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Hand foot mouth disease (HFMD) in children
Hand foot mouth disease (HFMD) in children
Symptoms, treatment, and preventing hand foot mouth disease
Symptoms, treatment, and preventing hand foot mouth disease

Dahlia Rimmon, RDN
Content Writer

Dr. Marcy Borieux
Pediatrician



What is Hand, Foot, and Mouth Disease?
Hand foot mouth disease (HFMD), also known as coxsackie, is a viral rash caused by the coxsackie enterovirus. The disease spreads through direct contact with saliva, mucus, stool, or respiratory droplets, making it highly contagious, especially in places like daycare centers and schools where children are in close contact. HFMD is typically diagnosed by a pediatrician through an examination of the rash.
Symptoms of Hand Foot Mouth disease
Fever
Painful sores or blisters on the throat, tongue, gums, inside the cheeks
Sore throat
Painful swallowing
Small, fluid-filled blisters on the hand, fingers, palms, feet, buttocks, or genitals
Fatigue
Irritability
Poor appetite
How to treat Hand Foot Mouth disease
Stay hydrated: Encourage plenty of fluids to prevent dehydration, especially since mouth sores can make eating and drinking painful.
Fever relief: Use over-the-counter medications such as acetaminophen or ibuprofen to help reduce fever and ease discomfort (for children over 6 months).
Sore relief: Cold foods like fruit popsicles or smoothies can provide soothing relief for sore throat and mouth sores.
How to prevent Hand Foot Mouth disease
Encourage regular handwashing with soap and warm water, particularly after using the bathroom, changing diapers, and before meals. If your child attends daycare or visits public play areas, make sure they wash their hands afterward.
Regularly clean and disinfect surfaces, toys, and commonly touched items to reduce the risk of spreading the virus.
If your child has Hand Foot and Mouth disease, keep them home from school or daycare to prevent spreading the virus to others.
Do not share food, drinks, utensils, or personal items that may come into contact with saliva or mucus.
Teach your child to cover their mouth when coughing or sneezing to prevent spreading HFMD.
When to consult your pediatrician about Hand Foot Mouth Disease
Consult your local or Summer Health pediatrician if:
Symptoms worsen or do not improve after a week.
Your child shows signs of dehydration, such as fewer wet diapers, dry mouth, or lethargy.
Mouth sores or blisters make it difficult for your child to drink or eat.
If you have questions about Hand Foot Mouth disease, reach out to your local or Summer Health pediatrician for support. Summer Health is a pediatric telehealth platform offering 24/7 care, providing answers for everything from urgent concerns to everyday questions about your child’s health.
What is Hand, Foot, and Mouth Disease?
Hand foot mouth disease (HFMD), also known as coxsackie, is a viral rash caused by the coxsackie enterovirus. The disease spreads through direct contact with saliva, mucus, stool, or respiratory droplets, making it highly contagious, especially in places like daycare centers and schools where children are in close contact. HFMD is typically diagnosed by a pediatrician through an examination of the rash.
Symptoms of Hand Foot Mouth disease
Fever
Painful sores or blisters on the throat, tongue, gums, inside the cheeks
Sore throat
Painful swallowing
Small, fluid-filled blisters on the hand, fingers, palms, feet, buttocks, or genitals
Fatigue
Irritability
Poor appetite
How to treat Hand Foot Mouth disease
Stay hydrated: Encourage plenty of fluids to prevent dehydration, especially since mouth sores can make eating and drinking painful.
Fever relief: Use over-the-counter medications such as acetaminophen or ibuprofen to help reduce fever and ease discomfort (for children over 6 months).
Sore relief: Cold foods like fruit popsicles or smoothies can provide soothing relief for sore throat and mouth sores.
How to prevent Hand Foot Mouth disease
Encourage regular handwashing with soap and warm water, particularly after using the bathroom, changing diapers, and before meals. If your child attends daycare or visits public play areas, make sure they wash their hands afterward.
Regularly clean and disinfect surfaces, toys, and commonly touched items to reduce the risk of spreading the virus.
If your child has Hand Foot and Mouth disease, keep them home from school or daycare to prevent spreading the virus to others.
Do not share food, drinks, utensils, or personal items that may come into contact with saliva or mucus.
Teach your child to cover their mouth when coughing or sneezing to prevent spreading HFMD.
When to consult your pediatrician about Hand Foot Mouth Disease
Consult your local or Summer Health pediatrician if:
Symptoms worsen or do not improve after a week.
Your child shows signs of dehydration, such as fewer wet diapers, dry mouth, or lethargy.
Mouth sores or blisters make it difficult for your child to drink or eat.
If you have questions about Hand Foot Mouth disease, reach out to your local or Summer Health pediatrician for support. Summer Health is a pediatric telehealth platform offering 24/7 care, providing answers for everything from urgent concerns to everyday questions about your child’s health.
Summer Health offers fast and reliable pediatric urgent care through online doctors, all via text. Whether you’re worried about your baby's fever, rashes, or other children's health concerns, we provide expert advice and support anytime, right from your phone.
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