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Common Hand, Foot & Mouth - coxsackie A16

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  • Common Hand, Foot & Mouth - coxsackie A16

    Hand, Foot & Mouth


    Hand, foot and mouth is a common infection among young children. This articles covers the symptoms, treatment and tips for children with hand, foot & mouth.
    What is hand, foot and mouth disease?


    This is a relatively common virus infection that is not related to the hand, foot and mouth disease that occurs in cattle.

    Hand, foot and mouth disease is usually caused by the coxsackie A16 virus and generally infects children under 10 and especially preschool children.

    It gives symptoms of fever followed by a sore throat and then spots inside the mouth and red blisters on the palms and soles.

    The virus can also infect older children and adults, where the illness tends to be milder.

    The virus is very contagious and spreads through direct contact, saliva and through faeces. Outbreaks can take place where they are large groups of children or within families.

    The incubation period is 3 to 7 days.

    Hand, foot and mouth disease is most contagious during the first week of infection when there are spots or ulcers in the mouth. Spots in the mouth usually clear within 7 days and the rash within 10 days.

    What are the signs and symptoms of hand, foot and mouth?


    ? Feeling unwell
    ? Mild fever
    ? Headache
    ? Loss of appetite
    ? Sore throat followed by spots inside the mouth
    ? Spots inside mouth are red, painful and appear on tongue and mucous membranes
    ? Mouth ulcers
    ? Spots on hands, feet, bottom, legs
    ? Spots are small and red similar to but smaller than chicken pox and don?t itch like chicken pox
    ? Tiredness
    ? Irritability

    Children with hand, foot and mouth disease may have all the above symptoms, or just a few.

    Treatment for hand, foot & mouth


    Your doctor will diagnose the illness through examination and throat/stool specimens. Generally the illness is mild, clears within a week and does not require medical treatment.

    ? Give soft, easy-to-eat foods such as yoghurt and ice cream
    ? Ensure plenty of fluids
    ? Ensure your child gets plenty of rest
    ? Paracetamol for pain relief from mouth ulcers or sore throat
    ? If your child stops drinking and you are worried about dehydration ? contact your doctor immediately
    ? Call your doctor or emergency department immediately if your child develops a stiff neck, becomes confused or has a severe headache

    Risks & complications


    ? Dehydration

    ? A mild form of viral meningitis

    ? Though it is rare, the illness can cause serious inflammation of the brain (encephalitis)

    ? Also rare is inflammation of the heart (myocarditis)

    ? Some questions have been raised if hand, foot and mouth can cause miscarriage or foetal abnormalities in pregnant women, though there is yet no clear evidence of this

    What can I do to help my child with hand, foot & mouth?


    ? Sooth sore throats with iceblocks, ice cream, cold drinks

    ? If your child is old enough, get them to regularly rinse their mouths with a cup of warm, salty water which will help sooth a sore mouth

    ? Keep your child home from school or away from other children

    ? Good hygiene is important to prevent contact with the virus ? and to stop it from spreading

    ? Teach your children to wash their hands regularly

    ? Wash your hands every time after changing babies nappies or helping children toilet

    Helpful articles


    For information on how to help your child with a Sore Throat, click here
    Fever, the symptoms and how to help your child are all covered in this Kiwi Families article.
    Invalid food, by our nutrition expert Fiona Boyle, gives you great ideas for keeping up the energy levels in sick kids.
    Read our article on Chicken Pox if you wish to compare the two conditions



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