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What Is Hand, Foot, And Mouth Disease? Understand This Viral Infection - USA TODAY

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Hand, Foot, And Mouth Disease Can Be Painful And Inconvenient. Here's What It Is.

No parent ever wants to see their child hurting. Whether it's mild symptoms like a runny nose or light cough or more severe ones such as difficulty breathing, nausea, or a worrisome temperature, moms and dads are always working hard to ease their children's suffering.

Many of us also try to keep infections like the flu, RSV and COVID-19 at bay by teaching and practicing good hygiene practices such as proper handwashing and covering our mouths and noses when we cough or sneeze.

High among the many infections that families strive to keep from spreading or getting is hand, foot, and mouth disease.

What is hand, foot, and mouth disease?

Hand, foot, and mouth disease is a viral illness that causes sores in one's mouth and a rash that often consists of small, white blisters or red bumps that usually appear on one's hands and feet. It's known to be caused by a virus called coxsackievirus and can be both inconvenient and unpleasant. "Hand, foot, and mouth disease can cause painful oral ulcerations and an itchy skin rash," says Dr. Kellie Kruger, a board-certified physician in internal medicine and pediatrics at Mayo Clinic in Arizona.

Though, as its name implies, these sores and blisters are most commonly found on one's hands, feet, and mouth, the infection isn't always limited to these places. "The classic hand, foot, and mouth rash can also be experienced on the buttocks, legs around the mouth, and is sometimes more widespread on the body," says Dr. Vikash Oza, director of pediatric dermatology at NYU Langone Health. The pain and proliferations of these sores and blisters range from mild to severe. "A low-grade fever can also occur," Oza adds; and many people report experiencing a sore throat as well.

Kruger says that while the disease can be transmitted both at home and in public places, it's most commonly spread "wherever multiple children play together and share close contact."

Is hand, foot, and mouth disease dangerous?

The U.S. Centers for Disease Control and Prevention (CDC) notes that the disease "is usually not serious," but it can still be concerning under some circumstances. In addition to being inconvenient as an infected person usually has to stay away from others for several days, Kruger says the rash and bumps associated with the disease can be itchy and uncomfortable, "and the oral ulcers can be very painful."

Hand, foot, and mouth disease can be unpleasant for anyone, but it can be especially concerning in children younger than 6 months and in people with a weakened immune system. "And the oral ulcers can sometimes result in decreased fluid intake, which could result in dehydration," cautions Oza.

How to treat hand, foot, and mouth disease?

The best way to treat hand, foot, and mouth disease is by letting the disease run its course and easing discomfort associated with its symptoms. "The disease typically goes away on its own, typically within 1-2 weeks," says Kruger. In the meantime, any age-and-weight appropriate over-the-counter medications can be used to relieve fever and pain. Children's Tylenol and ibuprofen are often recommended, but the CDC cautions to "never give aspirin to children."

It's also important to prevent dehydration by providing kids with plenty of liquids. While healing, it's also important not to scratch or pick at related any rash or blisters as that can lead to skin irritation and bacterial infections. If symptoms are severe, if your child's fever lasts longer than 3 days, or if symptoms haven't improved within 10 days after first appearing, the CDC advises a trip to your family's primary care provider.

Fastest way to cure dehydration? How to restore your body when you see these signs.

This article originally appeared on USA TODAY: What is hand, foot, and mouth disease? Understand this viral infection


Symptoms Of Hand, Foot And Mouth Disease - News-Medical.net

Hand foot and mouth disease (HFMD) is a viral illness commonly affecting children below 10 years. Although it can affect teenagers and adults as well, this age group often has milder symptoms.

Adults rarely get this infection as they have been exposed to it in their childhood.

The most common causative organism is Coxsackie virus A 16. Other causes are coxsackie B virus and enterovirus 71 strains.

How long do the symptoms take to appear?

The symptoms of the hand, foot and mouth disease usually takes between 3 and 7 days to appear. This is called the incubation period.

The disease lasts for around a week to 10 days and often resolves completely on its own without treatment.

There are children who catch the infection but may not show any symptoms of the infection.

Early symptoms of hand, foot and mouth disease

Early symptoms of the condition include (1-8):

  • Fever – High fever as high as 40º C (104º F) may be seen in most children. The fevers are typical of viral illness with high and regularly timed peaks and resolution of temperature to normal between two peaks.
  • Headache – Small children often experience headache due to HFMD
  • As will most viral illnesses children with HFMD experience loss of appetite.
  • There is a sore throat. The throat is often painful. On examination the throat shows red spots over the throat, tonsils, mouth and tongue. These may be painful and may make swallowing difficult.
  • Enterovirus 71 can cause vomiting in some patients.
  • Later symptoms of hand, foot and mouth disease

    Later symptoms of the condition include (1-8):

  • After the initial day or two of the infection many children develop red spots in the mouth that progress to ulcers. These worsen and are present in the mouth, tongue, tonsils, over gums and insides of the cheeks and throat. These are extremely painful and make it difficult to eat, drink or swallow. The ulcers typically appear yellow with red haloes around them. Children aged under 5 years tend to have worse symptoms than older children.
  • Nearly 75% of the infected patients develop characteristic rash or blisters over:
  • the soles of the feet
  • palms of the hand
  • between fingers and toes
  • diaper area
  • buttocks
  • genitalia
  • These blisters are painful and may be tender if touched upon or pressed. They may itch initially but the rashes in most cases become non-itchy.

    The spots are flat or raised, sometimes with blisters, and are smaller than chickenpox sores. This rash is a characteristic feature of the infection that leads the condition its name.

    The rashes begin as red spots and rapidly progress to grey blisters with a red and raw base. Trunk and thighs may also be affected. The rash lasts about 3 to 6 days. The fluids in the blister is usually infective.

    Complications of hand, foot and mouth disease

    Complications of HFMD include (5):

  • High fever in children leading to dehydration
  • High fever may lead to febrile seizures or convulsions in very young children
  • Infections of the lesions by bacteria or superimposed infections
  • Viral (aseptic) meningitis is a rare complication. Symptoms of viral meningitis or brain infection by the virus include headache, stiff neck, and fever. There may be swelling of the brain. These patients usually need hospitalization.





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