Who's At Risk?Hand-foot-and-mouth disease most often occurs in infants and children under 10, but teens and adults can also get it. Once a child has been infected, he or she might be immune to a repeat infection by the same virus that caused the first infection, but infection with related viruses can still occur. Show
Signs & SymptomsHand-foot-and-mouth disease begins with fever up to 101 degrees Fahrenheit, sore throat, sore mouth, cough, headache, fatigue, loss of appetite, and, occasionally, joint pain. After 1–2 days, a rash appears. Small, red areas of the lining of the mouth, tongue, gums, or throat develop into blisters and rapidly form sores with loss of tissue (ulcerations). Lesions develop a shallow, yellow-gray base and a red surrounding area. Lesions on arms and legs (extremities) begin as red, flat spots that produce oval or football-shaped blisters, surrounded with red coloration. Hand and foot lesions are common on the sides and backs of the fingers and toes. Palms and soles may also be affected. The skin lesions associated with hand-foot-and-mouth disease may be painful. In about a week, the rash will disappear and your child will feel better. Take a picture of your skin condition with AysaSymptom checkers like Aysa can help narrow down possible skin conditions by analyzing a skin photo.  Self-Care GuidelinesHand-foot-and-mouth disease is a self-limited viral infection, so it only needs to be treated for bothersome symptoms. To reduce viral spreading, do not rupture blisters. The virus may be present in a person’s stool for 1 month. Be careful to avoid passing the infection to other people by practicing good hygiene. Wash your hands and your child’s hands frequently, particularly after using the bathroom or diaper changes and before eating. Although most pregnant women who become infected with hand-foot-and-mouth disease have no symptoms or just a mild illness, a woman infected shortly before delivery could pass the infection to her baby, who may become very ill. Therefore, any infected child should avoid contact with pregnant women, particularly in late pregnancy. You may choose to keep your child out of school or day care, but it is not clear this will prevent others from becoming infected, as the illness probably infected others before symptoms were noticed. Acetaminophen (Tylenol) or ibuprofen may be used for fever and pain. (Do not use aspirin for any child aged 18 years or younger.) Be sure your child drinks plenty of fluids to stay well hydrated. The child may tolerate cold milk products better than fruit juices. TreatmentsBlood tests and procedures to identify the cause of the infection (cultures) are not usually done. If the doctor is concerned that the child might be infected with the bacteria Streptococcus (strep infection), a throat culture may be done. Antibiotics do not help hand-foot-and-mouth disease. The doctor will likely recommend that you give the child fluids and something to relieve the pain. Visit UrgencySee your child’s doctor if fever is present and is not brought down to normal by medication or if your child has a severe headache, stiff neck, irritability, reduced awareness (lethargy), or if he or she appears very ill. ReferencesBolognia, Jean L., ed. Dermatology, pp.1256, 1273. New York: Mosby, 2003. Freedberg, Irwin M., ed. Fitzpatrick’s Dermatology in General Medicine. 6th ed. pp.1374, 2051. New York: McGraw-Hill, 2003. Hand, foot and mouth disease is a common childhood illness that can also affect adults. It usually gets better on its own in 7 to 10 days. The first signs of hand, foot and mouth disease can be: After a few days mouth ulcers and a rash will appear. The symptoms are usually the same in adults and children, but they can be worse in babies and children under 5. It's possible to get
hand, foot and mouth disease more than once. Look at other childhood rashes. Information: Hand, foot and mouth disease has nothing to do with foot and mouth disease that affects farm animals. How to treat hand, foot and mouth disease yourselfYou cannot take antibiotics or medicines to cure hand, foot and mouth disease. It usually gets better on its own in 7 to 10 days. To help the symptoms:
A pharmacist can help with hand, foot and mouth diseaseSpeak to a pharmacist for advice about treatments, such as mouth ulcer gels, sprays and mouthwashes, to relieve pain. They can tell you which ones are suitable for children. Find a pharmacy Non-urgent advice: See a GP if:
Hand, foot and mouth disease can be spread to other people. Check with your GP surgery before going. They may suggest a phone consultation. How to stop hand, foot and mouth disease spreadingHand, foot and mouth disease is easily passed on to other people. It's spread in coughs, sneezes, poo and the fluid in the blisters. You can start spreading it from a few days before you have any symptoms, but you're most likely to spread it to others in the first 5 days after symptoms start. To reduce the risk of spreading hand, foot and mouth disease:
Staying off school or nurseryKeep your child off school or nursery while they're feeling unwell. But as soon as they're feeling better, they can go back to school or nursery. There's no need to wait until all the blisters have healed. Keeping your child away from other children for longer is unlikely to stop the illness spreading. Hand, foot and mouth disease in pregnancyAlthough there's usually no risk to the pregnancy or baby, it's best to avoid close contact with anyone who has hand, foot and mouth disease. This is because:
Speak to a GP or your midwife if you have been in contact with someone with hand, foot and mouth disease. Page last reviewed: 12 February 2021 What does hand and mouth rash look like?What does hand, food and mouth disease look like? The rash manifests as tiny red bumps or blisters on the palms of the hands, soles of the feet, fingers and toes. In the mouth, the rash appears as painful sores or ulcers mainly clustered in the back of the throat.
What does foot and mouth disease rash look like?The blisters caused by HFM are red with a small bubble of fluid on top. They often peel, leaving an ulcer, which is a sore with a reddish base. The soles of the feet and the palms of the hands may have a rash that can look like flat red spots or red blisters.
What does hand foot and mouth look like initially?Children may get a fever and develop a sore throat. They sometimes lose their appetites and don't feel well. One or two days after the fever begins, painful sores may develop in the front of the mouth or throat. A rash on the hands and feet and sometimes on the buttocks may also appear.
What does foot and mouth spots look like?Raised spots usually appear on the hands and feet, and sometimes on the thighs and bottom as well. The spots can look pink, red, or darker than surrounding skin, depending on your skin tone. The spots become blisters which appear grey or lighter than surrounding skin and can be painful.
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Pictures of hand foot and mouth rash
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