Hand, Foot and Mouth Disease

Hand, foot and mouth disease (Coxsackie A Virus) is an infection that occurs mainly in children between 6 months and 4 years of age. It has no relationship to hoof and mouth disease of cattle.

The symptoms are a low-grade fever, 100° to 102°F (38° to 39°C); small, usually mildly painful ulcers in the mouth, and small water blisters or red spots on the palms and soles, and on the webs between the fingers and toes (five or fewer blisters per limb). Small blisters or red spots may also appear on the buttocks or lower legs. The fever and discomfort usually disappear in three or four days and the mouth ulcers usually resolve in seven days, but the rash on the hands and feet can last 10 days.

Hand, foot and mouth disease is quite contagious and usually some of your child’s playmates will develop it at about the same time. The incubation period after contact is three to six days. Your child may return to school or day care when the fever returns to normal. Most children are contagious from two days before the rash appears until two days after it disappears.

Home Care for Hand Foot & Mouth Disease

Offer a soft diet for a few days and encourage your child to drink plenty of clear fluids. Cold drinks, ice pops, ice cream and sherbet are often well tolerated.

Do not give your child citrus fruit, salty foods or spicy foods. They will further irritate his mouth. Also avoid foods that need much chewing. For infants, you may try giving liquids by cup rather than a bottle because the nipple can cause pain.

Give acetaminophen or ibuprofen if necessary. Acetaminophen or ibuprofen may be given for a few days if your child’s fever is above 102° F (39° C) or the mouth ulcers are very painful. (See also the section on fevers.)

The portal is a convenient way to leave non urgent messages for the staff to communicate with your MD, the business office or our advocates. It is monitored during business hours on Monday thru Friday from 9AM to 4PM. It is not monitored on the weekends. Please call the office for any urgent concerns.