Home
About Us
Our Services
New Patients
Forms & Policies
Medical Resources
   Emergencies
   Medical Conditions
      Abdominal Pain, Recurrent
      Acne
      Acute Ear Infections and Your Child
      Acute Lymphoblastic Leukemia
      Acute Otitis Media
      Acute Strep Throat
      Addison
      ADHD and Your School-aged Child
      AIDS/HIV
      Allergies in Children
      Anaphylaxis
      Anemia and Your Young Child
      Anesthesia and Your Child
      Ankle Sprain Treatment (Care of the Young Athlete)
      Antibiotics and Your Child
      Anxiety
      Appendicitis
      Asthma
      Asthma and Exercise (Care of the Young Athlete)
      Asthma and Your Child
      Asthma Triggers
      Atopic Dermatitis (Eczema)
      Attention-Deficit Hyperactivity Disorder
      Attention-Deficit Hyperactivity Disorder (ADHD)
      Breast Enlargement, Premature
      Breath-Holding Spells
      Bronchiolitis
      Bronchiolitis and Your Young Child
      Care of the Premature Infant
      Celiac Disease
      Chickenpox
      Chickenpox Immunization
      Chickenpox Vaccine, The
      Coarctation of the Aorta
      Colds
      Common Childhood Infections
      Congenital Hip Dysplasia
      Constipation
      Constipation and Your Child
      Coxsackie A16
      Croup
      Croup and Your Young Child
      Croup: When Your Child Needs Hospital Care
      Crying and Your Baby: How to Calm a Fussy or Colicky Baby
      Cyclic Vomiting Syndrome (CVS)
      Depression
      Developmental Dysplasia of the Hip
      Diabetic Mother, Infant of
      Diaper Rash
      Diarrhea and Dehydration
      Diarrhea, Vomiting, and Water Loss (Dehydration)
      Ear Infection
      Ear Infections
      Eating Disorders
      Eczema
      Eczema (Atopic Dermatitis)
      Enlarged Lymph Nodes
      Erythema Multiforme
      Eye Problems Related to Headache
      Febrile Seizure
      Febrile Seizures
      Fetal Alcohol Syndrome
      Fever
      Fever and Your Child
      Fifth Disease
      Fifth Disease (Erythema Infectiosum)
      Flu
      Flu, The
      Food Allergies and Your Child
      Food Born Illnesses
      Fragile X Syndrome
      Gastroenteritis, Viral
      Gastroesophageal Reflux
      Giardiasis
      Guide to Children's Dental Health, A
      Hand Foot and Mouth
      Hand-Foot-and-Mouth Disease
      Head Lice
      Headache Related to Eye Problems
      Hemangioma
      Hepatitis A
      Hepatitis A Immunization
      Hepatitis B
      Hepatitis B Immunization
      Hepatitis C
      Hib Immunization
      High Blood Pressure
      Hip Dysplasia (Developmental Dysplasia of the Hip)
      HIV/AIDS
      How to Take Your Child's Temperature?
      Hyperactivity
      Hypertension
      Hypothyroidism
      Immunization
      Infant of a Diabetic Mother
      Infectious Mononucleosis
      Influenza Immunization
      Influenza-Seasonal
      Inhaled and Intranasal Corticosteroids and Your Child
      Kawasaki Syndrome
      Language Development in Young Children
      Lead Poisoning
      Leukemia
      Lung Hypoplasia
      Lyme Disease
      Lymphadenopathy
      Measles
      Mental Health
      Middle Ear Fluid and Your Child
      MMR Immunization
      Molluscum Contagiosum
      Mumps
      Obesity in Childhood
      Osgood-Schlatter Disease
      Otitis Media, Acute
      Pneumococcal Conjugate Immunization
      Pneumonia and Your Child
      Polio Immunization
      Premature Thelarche
      Prematurity
      Prematurity, Retinopathy of
      Pulmonary Hypertension
      Pulmonary Hypertension (PPH & SPH)
      Retinopathy of Prematurity
      Rheumatic Fever, Acute
      Ringworm (Tinea)
      Roseola
      Rotavirus
      Rubella (German Measles)
      Safety of Blood Transfusions
      Scabies
      Seasonal Influenza (Flu) 2014–2015
      Separation Anxiety
      Sinusitis
      Sinusitis and Your Child
      Sleep Apnea and Your Child
      Smoking
      Speech Development in Young Children
      Stevens-Johnson Syndrome
      Strep Throat
      Strep Throat-Acute
      Strep Throat-Recurrent
      Stuttering and the Young Child
      Swine Flu
      Swine Flu (H1N1) FAQ
      Swine Flu (H1N1) Vaccine
      Swollen Glands
      Tattoos
      Tear Duct, Blocked
      Tetralogy of Fallot
      Thyroid Problems
      Tinea (ringworm infection)
      Tonsils and the Adenoid
      Toxic Shock Syndrome
      Toxoplasmosis
      Turner Syndrome
      Type 2 Diabetes: Tips for Healthy Living
      Underdeveloped Lungs
      Urinary Tract Infection
      Urinary Tract Infections in Young Children
      Varicella or Chickenpox
      Varivax Immunization
      Vesicoureteral Reflux
      Wheezing-Infant
      Whooping Cough (Pertussis)
      Wilson Disease
   What's Going Around?
   Pediatrics
Contact Us

Practice News

Anywhere Family Practice is thrilled to announce the addition of Dr. Julie Johnson to our team.
We will be transitioning to a new patient portal in April. Watch for new updates on this website!

Is Your Child Sick?TM

 

Are You Sick?



Hand-Foot-and-Mouth Disease

Print, Share, or View Spanish version of this article

What is hand-foot-and-mouth disease?

Hand-foot-and-mouth disease is a viral infection most often seen in infants and children younger than 10 years. It is most commonly caused by coxsackievirus A16. Coxsackieviruses are one type of enterovirus.

Despite the similarity in names, hand-foot-and-mouth disease is a completely different infection than foot-and-mouth disease, which occurs only in animals and is caused by another type of virus.

Symptoms

Hand-foot-and-mouth disease is generally mild. The signs and symptoms of hand-foot-and-mouth disease include a fever and small but painful sores on the throat, gums, and tongue and inside the cheeks. It also may cause a rash, often with blisters, on the hands, soles of the feet, and diaper area, as well as headaches and a poor appetite.

When to call the pediatrician

Call your pediatrician if your child complains of neck pain, chest pain, difficulty breathing, listlessness, or lethargy. Also consult your pediatrician if your child's mouth sores are causing difficulty swallowing, which may lead to dehydration.

Diagnosis

Your pediatrician will conduct a physical examination that evaluates signs and symptoms which may indicate an enteroviral infection. If the doctor suspects that your child has hand-foot-and-mouth disease, your pediatrician will look for the rash associated with this infection as well as sores in the mouth and throat.

To confirm the diagnosis, your doctor can test specimens from the throat or stools, as well as other areas of the body. Also, tests of the blood and urine may indicate the presence of enteroviruses. If meningitis is suspected, the pediatrician will perform a lumbar puncture (spinal tap) so that the spinal fluid can be examined in the laboratory. If myocarditis is suspected, a chest x-ray film will be taken and an electrocardiogram (EKG) will be performed.

Treatment

There is no licensed specific treatment available for infections caused by enteroviruses. Your pediatrician may recommend the use of acetaminophen to reduce your child's fever and ease the discomfort of the mouth sores.

Prognosis

In most cases, children recover from these infections within 7 to 10 days without problems. If your child is feeling well and is able to participate in regular activities, she does not need to be kept home from school or child care unless the school or child care determines there are other criteria for keeping your child home. However, if your child is very ill or is unable to eat or drink because it is painful to swallow, she may need a few days to rest and recover at home.

Prevention

Children and adults should adopt good hand-washing habits to reduce the chances of spreading these viruses. In particular, parents and other caregivers who change baby diapers should wash their hands frequently.

Source: Adapted from Immunizations and Infectious Diseases: An Informed Parent's Guide (Copyright © 2006 American Academy of Pediatrics) and updated 10/2012

Copyright © 2012