It is common for children to develop sore throats as a result of viral or bacterial infections such as the flu or tonsillitis. Other causes may include irritants or allergies, which can result in pain while swallowing, throat redness, or swollen glands.

Signs to Seek Medical Attention

If your child experiences a sore throat for more than 4 days, a high fever, or seems generally unwell, it is advisable to consult a healthcare professional. In case of difficulty swallowing or breathing, call 999 immediately.

Duration of Symptoms

The duration of a sore throat varies depending on the underlying cause. For example, sore throats due to a cold or flu typically last around a week, whereas those caused by glandular fever can persist for weeks.

Treatment and Relief

Treatment and Relief

Although most sore throats improve on their own, there are ways to help alleviate your child’s discomfort. These include keeping them hydrated, promoting rest, and offering cool or soft foods. Over-the-counter medications like ibuprofen or paracetamol can also provide relief.

Regarding COVID-19

Regarding COVID-19

If there are concerns that your child may be displaying symptoms of COVID-19, refer to the NHS website for guidance.

Health Visitor: Dawn Kelly

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Last updated: March 2025

Published by Kenvue UK Limited for the UK audience.

During the autumn and winter seasons, illnesses like colds, flu, RSV, and COVID-19 are prevalent. Learn to differentiate between these respiratory conditions.

How to prevent respiratory illnesses

The CDC recommends five core strategies to prevent respiratory viruses, including vaccinations, good hygiene practices, and staying home when unwell.

Additional precautions should be taken during outbreaks, particularly for individuals at higher risk.

When to return to normal activities after a respiratory illness

Staying home when sick is crucial to prevent the spread of germs, even after symptoms improve. It is recommended to wait until you are fever-free for at least 24 hours without the use of fever-reducing medications before returning to work or school.

Prepare for the possibility of catching a virus during the cold and flu season and understand the distinctions in symptoms. Remember to practice good respiratory etiquette, such as covering your mouth and nose with a tissue or your elbow when coughing or sneezing.

  • COVID-19 symptoms: fever, cough, shortness of breath, loss of taste or smell
  • Flu symptoms: fever, muscle aches, fatigue, cough, sore throat
  • RSV symptoms: coughing, wheezing, difficulty breathing, fever
  • Cold symptoms: runny or stuffy nose, sneezing, sore throat, cough
  • Allergy symptoms: sneezing, itchy eyes, runny nose, congestion

It’s important to note that some symptoms can overlap between different illnesses, so it’s best to consult a healthcare provider for an accurate diagnosis. Remember to practice good hygiene, wear masks, and follow recommended guidelines to prevent the spread of respiratory illnesses.

Common respiratory illnesses in children

While COVID-19 continues to circulate, the availability of vaccines has enhanced outcomes. Educate yourself on the symptoms and the importance of vaccination.

COVID-19 in kids

Rapid COVID-19 testing plays a significant role in early detection and containment of the virus. Understand when to use at-home tests and the necessary precautions to take.

Testing for flu, RSV, and COVID-19 aids in providing appropriate care and treatment.

Understanding MIS-C

Multisystem Inflammatory Syndrome in Children (MIS-C) is a rare condition linked to COVID-19. Recognize the symptoms and seek medical attention if needed.

Prevent MIS-C by adhering to COVID-19 precautions and getting vaccinated.

Influenza

Influenza is a contagious virus with symptoms that can range from mild to severe. Learn about the risks and complications, especially for high-risk populations.

The primary symptoms of the flu overlap with those of COVID-19, making it challenging to differentiate between the two. At-home COVID-19 tests can help confirm the infection, particularly for high-risk individuals. A flu test may also be recommended for those susceptible to severe illness.

Is the Flu Vaccine Necessary for my Family?

Preventing influenza is crucial. Both adults and children above 6 months of age should receive the flu shot early in the season, typically in September. The flu vaccine lowers the risk of illness and reduces the severity of symptoms. It is effective in preventing severe complications, hospitalization, and mortality. Many health insurance plans cover the cost of the flu shot, or affordable options are available.

RSV in kids

Respiratory Syncytial Virus (RSV) is a common cold-like infection that affects children under the age of 2. It can result in severe complications, particularly for infants, premature babies, and those with underlying health conditions. Seek medical attention for severe RSV symptoms to prevent conditions like pneumonia or bronchiolitis.

Available Treatments and Vaccines for RSV

Most children can recover from RSV with at-home treatments. Severe cases might necessitate hospital treatment involving oxygen therapy and IV fluids. The CDC recommends that infants under 8 months receive the monoclonal antibody shot, Beyfortus. Maternal RSV vaccination is also an option for protection.

Can Adults and Older Children Contract RSV?

While adults and older children can acquire RSV, the illness is usually less severe in this age group. Maintain good hand hygiene, cover coughs, and stay home when sick to prevent spreading the virus. Adults over 60 may consider RSV vaccines for added protection.

The common cold in kids

Typically, healthy children experience about six colds per year caused by various viruses. Distinguishing between colds, flu, and COVID-19 can be challenging. Cold symptoms are generally milder, flu symptoms manifest suddenly and are severe, and COVID-19 symptoms vary widely, necessitating testing for confirmation.

Ear, nose and throat infections

Respiratory infections such as colds or flu can lead to ear, nose, and throat conditions. In certain cases, antibiotics may be required for treatment.

Ear Infections

Around 85% of children experience an ear infection at some point. While some infections resolve on their own, multiple occurrences might necessitate consultation with an Ear, Nose, and Throat (ENT) specialist.

Sinus Infections

Sinus infections can often be managed with over-the-counter medications, but if symptoms persist for more than 10 days, antibiotics may be necessary. Severe cases can lead to complications.

Strep Throat

Sore throats can be attributed to a cold or strep throat. Testing is crucial for a strep throat diagnosis if symptoms like a sudden sore throat, fever, or spots in the throat are present.

Enterovirus D68 and acute flaccid myelitis

Acute Flaccid Myelitis (AFM) is a severe neurological condition. EV-D68, a respiratory virus, can trigger AFM, resulting in limb weakness and paralysis. Recognize the symptoms of AFM and seek immediate medical attention if signs of paralysis are observed.

What to keep in mind during cold and flu season

Testing and treatment for respiratory viruses may be necessary for individuals at risk. Similar symptoms make it challenging to differentiate between these viruses. Most cases can be managed at home with rest, hydration, and fever-reducing medications. Keeping sick children at home helps prevent the spread of illness to others.

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