Not all strep throats are caused by the streptococcal bacteria. Some are caused by viruses that have similar symptoms. Strep throat is easily spread by coughing and sneezing. The incubation period is 2-5 days. Any child with a fever and a sore throat should be seen by a health care provider. Untreated strep infections can cause damage to the heart and kidneys. The child will usually complain of pain with swallowing. Fever and swollen glands in the neck are also common. Other symptoms may include headache, fatigue, cough, stomach ache, nausea and vomiting. Scarletina, a fine red rash most prominent on the trunk, arms and legs is often associated with a strep infection. If your health care provider suspects that your child may have strep throat a swab of his throat will be done and a culture will be performed. If the test is positive for strep antibiotics will be ordered. Please make sure that your child completes all of the medication prescribed as directed. Non-aspirin pain relievers such as Tylenol may be prescribed for pain or fever. Warm salt water gargles and throat lozenges may be helpful. Fluids should be encouraged as well. Avoid close contact with others who are coughing or sneezing. Wash hands well and dont share eating or drinking utensils with others. According to the state health guidelines, your child must remain at home for 24 hours after starting antibiotics, and until the fever is gone for 24 hours.