Hand, Foot, and Mouth Disease (HFMD) is a common virus infection in young children. It’s usually mild and gets better on its own in about 1 week.
Main Signs and Symptoms
- Early Symptoms
- Fever
- Sore throat
- Reduced appetite
- Tired or cranky
- Mouth Sores
- Painful red spots/blisters inside the mouth
- Eating and drinking becomes uncomfortable
- Skin Rash
- Red spots or small blisters on the hands, feet, and sometimes buttocks or legs.
- Other Mild Symptoms
- Mild cough
- Swollen glands
- Rarely: nails may peel later (harmless)
Is it Contagious?
Yes, HFMD is very contagious. It spreads through saliva, mucus, poop, and touched surfaces. Children are most contagious in the first week.
Home Care
- Reduce fever and pain
- Use acetaminophen or ibuprofen (if age-appropriate)
- Do NOT give aspirin
- Keep them hydrated. Offer:
- Cold water
- Milk
- Smoothies
- Ice pops
- Avoid the following:
- Spicy, acidic or very hot foods
- Hot drink
- Skin care
- Keep blisters clean
- Don’t pop any blisters
- Prevent spreading infection
- Wash hands often
- Clean toys and surfaces
- Keep child home until fever is gone and they feel better
When to See a Doctor
Seek medical attention if any of the following apply to your child:
- Not drinking, has dry mouth, and has no tears
- Fever over 38.5°C (101.3°F) for more than 3 days
- Has trouble breathing or unusual sleepiness
- Bad headache
- Stiff neck
- Blisters look infected
- Symptoms last more than 10 days
How Long Does it Last?
- Fever: 1-3 days
- Mouth sores: 3-7 days
- Rash: up to 10 days
- Full recovery takes about 1 week
Easy Foods for Mouth Sores
Soft gentle foods
- Yogurt
- Mashed potatoes
- Soft pasta
- Scrambled eggs
- Soups (warm, not hot)
- Rice porridge
- Applesauce
- Pudding/custard
- Mashed banana
Cold, soothing treats
- Ice pops
- Smoothies (non-acidic)
- Ice cream
- Frozen yogurt
Avoid the following:
- Citrus (orange, pineapple, lemon)
- Tomato-based sauces
- Spicy foods
- Chips or crunchy snacks
- Hot foods and drinks