We’ve all experienced that uncomfortable moment at the doctor’s office, staring at the long swab poised to take a sample from our throats. For parents, this scenario often includes trying to comfort a small, squirming child who is nervous about the test.
Most parents know that a persistent sore throat and fever are typical signs of a strep infection. These symptoms usually warrant a doctor’s visit and, if confirmed, treatment with antibiotics. However, there is a surprising symptom that many parents may overlook: vomiting.
Vomiting as a Strep Symptom in Children
Vomiting, when paired with a sore throat, can be an indicator of strep throat in kids, although it is not typically a sign in adults.
“Vomiting is a sign of strep throat, especially in children,” said Dr. Jen Trachtenberg, a board-certified pediatrician based in New York City.
Common Symptoms of Strep Throat
Strep throat is a bacterial infection caused by Streptococcus pyogenes, also known as group A streptococcus. Its symptoms can be confusingly similar to those of viral infections, which is why doctors perform tests before prescribing antibiotics.
Dr. Trachtenberg outlined the common symptoms she observes in her practice:
- Fever
- Sore throat (may include red dots, swollen tonsils, or white patches in the mouth)
- Swollen lymph nodes in the neck
- Headache
- Stomach pain and vomiting
According to the Mayo Clinic, throat pain from strep often comes on suddenly, and children may complain of difficulty swallowing.
When to See a Doctor
Given the overlap with viral infection symptoms, it can be challenging for parents to know when to seek medical care.
Here are signs that a doctor’s visit may be necessary:
- Sore throat and swollen lymph nodes
- Sore throat and fever
- Sore throat and rash
- Sore throat lasting over 48 hours
- Any combination of the above symptoms
Dr. Janine Zee-Cheng, a board-certified pediatrician in Indiana, noted that sometimes children present with a headache, stomachache, and fever and test positive for strep without ever reporting a sore throat.
Interestingly, Zee-Cheng mentioned that experienced pediatricians can often identify a child with strep just by their appearance. They described this “strep face” as looking “pale and droopy.”
Strep in Young Children
Physicians often don’t test children under age three for strep because it’s rare for them to contract the infection, and they are less likely to develop complications. In these cases, symptoms are usually caused by a viral infection.
Why Treating Strep is Crucial
While doctors may have varying opinions on whether antibiotics are necessary for certain ear infections, they unanimously agree on the need to treat strep throat with antibiotics after a positive test. Prompt treatment is essential to prevent complications, such as rheumatic fever and kidney inflammation.
Preventing the Spread of Strep
Many daycare centers and schools now notify parents when a child in the class tests positive for strep. This proactive communication allows parents to monitor their children for symptoms and seek timely medical care if needed.
Conclusion
Being aware of the lesser-known symptoms of strep throat, such as vomiting, can help parents seek early diagnosis and treatment for their children. If your child shows any combination of the symptoms listed, it’s best to contact a pediatrician for advice and testing.