A red throat and swollen glands can indicate several common childhood illnesses. The lymph nodes eliminate infection and store white blood cells. When they become swollen, it usually indicates that the body is fighting off an infection or virus. A red throat is frequently caused by irritation from frequent coughing, but also can be a sign of strep throat or tonsillitis. It's important to consult your child's pediatrician before beginning home treatment.
Strep Throat
Strep throat is a bacterial infection spread through saliva and mucous. It is among the most common illnesses children experience, but can result in serious complications if left untreated. The most common symptom of strep throat is a painful sensation in the throat, sometimes accompanied by a change in food's taste. Children with strep throat usually develop a fever and may show flu-like symptoms, including weakness, dizziness and loss of appetite. Your pediatrician will prescribe an antibiotic to clear up the infection.
Tonsillitis
Though often thought of as part of the throat, tonsils are actually lymph nodes. When they are fighting off a bacterial infection, they swell. This often causes extreme throat pain, difficulty swallowing, pain in the jaw or ears and a fever. Because the symptoms of tonsillitis are so similar to strep throat, it's important to contact your pediatrician if your child shows symptoms of either illness so that she can determine appropriate treatment.
Cold and Flu
Viral infections such as the common cold and influenza frequently cause swollen glands. Though these infections cannot be treated with antibiotics, the body produces natural antibodies that fight them off over several days. Children experiencing a persistent cough or sinus problems may develop a red or swollen throat after several days. If your child's symptoms are getting worse, consult your pediatrician. An illness that appears to be a cold or flu may actually be a bacterial infection.
Other Conditions
Children with allergies frequently experience swollen lymph nodes, particularly in the neck. If your child has chronic swollen glands and throat problems despite antibiotic treatment, consult an ear, nose and throat specialist. He can determine whether your child has allergies or another condition causing the symptoms.
References
- "The Portable Pediatrician"; William Sears, et al.; 2011
- "Caring For Your Baby and Young Child, 5th Edition"; American Academy of Pediatrics; 2009
- "Mayo Clinic Family Health Book, Fourth Edition"; Mayo Clinic; 2009
- "Health, Safety and Nutrition for the Young Child"; Lynn R. Marotz; 2011


