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Hand, Foot and Mouth Disease

This common enterovirus illness of childhood is usually mild and resolves spontaneously.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Çocuk Sağlığı ve Hastalıkları department. Book Appointment →

What is Hand, Foot and Mouth Disease?

Hand, foot and mouth (HFM) disease is a viral illness most often seen in children under 5 years, with summer and autumn outbreaks. The virus spreads by contact, respiratory droplets and the faecal-oral route, with an incubation period of 3-6 days.

Painful oral ulcers (similar to herpangina) can make eating and drinking difficult, increasing the risk of dehydration. The vesicles on the palms, soles and sometimes the buttocks are usually painless.

The EV71 strain can rarely cause serious complications such as encephalitis and myocarditis; in this case the child must be taken to hospital urgently.

Symptoms

Mild fever and irritability
Painful oral ulcers (especially on the tongue, palate and cheeks)
Small fluid-filled blisters on the palms and soles
Refusal to drink (because of mouth pain)
Rash sometimes also seen on the buttocks and around the knees

Risk Factors

Being under 5 years old
Daycare or kindergarten setting
Summer and autumn seasons
Inadequate hand-washing

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Refusal to drink for more than 8 hours (dehydration)
  • Fever above 39°C or lasting more than 3 days
  • Pain not controlled by analgesics
  • Headache, neck stiffness or altered consciousness

Treatment Methods

01
Symptomatic treatment: paracetamol or ibuprofen for fever and pain
02
Fluid intake: cold drinks and ice cream may ease mouth pain
03
Mouth care: salt-water gargles (in older children)
04
Topical anaesthetic gel for mouth pain (with a doctor's advice)
05
No antibiotics needed (viral cause)
06
Hand hygiene to prevent spread

Which Department to Visit?

You can visit our Çocuk Sağlığı ve Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Çocuk Sağlığı ve Hastalıkları Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.