Signs of Hand, Foot and Mouth Disease

The illness is usually a short-lived viral infection that spreads readily among children. A child may become irritable, eat less, or drool because mouth ulcers make swallowing uncomfortable. Spots can appear on the palms, fingers, soles, or around the nappy area; they may be flat red marks or fluid-filled blisters. A rash can also occur elsewhere. The appearance of the rash varies, so a clinician may consider the whole pattern rather than one mark.

Offer frequent sips of cool water or milk and soft foods that are easy to swallow. Avoid acidic drinks and rough, spicy, or very hot foods if they sting. Encourage rest, wash hands after nappy changes, and avoid sharing cups, cutlery, towels, or toothbrushes. Keep blisters clean and avoid picking them. Ask a pharmacist or clinician which fever or pain medicine is suitable for the child’s age and health.

Arrange prompt medical advice if the child cannot drink, has much less urine, has a very dry mouth, or remains unusually sleepy. Seek urgent help for breathing difficulty, a seizure, confusion, collapse, or a child who is difficult to wake. Medical assessment is also sensible when fever persists, symptoms are worsening, or you are unsure whether the child is becoming dehydrated.

Ask whether the mouth sores and rash fit hand, foot and mouth disease, how to protect siblings, and which fluids or medicines are appropriate. Ask what signs of dehydration to monitor and when the child can return to nursery or school.