Hand-foot-and-mouth disease (HFMD) is a common, usually mild illness that often affects young children. It's caused by a virus, most often a type called coxsackievirus. This virus leads to a few key symptoms. The most noticeable are sores inside the mouth, and a rash that appears on the hands and feet.
Unfortunately, there's no medicine to cure HFMD. The best way to protect children is to practice good hygiene. Regular handwashing is very important, especially if someone in your child's environment has HFMD. Also, keeping your child from being in close contact with anyone who's sick with this virus can help prevent them from catching it.
Hand, foot, and mouth disease (HFMD) is a common childhood illness that can cause a range of symptoms. While not everyone experiences all the symptoms, some of the most frequent ones include:
These symptoms typically appear a few days after infection. It's important to note that the severity of symptoms can differ greatly from person to person. If you have concerns about HFMD, consult a healthcare professional.
Hand-foot-and-mouth disease (HFMD) is typically a mild illness. Most people who get it only have a fever and a few other, relatively mild symptoms that last for just a few days. These symptoms are usually easy to manage.
However, it's important to contact a doctor if your child is under six months old. Babies younger than six months are more vulnerable to illness. Also, if your child has a weakened immune system, this could make them more susceptible to complications. If your child has mouth sores or a sore throat so painful that it's hard for them to swallow, it's crucial to seek medical advice. This is because these symptoms can lead to dehydration.
If your child's symptoms don't get better within about 10 days, it's a good idea to call your healthcare provider. This is especially important if the symptoms are worsening or causing discomfort.
Hand-foot-and-mouth disease (HFMD) is often caused by a virus called coxsackievirus 16. This virus is part of a larger family of viruses called enteroviruses, which also include other types that can sometimes cause HFMD.
Most people catch the virus, and therefore HFMD, through their mouths. The virus spreads easily from one person to another through various ways of contact with an infected person. These include:
Hand-foot-and-mouth disease (HFMD) is most common in young children, typically those under 5 to 7 years old. This is because the illness is spread easily from one person to another through close contact. Kids in daycare or preschool settings are particularly at risk due to the close proximity of children.
While young children are most susceptible, anyone can catch HFMD.
Older children and adults often have some protection against HFMD. This is because their bodies have developed antibodies to the viruses that cause the disease. They've likely been exposed to these viruses before, and their immune systems have learned to fight them off. Even so, older children and adults can sometimes still get HFMD.
Hand, foot, and mouth disease (HFMD) is often a mild illness. It typically causes a fever and some discomfort for a few days. The most common problem is dehydration. The sores in the mouth and throat can make it hard to eat and drink, leading to a loss of fluids.
It's important to encourage your child to drink plenty of liquids while they have HFMD. This can help prevent dehydration. If your child becomes significantly dehydrated, they might need fluids given directly into a vein (intravenous, or IV) at the hospital.
While most cases are mild, there's a small chance HFMD can lead to more serious complications. Sometimes, the virus that causes HFMD can affect the brain. These complications are rare:
If you notice any unusual symptoms like a stiff neck, confusion, seizures, or loss of consciousness, seek immediate medical attention. These rare complications, while serious, are treatable if caught early.
Protecting Your Child from Hand, Foot, and Mouth Disease
Hand, foot, and mouth disease (HFMD) is a common childhood illness. You can take steps to lower your child's risk of getting it.
Frequent Handwashing is Key: Washing hands thoroughly is the most important thing you can do. This means washing for at least 20 seconds with soap and water. Make sure to wash hands:
If soap and water aren't available, use hand sanitizer.
Teach Good Hygiene Habits: Show your child how to wash their hands properly and encourage frequent handwashing. It's also vital to teach them good overall hygiene. Explain why touching their mouth, nose, or eyes with their hands is not a good idea. This includes touching shared objects or toys.
Clean and Disinfect Regularly: Clean high-traffic areas and surfaces in your home or child care setting often. Start by cleaning with soap and water, then follow up with a diluted bleach solution. (Always follow the instructions on the bleach container for proper dilution.) This is especially important in child care settings where the virus can live on surfaces for several days. This includes door handles, toys, and other shared items.
Limit Close Contact During Illness: HFMD is very contagious. To protect others, anyone with HFMD symptoms should limit contact with other people. Keep children with HFMD out of school or daycare until their fever is gone and their mouth sores have healed. If you are sick with HFMD, stay home from work. This helps prevent the spread of the illness.
Doctors usually figure out if a child has hand-foot-and-mouth disease (HFMD) or another viral illness by looking at a few things.
First, the doctor will consider the child's age and symptoms. Things like how the child is feeling (e.g., fever, tiredness, aches) and how long they've been sick are important clues. The doctor will also carefully examine any rash or sores on the child's hands, feet, mouth, or other parts of the body. The appearance of these spots – their size, shape, and color – helps determine what's going on.
Sometimes, the doctor might need more information. They might take a small sample from the child's throat or stool. This sample is sent to a lab to identify the specific virus causing the illness. This extra step helps the doctor make a more precise diagnosis and can guide treatment decisions.
Hand-foot-and-mouth disease (HFMD) doesn't have a special cure. The symptoms, like sores in the mouth, on the hands, and feet, typically go away on their own within a week or ten days.
To help with the pain from mouth sores, you can use a medicine that numbs the area. For general discomfort, over-the-counter pain relievers like acetaminophen (often sold as Tylenol) or ibuprofen (like Advil or Motrin) can be helpful. Important note: Never give aspirin to children or teenagers, as it can cause a serious condition called Reye's syndrome.
Mouth sores can be uncomfortable for kids. Certain foods and drinks can make them worse. Here are some simple ways to help your child feel better and eat more easily:
If your child can rinse without swallowing, gently swishing warm salt water in their mouth a few times a day can help reduce pain and swelling from mouth sores. (Dissolve a small amount of salt in warm water. Too much salt can hurt, so start with a small amount and adjust as needed.)
Here are some other ways to make eating and drinking more comfortable:
Cold treats: Ice pops or chips, and ice cream or sherbet can help numb the pain.
Cool drinks: Cold water is soothing.
Warm drinks: Warm drinks like tea can also be comforting for some children.
Avoid the triggers: Foods and drinks that are acidic, like citrus fruits, juices, and soda, can irritate the sores. Try to avoid these until the sores heal.
Easy-to-eat foods: Soft foods like mashed potatoes, yogurt, or applesauce are easier to eat without needing much chewing. This can help avoid further discomfort.
Taking your child to the doctor for hand-foot-and-mouth disease? Here's how to prepare.
First, schedule an appointment with your child's primary doctor. Before the appointment, it's helpful to prepare.
Getting Ready for Your Appointment
When you book the appointment, ask if there are any special preparations needed, like fasting for a test. Make a list of:
Questions to Ask the Doctor
It's important to ask questions to get the best care for your child. Here are some examples:
Information the Doctor May Ask You
The doctor will likely ask you questions too. Be prepared to answer:
Helping Your Child Feel Better at Home
To ease your child's discomfort, try these tips:
Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.