Hand, Foot and Mouth Disease (HFMD)

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Hand, Foot and Mouth Disease (HFMD) is a common viral illness that primarily affects infants and children under the age of five. It is characterized by a combination of symptoms including fever, sore throat, fatigue, loss of appetite, mouth sores, rash on hands and feet, and blisters on hands and feet. While HFMD is generally a mild and self-limiting illness, it can cause discomfort and inconvenience for both the affected child and their caregivers. Understanding the symptoms, causes, and treatment options for HFMD can help parents and caregivers effectively manage the disease and provide relief to the affected child.

Symptoms of HFMD

HFMD typically begins with a fever, which is often the first sign of the illness. The fever is usually accompanied by a sore throat, making it difficult for the child to eat or drink. Fatigue and loss of appetite are also common symptoms during the initial stages of HFMD. As the disease progresses, mouth sores may develop, causing pain and discomfort. These sores can make it challenging for the child to eat, drink, or even swallow saliva. In addition to mouth sores, a rash may appear on the hands and feet, often accompanied by small blisters. These blisters can be itchy and may cause discomfort for the child.

Causes of HFMD

HFMD is primarily caused by the Coxsackievirus, a type of enterovirus. The virus is highly contagious and can spread through close personal contact, such as coughing, sneezing, or touching contaminated surfaces. It can also be transmitted through contact with the fluid from the blisters or the stool of an infected person. The virus can survive on surfaces for several days, making it important to practice good hygiene and cleanliness to prevent its spread.

Treatment and Management of HFMD

Currently, there is no specific treatment or cure for HFMD. The illness is usually self-limiting and resolves on its own within a week to ten days. However, there are several measures that can be taken to alleviate the symptoms and provide relief to the affected child:

  • Encourage the child to drink plenty of fluids to prevent dehydration. Offer small, frequent sips of water, clear soups, or oral rehydration solutions.
  • Provide soft, easy-to-swallow foods that are not spicy or acidic. Avoid foods that may irritate the mouth sores, such as citrus fruits or salty snacks.
  • Use over-the-counter pain relievers, such as acetaminophen or ibuprofen, to reduce fever and alleviate pain. Follow the recommended dosage for the child’s age and weight.
  • Apply soothing creams or ointments to the mouth sores to provide temporary relief. Avoid using acidic or spicy substances that may further irritate the sores.
  • Keep the child’s hands and feet clean and dry. Avoid scratching the blisters to prevent secondary infections.
  • Practice good hygiene and cleanliness to prevent the spread of the virus. Wash hands frequently with soap and water, especially after changing diapers or coming into contact with bodily fluids.

Prevention of HFMD

While it may not be possible to completely prevent HFMD, there are several steps that can be taken to reduce the risk of infection:

  • Encourage regular handwashing with soap and water, especially before meals and after using the toilet.
  • Teach children to cover their mouth and nose with a tissue or their elbow when coughing or sneezing.
  • Disinfect frequently-touched surfaces, such as toys, doorknobs, and countertops, regularly.
  • Keep sick children at home and avoid close contact with others until they have fully recovered.
  • Ensure that childcare facilities and schools maintain proper hygiene practices, such as regular cleaning and disinfection.

By following these preventive measures, the risk of HFMD can be significantly reduced, especially in settings where children are in close contact with each other.

Conclusion

Hand, Foot and Mouth Disease (HFMD) is a common viral illness that primarily affects young children. While it can cause discomfort and inconvenience, HFMD is generally a mild and self-limiting illness that resolves on its own within a week to ten days. By recognizing the symptoms, understanding the causes, and implementing appropriate treatment and preventive measures, parents and caregivers can effectively manage HFMD and provide relief to the affected child. Remember to consult a healthcare professional for proper diagnosis and guidance in managing the illness.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA