Here's yet another reason to encourage kids to wash their hands: it can help prevent the spread of hand, foot, and mouth (HFM) disease. HFM disease is caused by two highly contagious — though usually not serious — viruses, coxsackievirus and enterovirus.
These viruses live in the body's digestive tract and spread from person to person, usually on unwashed hands and surfaces contaminated by feces. Kids ages 1 to 4 are most prone to the disease; cases are often found in daycare centers, preschools, and other places where kids congregate.
Outbreaks usually occur during the warm summer and early fall months, though they can happen year-round in tropical parts of the world.
Signs and Symptoms
HFM disease — not to be confused with hoof and mouth disease, a totally unrelated illness that affects barnyard animals and livestock — causes painful blisters in the throat, tongue, gums, hard palate, or inside the cheeks. The soles of the feet and the palms of the hands also may be affected.
Blisters are red with a small bubble of fluid on top. Occasionally, a pink rash may be seen on other parts of the body, such as the buttocks and thighs. However, some children with HFM disease develop no symptoms at all, or, if they do, may only have sores in the back of the throat.
It can be hard for a parent to tell if a child (especially a preverbal child) has HFM disease if sores are only inside the mouth or throat. Very young kids may not be able to complain of a sore throat, but if a child stops eating or drinking, or wants to eat or drink less often, it should send a signal to parents that something is wrong.
A child may also:
- develop fever, muscle aches, or other flu-like symptoms
- become irritable or sleep more than usual
- begin drooling (due to painful swallowing)
- gravitate toward cold fluids
Treatment
If your child is continually irritable or refusing food or drink, it's time to see the doctor. While there is no medical cure for HFM disease (the illness really just needs to run its course), the doctor may be able to recommend home health remedies to make your child more comfortable during recovery.
Acetaminophen or ibuprofen can be given to console a child who is achy or irritable or ease painful mouth sores or discomfort associated with fever. A child who has difficulty swallowing also may be prescribed "magic mouthwash"— a mixture made by pharmacists that can be dabbed onto sores to alleviate pain. Cold foods like ice cream and popsicles ease pain by numbing the area, and will be a welcome treat for those who have difficulty swallowing (and even those who don't!).
Kids with blisters on their hands or feet should keep the areas clean (wash with lukewarm soap and water, pat dry) and uncovered. If a blister pops, dab on a bit of antibiotic ointment to help prevent infection and cover it with a small bandage.
HFM disease usually resolves within several days to a week. If your child remains very irritable, can't be consoled, and has signs of dehydration such as dry tongue, sunken eyes, or decreased urine output, call the doctor.
Preventing the Spread
There is no vaccine to prevent HFM disease or any other similar infection. Hand washing is the best protection. Remind everyone in your family to wash their hands frequently, particularly after using the toilet, changing a diaper, before meals, and before preparing food. Shared toys in daycare centers should be routinely cleaned with a disinfectant because these viruses can live on objects for several days.
Reviewed by: Kate M. Cronan, MD
Date reviewed: September 2008
