A sore throat is one of the most common symptoms experienced by children, especially during the fall and winter months. However, when a sore throat persists or is accompanied by other symptoms, it could be tonsillitis – an inflammation of the tonsils that is often caused by germs. Let’s take a look at how you can recognize the differences and when you need a medical evaluation.
WHEN IS IT A SIMPLE SORE THROAT?
A simple sore throat can occur due to:
- Upper respiratory tract infections
- Dry air or allergies
- Irritation from dust, smoke or pollutants
Symptoms:
- Mild to moderate pain
- Dryness or tickling in the throat
- Mild cough
- Possible runny nose or congestion
It usually resolves on its own in 2-3 days, with good hydration, rest, and soft foods.
WHEN IS IT TONSILLITIS?
Tonsillitis is inflammation of the tonsils, which can be caused by either viruses or bacteria (usually streptococcus).
Symptoms suggestive of tonsillitis:
- Severe throat pain, especially when swallowing
- Swollen and red tonsils (often with white plaques or pus)
- High fever
- Bad breath
- Swollen lymph nodes in the neck
- Headache or ear pain
In bacterial tonsillitis (e.g. streptococcus), the symptoms are more intense and there is often no cough or runny nose.
WHEN TO SEE A PEDIATRICIAN
Contact your pediatrician if:
- Sore throat lasts more than 3 days
- There is a high fever or severe difficulty swallowing
- The child is exhausted or has swollen lymph nodes
- You notice pus or white spots on your tonsils
The doctor may recommend a test for streptococci and, if necessary, antibiotic treatment.
CONCLUSION
It is not always easy for a parent to distinguish between a simple sore throat and tonsillitis. However, with careful observation of the symptoms and guidance from a pediatrician, proper diagnosis and treatment is possible.
English 
Greek