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Understanding Hand, Foot & Mouth Disease

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University Hospitals Rainbow Babies & Children'sExperts in Children's Health
Infographic: Understanding Hand, Foot and Mouth Disease

Hand, foot and mouth disease is a common, highly contagious viral illness. It’s most common in children younger than 5 years old, but can also occur in older children and adults.

Symptoms

A diagnosis is usually made based on symptoms, which may include:

  • Flat red spots or blisters on the palms, soles of the feet, legs or buttocks
  • Painful sores in the mouth
  • Fever
  • Reduced appetite
  • Sore throat
  • Irritability

Prevention

Typically spread through coughing, sneezing or contact with an infected blister, there’s no vaccine to protect against it. Reduce your risk by:

  • Washing your hands often with soap and water, especially after changing diapers.
  • Cleaning and disinfecting surfaces and soiled items, including toys.
  • Avoiding close contact such as kissing, hugging or sharing eating utensils or cups.

Treatment

There’s no treatment for hand, foot and mouth disease. Symptoms typically clear up within 10 days and can be managed with:

  • Over-the-counter medications to relieve pain and fever.
  • Alcohol-free mouthwashes or sprays to numb mouth pain.
  • Lotions or ointments to soothe rash and blisters.
  • Avoid citrus fruits and juices, and spicy, salty or acidic foods.
  • Drink plenty of cold, noncarbonated fluids or popsicles.

Treatment

Stay home from work, school or daycare while symptoms are active to speed recovery and prevent spread.

Call Your Doctor or Visit Urgent Care if:

  • Mouth sores are so severe that liquids can’t be swallowed.
  • Symptoms include headache, stiff neck or back pain, in addition to fever.
  • Fever persists and doesn’t respond to medication.
  • Symptoms do not begin to improve in a few days.
  • You’re pregnant and think you were exposed.
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