. Pain relief medicines (like those containing paracetamol or ibuprofen) can also be given as needed. Your doctor or pharmacist can advise on the right dose for your child's age and weight. Do not give aspirin to children under 16.
Surgery to remove the tonsils (tonsillectomy) is rarely needed. It may be considered only if a child has very frequent severe sore throats (e.g., 7 or more in one year) or complications such as a peritonsillar abscess. Your doctor will discuss this if appropriate.
Being sick with a sore throat can make children feel grumpy, tired, or frustrated, especially if they miss school or play. Offer extra comfort and reassurance. Let them know it will pass. If the illness goes on for a long time or affects their mood significantly, speak to your doctor.