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Hand, Foot, And Mouth Disease: Symptoms, Causes, Treatment, Cost, and Side Effects

Last Updated: Jul 01, 2023

Introduction to Hand, Foot, and Mouth Disease (HFMD)

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Hand, foot, and mouth disease (HFMD) is a common viral illness that affects infants and young children. It is characterized by the development of painful sores on the mouth, hands, and feet. The disease is caused by a group of viruses known as enteroviruses, and it is most commonly seen in the summer and fall months.

Definition of hand, foot, and mouth disease (HFMD)?

HFMD is a viral illness that affects the mouth, hands, and feet. It is caused by a group of viruses known as enteroviruses. The most common cause of HFMD is the coxsackievirus A16, but other enteroviruses such as coxsackievirus A5 and echovirus 11 may also cause the disease. These viruses are transmitted through contact with respiratory secretions, such as saliva, mucus, or nasal discharge, or through contact with contaminated surfaces or objects.

Causes of hand, foot, and mouth disease (HFMD)

HFMD is most commonly seen in young children, but it can also occur in adults. The disease is more common in the summer and fall months and is most commonly seen in areas with high humidity.

An individual becomes infected with the virus that causes HFMD through close contact with an infected person or through contact with contaminated surfaces or objects. The viruses that cause HFMD are spread through respiratory secretions, such as saliva or mucus, or through feces. An individual may become infected with the virus by touching a surface or object that has been contaminated with the virus and then touching their mouth, nose, or eyes.

Once an individual is infected with the virus, it may take three to six days for symptoms to appear. The individual is most contagious during the first week of the illness.

Transmission of hand, foot, and mouth disease (HFMD)

Hand, foot, and mouth disease (HFMD) is primarily transmitted through close contact with an infected person or through contact with contaminated surfaces or objects.

The viruses that cause HFMD are most commonly spread through respiratory secretions, such as saliva or mucus, or through feces. An individual may become infected with the virus by touching a surface or object that has been contaminated with the virus and then touching their mouth, nose, or eyes.

HFMD is most commonly seen in young children, and it is thought that the disease is often spread through close contact with infected children in settings such as daycare centers or schools. Children with HFMD are most contagious during the first week of the illness.

It is also possible for adults to contract HFMD, especially if they have close contact with infected children or if they have a weakened immune system.

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Symptoms of hand, foot, and mouth disease (HFMD)

The symptoms of HFMD usually appear 3 to 7 days after exposure to the virus. The most common symptoms include:

When to see a doctor for hand, foot, and mouth disease (HFMD)?

HFMD is generally a mild illness that does not require medical attention. However, it is important to see a doctor if the following symptoms occur:

Complications of hand, foot, and mouth disease (HFMD)

In most cases, HFMD is a mild illness that does not cause serious complications. However, in rare cases, the disease can lead to more serious complications, such as:

  • Encephalitis (inflammation of the brain)
  • Meningitis (inflammation of the membranes surrounding the brain and spinal cord)
  • Pneumonia (inflammation of the lungs)
  • Myocarditis (inflammation of the heart muscle)

These complications are more likely to occur in older adults, people with weakened immune systems, and those with underlying medical conditions.

How is hand, foot, and mouth disease diagnosed?

Hand, foot, and mouth disease (HFMD) is typically diagnosed based on the presence of characteristic symptoms, such as the appearance of small, painful blisters or sores on the hands, feet, and mouth, as well as other symptoms such as fever, sore throat, and loss of appetite.

In some cases, a healthcare provider may order laboratory tests to confirm the diagnosis of HFMD. These tests may include a blood test to detect the presence of the virus or a throat swab to collect a sample of secretions from the back of the throat. These samples can then be tested in a laboratory to confirm the diagnosis of HFMD.

It is important to note that the symptoms of HFMD may be similar to those of other viral illnesses, such as herpes simplex virus or varicella (chickenpox). A healthcare provider will consider the individual's symptoms and medical history when making a diagnosis.

Treatment of hand, foot, and mouth disease (HFMD)

Treatment of HFMD is generally supportive and focuses on relieving symptoms. This may include the following;

Home remedies for hand, foot, and mouth disease (HFMD)

There are several home remedies that may help to provide relief from the symptoms of HFMD. These remedies should be used in addition to, and not as a replacement for, medical treatment as recommended by a healthcare provider.

  • Getting plenty of rest is important for individuals with hand, foot, and mouth disease (HFMD) as it can help the body to recover from the illness. During the recovery process, it is important to allow the body to rest and conserve energy. This may involve reducing physical activity or taking breaks as needed
  • Drinking plenty of fluids is important for preventing dehydration in individuals with HFMD. Dehydration can occur due to the combination of fever, vomiting, and diarrhea that may be associated with the illness. This can be especially important for young children, as they may be less able to communicate their thirst and may be more prone to dehydration due to their smaller body size. To prevent dehydration, it is important to drink plenty of fluids, such as water, sports drinks, or broth
  • Over-the-counter pain medications, such as acetaminophen or ibuprofen, may be used to reduce fever and relieve pain in individuals with HFMD. These medications can help to reduce discomfort and make it easier for the individual to rest and recover from the illness. It is important to follow the instructions on the medication label and to avoid giving aspirin to children, as it has been linked to a rare but serious condition called Reye's syndrome
  • Topical creams or ointments may be used to reduce itching and discomfort from the rash associated with HFMD. These products can help to soothe the skin and reduce irritation. It is important to follow the instructions on the product label and to avoid using products that contain alcohol or other irritants, as these may further irritate the skin
  • Mouthwashes or numbing agents may be used to relieve mouth pain in individuals with HFMD. These products can help to numb the mouth and reduce discomfort when eating or drinking. It is important to follow the instructions on the product label and to avoid swallowing the mouthwash or numbing agent
  • Avoiding acidic or spicy foods that may irritate the mouth sores is important for individuals with HFMD. These foods can further irritate the sores and make it more difficult to eat and drink. Instead, it may be helpful to consume soft, cool foods such as ice pops or smoothies. It is also important to drink plenty of fluids to prevent dehydration
  • If the individual with HFMD is experiencing sore throat or difficulty swallowing, it may be helpful to offer cool liquids or soft, cool foods such as ice pops, smoothies or gargling with warm salt water
  • Using a warm, damp washcloth to gently clean the sores on the hands, feet, and mouth may help to reduce discomfort and promote healing. It is important to be gentle when cleaning the sores and to use a clean washcloth each time

    While there is no specific treatment for HFMD, some people find relief from the symptoms by taking a lukewarm bath or using a humidifier to add moisture to the air.

Medical treatment for hand, foot, and mouth disease (HFMD)

Medical treatment for HFMD is primarily supportive in nature, as there is no specific antiviral treatment for the disease. The main goal of treatment is to provide relief from symptoms and prevent complications.

In severe cases or in cases where complications occur, medical treatment may be necessary. This may include:

To reduce fever and pain, over-the-counter pain relievers such as acetaminophen or ibuprofen may be recommended. It is important to avoid giving aspirin to children, as it has been linked to a rare but serious condition called Reye's syndrome.

To prevent dehydration, it is important to ensure that the individual with HFMD is getting enough fluids. This can be especially important for young children, as they may be less able to communicate their thirst and may be more prone to dehydration due to their smaller body size.If the individual with HFMD is experiencing sore throat or difficulty swallowing, it may be helpful to offer cool liquids or soft, cool foods such as ice pops or smoothies.

In some cases, a healthcare provider may prescribe an antiviral medication to help shorten the duration of the illness. However, these medications are typically only recommended for severe cases or for individuals with compromised immune systems.

  • Hospitalization for intravenous fluids and close monitoring
  • Antiviral medications to reduce the severity and duration of the illness
  • Antibiotics to treat or prevent secondary bacterial infections

Prevention of hand, foot, and mouth disease (HFMD)

Prevention of hand, foot, and mouth disease (HFMD) is important to reduce the risk of infection and the spread of the disease. HFMD is a highly contagious viral illness that affects infants and young children and is caused by a group of viruses known as enteroviruses. These viruses are transmitted through contact with respiratory secretions or contaminated surfaces or objects.

  • One of the most effective ways to prevent HFMD is by practicing good hygiene. This includes washing hands frequently with soap and water, especially after using the bathroom, changing diapers, and before preparing or eating food
  • It is also important to disinfect surfaces and objects that may be contaminated with the virus, such as toys and doorknobs
  • Another way to prevent HFMD is by avoiding close contact with infected individuals. This includes avoiding activities such as kissing or sharing drinks or utensils
  • It is also important to avoid touching the mouth, nose, or eyes with unwashed hands

In addition to good hygiene practices, there are steps that can be taken to reduce the risk of infection in child care settings and schools. These steps may include:

  • Encouraging children to wash their hands frequently
  • Disinfecting frequently touched surfaces and objects on a regular basis
  • Excluding infected children from child care or school until their symptoms have resolved

Vaccines are not currently available for HFMD, but research is ongoing to develop a vaccine that could prevent the disease. In the meantime, practicing good hygiene and avoiding close contact with infected individuals is the most effective way to prevent the spread of HFMD.

How long is hand, foot, and mouth disease contagious?

Hand, foot, and mouth disease (HFMD) is a highly contagious viral illness that affects infants and young children. It is characterized by the development of painful sores on the mouth, hands, and feet and is caused by a group of viruses known as enteroviruses. These viruses are transmitted through contact with respiratory secretions or contaminated surfaces or objects.

The incubation period for HFMD is typically 3 to 7 days, meaning that symptoms may not appear until 3 to 7 days after exposure to the virus. The illness is most contagious during the first week of the illness, when the virus is present in high concentrations in the respiratory secretions of the infected person. However, the virus can remain in the body for several weeks after symptoms have resolved.

The viruses that cause HFMD can be shed in the stool for several weeks after the initial infection, so it is important to practice good hygiene to reduce the risk of transmission.

In order to prevent the spread of HFMD, it is important to avoid close contact with infected individuals, especially during the first week of the illness.

Conclusion

HFMD is a common viral illness that affects infants and young children. It is characterized by the development of painful sores on the mouth, hands, and feet and is caused by a group of viruses known as enteroviruses. The disease is highly contagious and is transmitted through contact with respiratory secretions or contaminated surfaces or objects. Most cases of HFMD are mild and do not require medical treatment, but severe cases or cases with complications may require medical intervention. There are steps that can be taken to reduce the risk of infection, such as washing hands frequently, disinfecting surfaces and objects, and avoiding close contact with infected individuals.

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Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
Reviewed By
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Reviewed ByDr. Bhupindera Jaswant SinghMD - Consultant PhysicianGeneral Physician
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