Choroba rąk, stóp i jamy ustnej
Leczenie

Choroba rąk, stóp i jamy ustnej (HFMD) jest wirusową infekcją najczęściej wywoływaną przez wirusy Coxsackie A16 oraz enterowirus 71 (EV71). Przebieg choroby jest zwykle łagodny i samoograniczający się w ciągu 7-10 dni, a leczenie jest objawowe. Zaleca się stosowanie leków przeciwbólowych i przeciwgorączkowych, takich jak paracetamol i ibuprofen (dawki dostosowane do wieku i masy ciała), przy jednoczesnym unikaniu aspiryny u dzieci poniżej 18 roku życia ze względu na ryzyko zespołu Reye’a. Kluczowe jest zapobieganie odwodnieniu poprzez podawanie chłodnych napojów, lodów, mrożonych jogurtów oraz miękkich, łagodnych pokarmów, a także łagodzenie bólu owrzodzeń jamy ustnej za pomocą płukanek (np. ciepła woda z solą, mieszanka Benadrylu i Maaloxu) i miejscowych środków znieczulających, z uwzględnieniem ograniczeń dotyczących lidokainy u dzieci. Zmiany skórne należy utrzymywać w czystości, unikać przekłuwania pęcherzyków i stosować preparaty wysuszające, np. tlenek cynku.

Leczenie choroby rąk, stóp i jamy ustnej

Choroba rąk, stóp i jamy ustnej (ang. Hand, foot and mouth disease, HFMD) jest chorobą wirusową, wywoływaną najczęściej przez wirusy Coxsackie A16 oraz enterowirusy, głównie enterowirus 71 (EV71). Z uwagi na jej wirusową etiologię, nie ma dostępnego swoistego leczenia przyczynowego, a terapia koncentruje się głównie na łagodzeniu objawów i zapobieganiu powikłaniom.123

Zasady ogólne leczenia

Choroba rąk, stóp i jamy ustnej jest zazwyczaj łagodną chorobą, która ustępuje samoistnie w ciągu 7-10 dni bez specyficznego leczenia. Ważne jest jednak wprowadzenie odpowiedniego postępowania objawowego, które pomoże złagodzić dyskomfort i zapobiec powikłaniom, takim jak odwodnienie.456

Podstawowe zasady leczenia obejmują:

  • Odpoczynek i leczenie objawowe w warunkach domowych
  • Stosowanie leków przeciwbólowych i przeciwgorączkowych
  • Odpowiednie nawodnienie
  • Łagodzenie bólu związanego z owrzodzeniami jamy ustnej
  • Dbałość o zmiany skórne

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Kontrola bólu i gorączki

W celu złagodzenia bólu i obniżenia gorączki zaleca się stosowanie leków przeciwbólowych i przeciwgorączkowych. Najczęściej rekomendowane są:1011

  • Paracetamol (Tylenol i inne) – bezpieczny do stosowania u dzieci w odpowiednich dawkach dostosowanych do masy ciała
  • Ibuprofen (Advil, Motrin i inne) – może być stosowany u dzieci powyżej 3-6 miesięcy (w zależności od zaleceń lekarza)

1213

Ważne jest, aby nigdy nie podawać aspiryny dzieciom i młodzieży poniżej 18. roku życia z chorobami wirusowymi, w tym HFMD, ze względu na ryzyko wystąpienia zespołu Reye’a – rzadkiej, ale poważnej choroby mogącej prowadzić do uszkodzenia wątroby i mózgu.141516

Nawodnienie i odżywianie

Jednym z najważniejszych aspektów leczenia choroby rąk, stóp i jamy ustnej jest zapobieganie odwodnieniu, szczególnie u dzieci. Z powodu bolesnych owrzodzeń w jamie ustnej, pacjenci mogą niechętnie przyjmować płyny i pokarmy.1718

Zalecenia dotyczące nawodnienia i odżywiania obejmują:

  • Częste podawanie małych ilości chłodnych napojów
  • Stosowanie lodów, mrożonych jogurtów, lodowych lizaków, lub mrożonych koktajli mlecznych
  • W przypadku niemowląt – kontynuowanie karmienia piersią lub mlekiem modyfikowanym
  • Podawanie miękkich, łagodnych pokarmów, takich jak: jogurt, budyń, przeciery owocowe, zupy kremowe, purée ziemniaczane
  • Unikanie pokarmów ostrych, słonych, kwaśnych lub gorących, które mogą nasilać ból
  • Unikanie soków cytrusowych, napojów gazowanych i innych napojów kwaśnych, które mogą powodować ból w kontakcie z owrzodzeniami

19202122

W sytuacji, gdy pacjent prezentuje objawy odwodnienia (zmniejszona ilość oddawanego moczu, brak łez podczas płaczu, suchość w jamie ustnej) lub nie jest w stanie przyjmować płynów doustnie z powodu bólu, może być konieczne nawadnianie dożylne w warunkach szpitalnych.232425

Łagodzenie dolegliwości jamy ustnej

Owrzodzenia jamy ustnej są jednym z najbardziej uciążliwych objawów HFMD. W celu ich złagodzenia można zastosować:2627

  • Miejscowe środki znieczulające do stosowania w jamie ustnej (należy jednak pamiętać, że według niektórych badań miejscowe stosowanie lidokainy u dzieci nie jest zalecane ze względu na brak dowodów na skuteczność i potencjalne ryzyko działań niepożądanych)28
  • Płukanki z ciepłej wody z solą (1/2 łyżeczki soli na szklankę ciepłej wody) – zalecane dla starszych dzieci, które potrafią płukać usta i wypluć roztwór2930
  • „Magiczna płukanka” – mieszanka równych części płynnego Benadryl (difenhydramina) i preparatu Maalox lub Mylanta (leki zobojętniające kwas żołądkowy). Przed zastosowaniem należy skonsultować się z lekarzem, szczególnie u małych dzieci3132
  • Preparaty zawierające chlorheksydynę lub miejscowe środki przeciwzapalne33

W niektórych przypadkach lekarze mogą zalecić stosowanie płukanek lub sprayów z zawartością leków przeciwbólowych lub przeciwzapalnych, aby zmniejszyć ból i zapalenie błony śluzowej jamy ustnej.3435

Pielęgnacja zmian skórnych

Zmiany skórne w postaci pęcherzyków na dłoniach, stopach i innych częściach ciała zazwyczaj nie wymagają specjalnego leczenia i powinny być pozostawione do naturalnego wyschnięcia. Zalecenia obejmują:3637

  • Utrzymywanie zmian w czystości – przemywanie łagodnym mydłem i ciepłą wodą, a następnie delikatne osuszanie
  • Unikanie przekłuwania pęcherzyków, ponieważ płyn w nich zawarty jest zakaźny i może prowadzić do wtórnych zakażeń
  • W przypadku pękniętego pęcherzyka – aplikacja niewielkiej ilości maści antybiotykowej i zabezpieczenie małym opatrunkiem
  • W przypadku silnie swędzących zmian – konsultacja z lekarzem odnośnie zastosowania łagodnych kremów przeciwświądowych lub leków przeciwhistaminowych
  • Stosowanie preparatów zawierających tlenek cynku może pomóc w wysuszeniu pęcherzyków38

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Powikłania i kiedy szukać pomocy medycznej

Choroba rąk, stóp i jamy ustnej rzadko prowadzi do poważnych powikłań, jednak w niektórych przypadkach mogą one wystąpić. Należy natychmiast skonsultować się z lekarzem, jeśli pojawią się:4142

  • Silny ból głowy
  • Gorączka utrzymująca się powyżej 3 dni
  • Objawy odwodnienia (zmniejszona ilość moczu, brak łez, suchość w jamie ustnej)
  • Trudności z przełykaniem lub odmowa przyjmowania płynów
  • Senność, dezorientacja lub znaczne osłabienie
  • Nasilone objawy neurologiczne (drgawki, sztywność karku, zaburzenia świadomości)
  • Objawy utrzymujące się dłużej niż 10 dni

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Hospitalizacja może być konieczna w przypadku wystąpienia powikłań neurologicznych (zapalenie mózgu, zapalenie opon mózgowo-rdzeniowych, ostre porażenie wiotkie), powikłań kardiologicznych lub oddechowych, bądź ciężkiego odwodnienia wymagającego dożylnego podawania płynów.4647

Leczenie w stanach szczególnych

W przypadku zakażeń związanych z enterowirusem 71 (EV71), które mogą prowadzić do cięższego przebiegu choroby i powikłań neurologicznych, prowadzone są badania nad specyficznymi lekami przeciwwirusowymi. Obecnie żaden z tych leków nie został jeszcze zatwierdzony do powszechnego stosowania, jednak kilka obiecujących środków jest w fazie badań:4849

5051

W Chinach opracowano i zatwierdzono do użytku szczepionkę przeciwko enterowirusowi 71, która w badaniach klinicznych wykazała skuteczność na poziomie 94,7% i zapewniała ochronę przez około 2 lata.52

Zapobieganie rozprzestrzenianiu się choroby

Choroba rąk, stóp i jamy ustnej jest wysoce zakaźna, szczególnie w pierwszym tygodniu choroby. Aby zapobiec jej rozprzestrzenianiu się, zaleca się:5354

  • Częste mycie rąk, szczególnie po zmianie pieluchy, korzystaniu z toalety, przed przygotowywaniem posiłków
  • Unikanie bliskiego kontaktu z osobami zakażonymi
  • Dezynfekcję powierzchni i przedmiotów, z którymi miały kontakt osoby chore
  • Pozostanie w domu do czasu ustąpienia gorączki i wyschnięcia zmian skórnych
  • W przypadku dzieci – unikanie przedszkola lub szkoły do czasu ustąpienia objawów, zwykle przez 3-5 dni od początku choroby

5556

Powrót do normalnej aktywności

Powrót do przedszkola, szkoły lub pracy jest możliwy po spełnieniu następujących kryteriów:5758

  • Ustąpienie gorączki przez co najmniej 24 godziny (bez stosowania leków przeciwgorączkowych)
  • Wyschnięcie pęcherzyków na skórze
  • Ustąpienie nadmiernego ślinienia się
  • Ogólna poprawa samopoczucia

W przypadku zakażenia enterowirusem 71 zaleca się pozostanie w domu przez dodatkowe dwa tygodnie po ustąpieniu objawów, ze względu na możliwość dłuższego wydalania wirusa.59

Podsumowanie zasad leczenia

Leczenie choroby rąk, stóp i jamy ustnej opiera się głównie na postępowaniu objawowym i obejmuje:6061

  • Stosowanie leków przeciwbólowych i przeciwgorączkowych (paracetamol, ibuprofen) w dawkach dostosowanych do wieku i masy ciała
  • Zapewnienie odpowiedniego nawodnienia poprzez podawanie chłodnych napojów, lodów, mrożonych soków
  • Łagodzenie bólu w jamie ustnej za pomocą płukanek, żeli i sprayów znieczulających
  • Podawanie miękkich, łagodnych pokarmów, unikanie pokarmów ostrych, kwaśnych i słonych
  • Utrzymywanie zmian skórnych w czystości, bez przekłuwania pęcherzyków
  • Odpoczynek i unikanie wysiłku fizycznego

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Choć choroba rąk, stóp i jamy ustnej może powodować znaczny dyskomfort, szczególnie u małych dzieci, w większości przypadków ustępuje samoistnie w ciągu 7-10 dni przy odpowiednim leczeniu objawowym. W razie wystąpienia niepokojących objawów, takich jak odwodnienie, silny ból głowy czy długotrwała gorączka, należy niezwłocznie skonsultować się z lekarzem.6465

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Hand-foot-and-mouth disease – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hand-foot-and-mouth-disease/diagnosis-treatment/drc-20353041
    There’s no specific treatment for hand-foot-and-mouth disease. Symptoms of hand-foot-and-mouth disease usually clear up in 7 to 10 days. […] A topical oral anesthetic may help relieve the pain of mouth sores. Over-the-counter pain medications other than aspirin, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others), may help relieve general discomfort.
  • #2 Hand, foot, and mouth disease – Wikipedia
    https://en.wikipedia.org/wiki/Hand,_foot,_and_mouth_disease
    Medications are usually not needed as hand, foot, and mouth disease is a viral disease that typically resolves on its own. Currently, there is no specific curative treatment for hand, foot, and mouth disease. […] Disease management typically focuses on achieving symptomatic relief. Pain from the sores may be eased with the use of analgesic medications. Fever reducers can help decrease body temperature. […] A minority of individuals with hand, foot, and mouth disease may require hospital admission due to complications such as inflammation of the brain, inflammation of the meninges, or acute flaccid paralysis. Non-neurologic complications such as inflammation of the heart, fluid in the lungs, or bleeding into the lungs may also occur.
  • #3 Hand-Foot-and-Mouth Disease (HFMD) Treatment & Management: Medical Care, Prevention
    https://emedicine.medscape.com/article/218402-treatment
    The treatment of hand-foot-and-mouth disease (HFMD) is supportive. In fact, there is no antiviral agent specific for the etiologic agents. Ensure adequate fluid intake to prevent dehydration. Cold liquids are generally preferable. Spicy or acidic substances may cause discomfort. Intravenous hydration may be necessary if the patient has moderate-to-severe dehydration or if discomfort precludes oral intake. Fever may be treated with antipyretics. Pain may be treated with standard doses of acetaminophen or ibuprofen. Direct analgesia may also be applied to the oral cavity via mouthwashes or sprays. Intravenous immunoglobulin (IVIG) and milrinone have shown some efficacy in a few reports. […] There is a relative dearth of treatment options for enterovirus-associated HFMD cases. Recent research has yielded several promising novel and existing therapeutics targeting specific viral mechanisms of action. These include molecular decoys, receptor antagonists, uncoating and translation inhibitors, polyprotein processing inhibitors, and replication inhibitors. Pleconaril is an uncoating inhibitor that shows promise in enterovirus 71 associated infections. […] Amantadine and quinacrine, both translation inhibitors, and ribavirin, a replication inhibitor, are also being investigated as treatment options.
  • #4 Hand-Foot-and-Mouth Disease-Viral Rash
    https://www.seattlechildrens.org/conditions/a-z/hand-foot-and-mouth-disease-viral-rash/
    Treatment is the same. Drink enough fluids to prevent dehydration. […] Here is some care advice that should help. […] For mouth pain, use a liquid antacid (such as Mylanta or the store brand). Give 4 times per day as needed. After meals often is a good time. […] Try to get your child to drink adequate fluids. Goal: keep your child well hydrated. […] To help with the pain, give an acetaminophen product (such as Tylenol). Another choice is an ibuprofen product (such as Advil). Use as needed. […] For fevers higher than 102 F (39 C), give an acetaminophen product (such as Tylenol). Another choice is an ibuprofen product (such as Advil). […] Blisters don’t need any special treatment. You can wash them like normal skin. […] HFMD is easily spread to others. However, most often, it’s a mild and harmless illness.
  • #5 Hand-Foot-and-Mouth Disease (HFMD) Treatment & Management: Medical Care, Prevention
    https://emedicine.medscape.com/article/218402-treatment
    The treatment of hand-foot-and-mouth disease (HFMD) is supportive. In fact, there is no antiviral agent specific for the etiologic agents. Ensure adequate fluid intake to prevent dehydration. Cold liquids are generally preferable. Spicy or acidic substances may cause discomfort. Intravenous hydration may be necessary if the patient has moderate-to-severe dehydration or if discomfort precludes oral intake. Fever may be treated with antipyretics. Pain may be treated with standard doses of acetaminophen or ibuprofen. Direct analgesia may also be applied to the oral cavity via mouthwashes or sprays. Intravenous immunoglobulin (IVIG) and milrinone have shown some efficacy in a few reports. […] There is a relative dearth of treatment options for enterovirus-associated HFMD cases. Recent research has yielded several promising novel and existing therapeutics targeting specific viral mechanisms of action. These include molecular decoys, receptor antagonists, uncoating and translation inhibitors, polyprotein processing inhibitors, and replication inhibitors. Pleconaril is an uncoating inhibitor that shows promise in enterovirus 71 associated infections. […] Amantadine and quinacrine, both translation inhibitors, and ribavirin, a replication inhibitor, are also being investigated as treatment options.
  • #6 About Hand, Foot, and Mouth Disease | Hand, Foot, and Mouth Disease (HFMD) | CDC
    https://www.cdc.gov/hand-foot-mouth/about/index.html
    HFMD is usually not serious. Most people get better on their own in 7 to 10 days with minimal or no medical treatment. […] You can take steps to manage symptoms while you or your child are sick. […] Take over-the-counter medications to relieve fever and pain caused by mouth sores. Never give aspirin to children. […] You can take steps to relieve symptoms and prevent dehydration while you or your child are sick. Drink enough liquids. Mouth sores can make it painful to swallow, so your child may not want to drink much. Make sure they drink enough to stay hydrated.
  • #7 Hand, foot and mouth disease | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/hand-foot-and-mouth-disease
    Diagnosis is made by a doctor, and there is no specific treatment. […] HFMD is a mild illness that resolves within a week. There is no specific treatment and usually none is required. […] Use paracetamol (not aspirin) as directed for fever and any discomfort. Offer plenty of fluids, but avoid orange juice, which is acidic and may cause pain with mouth ulcers. […] Allow blisters to dry naturally. Do not pierce blisters, as the fluid within them is infectious. […] If a child with HFMD complains of severe headache, if fever persists, of if there are any worrying symptoms, consult your doctor immediately.
  • #8 Hand, Foot, and Mouth Disease – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK431082/
    HFMD is a mild clinical syndrome and resolves within 7 to 10 days. Treatment is primarily supportive. Pain and fever can be managed with NSAIDs and acetaminophen. Making sure the patient remains well-hydrated is important. Additionally, a mixture of ibuprofen and diphenhydramine can be used to gargle, which helps coat the ulcers, easing the pain. […] Over the past decade, researchers have developed specific treatments to manage enterovirus 71-induced HFMD because of its severe neurological complications. So far, no drug has been approved, but promising novel agents include molecular decoys, translation inhibitors, receptor antagonists, and replication inhibitors. An antiviral agent that has shown promise in treating enterovirus 71 is pleconaril, an anti-picornaviral agent. However, there are currently no licensed antivirals for the treatment of HFMD.
  • #9 Hand, Foot & Mouth Disease (HFMD): Symptoms & Causes
    https://my.clevelandclinic.org/health/diseases/11129-hand-foot-and-mouth-disease
    Theres no medication for hand, foot and mouth disease. Antibiotics wont work because they dont treat viruses. Fortunately, symptoms of HFMD are typically mild. Most people improve in a week or two with minimal at-home care. Hand, foot and mouth disease treatment may include: […] Over-the-counter (OTC) pain relievers for fever and pain, such as acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). Dont give your child aspirin, which can cause Reyes syndrome. […] Other tips for at-home treatment include: […] Keep your child hydrated with cold liquids or ice pops.
  • #10 Hand-Foot-and-Mouth Disease: Rapid Evidence Review | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/1001/p408.html
    Hand-foot-and-mouth disease is a clinical diagnosis based on the presentation of a low-grade fever with a maculopapular or papulovesicular rash on the hands and soles of the feet and by painful oral ulcerations. Treatment is supportive and directed toward hydration and pain relief as needed with acetaminophen or ibuprofen. […] Discomfort because of pain or fever can be treated with weight-based acetaminophen or ibuprofen. Oral application of topical lidocaine is not recommended for use in children because of the lack of benefit and the potential for harm. Antiviral treatments are not available. One clinical trial of acyclovir (n = 13) reported a reduction of fever and skin changes within 24 hours; however, more evidence is needed. Indications for hospitalization include a failure to maintain adequate hydration or the development of neurologic or cardiopulmonary complications. […] Management is supportive and directed toward the relief of pain, lowering of fever, and adequate oral hydration because of the self-limiting nature of hand-foot-and-mouth disease.
  • #11 Hand-foot-and-mouth disease – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hand-foot-and-mouth-disease/diagnosis-treatment/drc-20353041
    There’s no specific treatment for hand-foot-and-mouth disease. Symptoms of hand-foot-and-mouth disease usually clear up in 7 to 10 days. […] A topical oral anesthetic may help relieve the pain of mouth sores. Over-the-counter pain medications other than aspirin, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others), may help relieve general discomfort.
  • #12 Hand-Foot-and-Mouth Disease (HFMD): Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article//802260-medication
    There is no antiviral agent specific for the etiologic agents of HFMD. Instead, the treatment is mainly supportive, as follows: […] Ensure adequate fluid intake to prevent dehydration; cold liquids generally are preferable […] Fever may be treated with antipyretics […] Pain may be treated with standard doses of acetaminophen or ibuprofen […] Direct analgesia may also be applied to the oral cavity via mouthwashes or sprays […] IVIG and milrinone have shown some efficacy in a few reports.
  • #13 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Treatment-of-hand-foot-and-mouth-disease.aspx
    Treatment for the condition is usually aimed at relief of symptoms. […] As antibiotics are ineffective, their use is not recommended. […] Children with the infection are given fever mediation for pain and fever. This includes Acetaminophen and Ibuprofen. […] Symptomatic relief includes salt water rinses and gargles. […] Plenty of fluids are recommended. […] For mouth ulcers a pain reliever ointment or gel may be given. […] Complete recovery is seen in 5 to 7 days. Treatment may be continued at home unless there are complications. […] Children with dehydration, high fever and those with fever induced convulsions or seizures may need medical attention in the hospital.
  • #14 Hand, Foot, and Mouth Disease (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/hfm.html
    There’s no cure for HFM and no vaccine to prevent it, but your doctor can recommend home care to make your child more comfortable during recovery. […] You can give acetaminophen or ibuprofen if your child is achy or irritable. Never give aspirin to children or teens, as it may cause a rare but serious illness called Reye syndrome. […] Cold foods like ice cream, smoothies, and popsicles also help by numbing the area, and will be a welcome treat for kids who have trouble swallowing (and even those who don’t!). Avoid hot drinks, sodas, and acidic food (citrus juice, tomato sauce, etc.) because they can make the pain worse. […] Kids with blisters on their hands or feet should keep the areas clean and uncovered. Wash the skin with lukewarm soap and water, and pat dry. If a blister pops, dab on a bit of antibiotic ointment to help prevent infection and cover it with a small bandage. […] Make sure your child drinks plenty of fluids to stay hydrated.
  • #15 Hand-foot-and-mouth disease: Diagnosis and treatment
    https://www.aad.org/public/diseases/a-z/hand-foot-mouth-treatment
    Hand-foot-and-mouth disease (HFMD) tends to go away on its own without treatment and without leaving a trace. […] This disease goes away on its own without treatment. In most cases, HFMD is gone in 7 to 10 days. […] If you or your child has pain or other symptoms, a dermatologist can provide treatment to relieve symptoms. […] At home, the following can help ease symptoms of HFMD: Avoid eating any food that is spicy or acidic. These foods can make the mouth sores more painful. […] Drink cold liquids. Drinking a warm or hot beverage can be painful when someone has mouth sores. Because its important to stay hydrated, dermatologists recommend drinking cold liquids. […] Reduce the fever. Avoid giving a child or teenager aspirin because aspirin can cause Reyes syndrome, which may lead to brain and liver damage. Reyes syndrome usually develops after a child (or teen) takes aspirin while fighting off a virus. HFMD is caused by viruses. While aspirin can cause problems, acetaminophen is generally safe and effective for reducing fever in children and teens. Just be sure to follow the dosing, which is based on a childs weight. Adults can take aspirin. […] Alleviate pain from mouth sores. Cold beverages, such as water, can help. Adults can also use a numbing mouthwash or spray to reduce the pain.
  • #16 Hand, foot and mouth disease: children | Raising Children Network
    https://raisingchildren.net.au/guides/a-z-health-reference/hand-foot-mouth-disease
    Dont give aspirin to children under 12 years unless its prescribed by a doctor. Aspirin can increase the risk of Reyes syndrome, a rare but potentially deadly condition. If youre giving your child any over-the-counter medicines, check with your pharmacist or doctor to make sure these have no aspirin.
  • #17 Hand-foot-and-mouth disease – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hand-foot-and-mouth-disease/symptoms-causes/syc-20353035
    There’s no specific treatment for hand-foot-and-mouth disease. Frequent hand-washing and avoiding close contact with people who have hand-foot-and-mouth disease may help lower your child’s risk of infection. […] Encourage your child to drink fluids during the illness. If children become too dehydrated, they may need intravenous (IV) fluids in the hospital.
  • #18 About Hand, Foot, and Mouth Disease | Hand, Foot, and Mouth Disease (HFMD) | CDC
    https://www.cdc.gov/hand-foot-mouth/about/index.html
    HFMD is usually not serious. Most people get better on their own in 7 to 10 days with minimal or no medical treatment. […] You can take steps to manage symptoms while you or your child are sick. […] Take over-the-counter medications to relieve fever and pain caused by mouth sores. Never give aspirin to children. […] You can take steps to relieve symptoms and prevent dehydration while you or your child are sick. Drink enough liquids. Mouth sores can make it painful to swallow, so your child may not want to drink much. Make sure they drink enough to stay hydrated.
  • #19 How To Prevent And Treat Hand, Foot, And Mouth Disease – CHOC Children’s
    https://choc.org/news/how-to-prevent-and-treat-hand-foot-and-mouth-disease/
    Hand, Foot, and Mouth Disease Treatment […] „While there’s no medical cure or treatment for hand, foot, and mouth disease, your pediatrician can help you come up with ways to make your child more comfortable while the illness runs its course,” Auth says. Here, some home remedies for hand, foot, and mouth disease to try. […] „Over-the-counter pain relief.” Ask your pediatrician about appropriate pain medications, such as ibuprofen (Motrin or Advil) or acetaminophen (Tylenol), and follow the dosage procedures for your child’s age. Taking them half an hour before mealtime can make eating and drinking less painful, Spanier says. Experts also recommend OTC pain relievers to help bring down a fever. Let your pediatrician know if your child’s temperature remains high after taking a pain reliever.
  • #20 How To Prevent And Treat Hand, Foot, And Mouth Disease – CHOC Children’s
    https://choc.org/news/how-to-prevent-and-treat-hand-foot-and-mouth-disease/
    „Plenty of liquids.” Make sure your child is hydrating, either with breast milk or formula, or, if he’s older, with water, Auth says. Keep track of urine output: If your child has less than three wet diapers during his waking day or, if toilet trained, goes to the toilet less than three times, call your pediatrician. „Another way to ensure your child is hydrated is to make sure he’s producing wet tears,” Spanier says. „If he’s crying without tears, it’s a sign he may be dehydrated and needs to be seen by a pediatrician ASAP.” […] „Cold or soft foods.” Bring on the ice pops! Foods that are cooling and easy to eat will help soothe a sore throat and painful mouth. Try making breast milk ice pops for baby, and pudding, applesauce, chilled soups or smoothies for an older child. […] „Cover mouth blisters.” „Many parents I’ve worked with use a combination of Maalox and Benadryl, then use a Q-tip to cover mouth sores with the mixture,” Kohl says. This can help soothe irritation and make it easier for babies and toddlers to drink; but just as with OTC pain relief, ask your pediatrician first before you try this remedy. […] „Rest.” Your child is likely to feel cranky, especially if she has a temperature or is in pain, so plenty of snuggles and cuddles on the couch are a good hand, foot, and mouth disease treatment.
  • #21 What to Do if Your Child Has Hand, Foot and Mouth Disease | Children’s Hospital of Philadelphia
    https://www.chop.edu/news/health-tip/hand-foot-and-mouth-disease-what-you-need-know
    While there is no specific cure for hand, foot and mouth disease, you can keep your child comfortable until the illness resolves by following these tips: […] Treat mouth pain so that your child drinks well and avoids dehydration. Acetaminophen (e.g., Tylenol) and ibuprofen (e.g., Motrin, Advil) are effective pain medicines. […] For toddlers and older kids, offer soft foods such as yogurt, pasta, pudding or smoothies as well as ice pops to provide sustenance and relieve pain. […] Offer your child a variety of fluids, keeping in mind if your child is not eating, water alone does not provide energy for the body nor does it provide the salt needed to maintain blood pressure. […] The worst of the mouth pain typically occurs during the first three to five days of illness. Antibiotics and other medications do not kill this virus.
  • #22 What doctors wish patients knew about hand, foot and mouth disease | American Medical Association
    https://www.ama-assn.org/delivering-care/population-care/what-doctors-wish-patients-knew-about-hand-foot-and-mouth-disease
    Sometimes you can even apply that directly onto the mouth sores with a cotton swab and it may make them feel better and be more willing to drink. […] But the biggest support they can provide is preventing dehydration, so drinking lots of fluids such as cold drinks, popsicles, slushies and milkshakes, Dr. Yen added. […] The liquids are always more important than solid foods in these circumstances. […] The mouth sores can also make it difficult to eat food because of the pain when swallowing. […] That is when soft foods are better than crunchy foods, Dr. Yen said. […] Examples of soft food to eat are mashed potatoes, macaroni and cheese because those kinds of things don’t require a lot of chewing. […] It is also important to try to avoid things such as salty and spicy foods, citrus and anything that might be irritating to the mouth or cause even more discomfort, he explained.
  • #23 Hand-foot-and-mouth disease – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hand-foot-and-mouth-disease/symptoms-causes/syc-20353035
    There’s no specific treatment for hand-foot-and-mouth disease. Frequent hand-washing and avoiding close contact with people who have hand-foot-and-mouth disease may help lower your child’s risk of infection. […] Encourage your child to drink fluids during the illness. If children become too dehydrated, they may need intravenous (IV) fluids in the hospital.
  • #24 Hand-Foot-and-Mouth Disease (HFMD) Treatment & Management: Medical Care, Prevention
    https://emedicine.medscape.com/article/218402-treatment
    The treatment of hand-foot-and-mouth disease (HFMD) is supportive. In fact, there is no antiviral agent specific for the etiologic agents. Ensure adequate fluid intake to prevent dehydration. Cold liquids are generally preferable. Spicy or acidic substances may cause discomfort. Intravenous hydration may be necessary if the patient has moderate-to-severe dehydration or if discomfort precludes oral intake. Fever may be treated with antipyretics. Pain may be treated with standard doses of acetaminophen or ibuprofen. Direct analgesia may also be applied to the oral cavity via mouthwashes or sprays. Intravenous immunoglobulin (IVIG) and milrinone have shown some efficacy in a few reports. […] There is a relative dearth of treatment options for enterovirus-associated HFMD cases. Recent research has yielded several promising novel and existing therapeutics targeting specific viral mechanisms of action. These include molecular decoys, receptor antagonists, uncoating and translation inhibitors, polyprotein processing inhibitors, and replication inhibitors. Pleconaril is an uncoating inhibitor that shows promise in enterovirus 71 associated infections. […] Amantadine and quinacrine, both translation inhibitors, and ribavirin, a replication inhibitor, are also being investigated as treatment options.
  • #25 Hand-Foot-and-Mouth Disease: Rapid Evidence Review | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/1001/p408.html
    Hand-foot-and-mouth disease is a clinical diagnosis based on the presentation of a low-grade fever with a maculopapular or papulovesicular rash on the hands and soles of the feet and by painful oral ulcerations. Treatment is supportive and directed toward hydration and pain relief as needed with acetaminophen or ibuprofen. […] Discomfort because of pain or fever can be treated with weight-based acetaminophen or ibuprofen. Oral application of topical lidocaine is not recommended for use in children because of the lack of benefit and the potential for harm. Antiviral treatments are not available. One clinical trial of acyclovir (n = 13) reported a reduction of fever and skin changes within 24 hours; however, more evidence is needed. Indications for hospitalization include a failure to maintain adequate hydration or the development of neurologic or cardiopulmonary complications. […] Management is supportive and directed toward the relief of pain, lowering of fever, and adequate oral hydration because of the self-limiting nature of hand-foot-and-mouth disease.
  • #26 Hand-foot-and-mouth disease – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hand-foot-and-mouth-disease/diagnosis-treatment/drc-20353041
    There’s no specific treatment for hand-foot-and-mouth disease. Symptoms of hand-foot-and-mouth disease usually clear up in 7 to 10 days. […] A topical oral anesthetic may help relieve the pain of mouth sores. Over-the-counter pain medications other than aspirin, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others), may help relieve general discomfort.
  • #27 Hand, Foot, and Mouth disease (HFMD): Enteroviral vesicular stomatitis – DermNet
    https://dermnetnz.org/topics/hand-foot-and-mouth-disease
    Specific treatment is not usually required for HFMD, and the focus is symptomatic care. HFMD rarely causes serious complications. Antibiotics do not work and should not be given to children with HFMD. […] No vaccines or specific antiviral medications are available. […] Pain relief includes simple analgesia such as paracetamol or ibuprofen as needed. Antiseptic mouthwashes or topical soothing agents (eg, lignocaine) can be used in children with painful oral/palatal ulcers. […] Hydration involves constantly offering the child sips of water/juice to prevent dehydration. If oral intake is poor, nasogastric or intravenous fluids may be indicated. […] Blister care involves leaving blisters to dry naturally, not piercing/rupturing the blisters to reduce contagion, and keeping the blisters clean while applying non-adherent dressings to erosions.
  • #28 Hand-Foot-and-Mouth Disease: Rapid Evidence Review | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/1001/p408.html
    Hand-foot-and-mouth disease is a clinical diagnosis based on the presentation of a low-grade fever with a maculopapular or papulovesicular rash on the hands and soles of the feet and by painful oral ulcerations. Treatment is supportive and directed toward hydration and pain relief as needed with acetaminophen or ibuprofen. […] Discomfort because of pain or fever can be treated with weight-based acetaminophen or ibuprofen. Oral application of topical lidocaine is not recommended for use in children because of the lack of benefit and the potential for harm. Antiviral treatments are not available. One clinical trial of acyclovir (n = 13) reported a reduction of fever and skin changes within 24 hours; however, more evidence is needed. Indications for hospitalization include a failure to maintain adequate hydration or the development of neurologic or cardiopulmonary complications. […] Management is supportive and directed toward the relief of pain, lowering of fever, and adequate oral hydration because of the self-limiting nature of hand-foot-and-mouth disease.
  • #29 Hand-foot-mouth disease Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/hand-foot-mouth-disease
    There is no specific treatment for the infection other than symptom relief. […] Antibiotics do not work because the infection is caused by a virus. (Antibiotics treat infections caused by bacteria, not viruses.) To relieve symptoms, the following home care can be used: […] Over-the-counter medicines, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can be used to treat fever. Aspirin should not be given for viral illnesses in children under age 18. […] Salt water mouth rinses (1/2 teaspoon, or 6 grams, of salt to 1 glass of warm water) may be soothing. […] Drink plenty of fluids. The best fluids are cold milk products. Do not drink juice or soda because their acid content causes burning pain in the ulcers.
  • #30 Understanding hand, foot and mouth disease: Causes, symptoms, treatment, and prevention – Harvard Health
    https://www.health.harvard.edu/diseases-and-conditions/understanding-hand-foot-and-mouth-disease-causes-symptoms-treatment-and-prevention
    Treatment options for hand, foot, and mouth disease include: […] Because hand, foot, and mouth disease is caused by a virus, antibiotics don’t work. Treatment focuses on relieving symptoms. […] Some at-home tips to ease discomfort include: Take over-the-counter pain relievers to treat fever and sore throat, such as acetaminophen or ibuprofen. Avoid giving products that contain aspirin to children because of the risk of Reye syndrome, a rare but serious illness. Gargling with salt water can help sore throat pain. Try combining 1/2 teaspoon of salt with one glass of warm water, stir, and gargle. Drink plenty of cold fluids. Hot beverages, juices, and soda can make mouth sores painful. For children, cold milk products or cold Pedialyte are best. Avoid food that is spicy or acidic. Older children and adults can use a numbing mouthwash or spray to ease pain. […] If you or your child has severe pain or other symptoms, a doctor may be able to provide other treatments to help relieve symptoms.
  • #31 Hand, Foot and Mouth Disease: Everything Parents Should Know
    https://www.unitypoint.org/news-and-articles/hand-foot-and-mouth-disease-everything-parents-should-know
    Usually doctors can diagnose the illness by simply looking at the blisters. Rarely, your care team will perform a test by gathering samples from the throat, blisters or stool to send to the lab. Testing is rare, however, since identification of the virus wont change treatment plans. Since this is a viral illness, antibiotics wont help. The good thing is your bodys immune system responds to the virus and fights it off without any help. The most common problem children experience is dehydration because it hurts for them to swallow, and they refuse to eat or drink, Dr. Oelberg says. […] There is a sort of hand, foot and mouth disease home remedy you can try to help ease discomfort. Dr. Oelberg calls it a magic mouthwash. […] Instructions: Mix the Benadryl and Maalox in equal parts, and dab on sores in your childs mouth. You could also have your child swish with the magic mouthwash and spit in the sink. Its OK for them to swallow small amounts, as long as the dose of Benadryl is appropriate for their age/weight.
  • #32 Hand, Foot, and Mouth Disease: Symptoms and TreatmentCircleBumpCheckedFilledMedicalBookmarkBookmarkTickBookmarkAddCheckBoxCheckBoxFilled
    https://www.thebump.com/a/hand-foot-mouth-disease-baby
    Plenty of liquids. Make sure your child is hydrating, either with breast milk or formula, or, if they’re older, with water, Auth says. Keep track of urine output: If your child has less than three wet diapers during their waking day or, if toilet trained, goes to the toilet less than three times, call your pediatrician. “Another way to ensure your child is hydrated is to make sure he’s producing wet tears,” Spanier says. “If he’s crying without tears, it’s a sign he may be dehydrated and needs to be seen by a pediatrician ASAP.” […] Cold or soft foods. Bring on the ice pops! Foods that are cooling and easy to eat will help soothe a sore throat and painful mouth. Try making breast milk ice pops for baby, and pudding, applesauce, chilled soups or smoothies for an older child. […] Cover mouth blisters. “Many parents I’ve worked with use a combination of Maalox and Benadryl, then use a Q-tip to cover mouth sores with the mixture,” Kohl says. This can help soothe irritation and make it easier for babies and toddlers to drink; but just as with OTC pain relief, ask your pediatrician first before you try this remedy. […] Rest. Your child is likely to feel cranky, especially if they have a temperature or are in pain, so plenty of snuggles and cuddles on the couch are a good hand, foot, and mouth disease treatment.
  • #33 Hand, foot and mouth disease: Symptoms, course and treatment | CURAPROX
    https://curaprox.in/blog/post/what-is-hand-foot-and-mouth-disease-and-what-can-you-do-to-prevent-it?srsltid=AfmBOorXHHU7-TSKogV56Jx0jO9E6NtQxls_PhGZ6ZjhfeITYyA58VLq
    At present, there are no medicines to cure hand, foot and mouth disease. Which is nothing to worry about, as the disease usually gets better on its own in roughly seven days. However, to speed up the healing process, you can take over-the-counter drugs or use home remedies. We have put together an overview for you below. […] To relieve symptoms, you can take antipyretics and painkillers, such as paracetamol best given to babies and toddlers as suppositories. Pain-relieving mouthwashes and gels containing chlorhexidine or lidocaine or even a Bepanthen solution can help with the oral blisters and alleviate discomfort with swallowing. Have a word with your paediatrician or family doctor to discuss the best medications for treating hand, foot and mouth disease and to get a prescription. Antihistamine medicines can be taken to reduce severe itching of the hands and feet. However, this is rarely required, as the blisters do not cause itching as a rule.
  • #34 What doctors wish patients knew about hand, foot and mouth disease | American Medical Association
    https://www.ama-assn.org/delivering-care/population-care/what-doctors-wish-patients-knew-about-hand-foot-and-mouth-disease
    Those medications can treat the pain in many instances as well, Dr. Yen said. […] And occasionally some physicians will recommend using some type of mouthwashes to help soothe the pain, usually with some sort of antacid in it. […] That can help them drink better, but if they’re not drinking well, then they start to get dehydrated and that’s when they might need more medical attention, he added. […] With hand, foot and mouth disease, you get worried about children, especially younger children, who are not eating or drinking well becoming dehydrated. […] That is why it is important to get children to drink more and help make them comfortable by treating the fevers and the pain. […] If their physician recommended using some type of mouthwash to help with the mouth pain, especially for the young children such as the infants, that might help as needed as well, he said.
  • #35 Centre for Health Protection – Hand, Foot and Mouth Disease
    https://www.chp.gov.hk/en/healthtopics/content/24/23.html
    There is no specific drug treatment for HFMD. Patients should drink plenty of water and take adequate rest, and may receive symptomatic treatment to reduce fever and pain from oral ulcers. […] If the infection is caused by EV71, the patient is advised to stay at home for two more weeks after recovery from the disease (i.e. fever and rash have subsided, and vesicles have dried and crusted). […] Parents should monitor the child’s condition closely and seek medical advice immediately if there is persistent high fever, decrease in alertness, or deterioration in general condition.
  • #36 Hand, foot and mouth disease | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/hand-foot-and-mouth-disease
    Diagnosis is made by a doctor, and there is no specific treatment. […] HFMD is a mild illness that resolves within a week. There is no specific treatment and usually none is required. […] Use paracetamol (not aspirin) as directed for fever and any discomfort. Offer plenty of fluids, but avoid orange juice, which is acidic and may cause pain with mouth ulcers. […] Allow blisters to dry naturally. Do not pierce blisters, as the fluid within them is infectious. […] If a child with HFMD complains of severe headache, if fever persists, of if there are any worrying symptoms, consult your doctor immediately.
  • #37 Hand, foot and mouth disease | healthdirect
    https://www.healthdirect.gov.au/hand-foot-and-mouth-disease
    Hand, foot and mouth disease is a very contagious and common viral illness that mainly affects children under 10 years old. […] Treat symptoms with paracetamol and rest, and by staying hydrated. […] There is no specific treatment for the coxsackie virus that causes hand, foot and mouth disease. Antibiotics do not work on viruses, and most people can be treated at home. […] If your child has hand, foot and mouth disease, you can make them feel more comfortable by treating the symptoms: Paracetamol can ease pain and fever. Ask your doctor or pharmacist for advice on the right product and dose for your child. Give your child plenty to drink. Sips of water or oral rehydration fluid can stop them becoming dehydrated. Ice blocks or jelly can soothe a sore mouth or throat. Give your child soft foods. Avoid tangy or acidic food that could sting a sore mouth. Encourage your child to rest. Keep them home from day care or school until their blisters dry up. […] Allow any blisters to dry out naturally. Don’t try to burst the blisters, as the fluid inside them is infectious.
  • #38 Hand, foot and mouth disease: Symptoms, course and treatment | CURAPROX
    https://curaprox.in/blog/post/what-is-hand-foot-and-mouth-disease-and-what-can-you-do-to-prevent-it?srsltid=AfmBOorXHHU7-TSKogV56Jx0jO9E6NtQxls_PhGZ6ZjhfeITYyA58VLq
    Use these tips to relieve acute symptoms while your child is sick and to speed up the healing process: Besides antipyretics, you can use wet leg compresses to suppress fever during the infection. Make sure your child drinks enough despite the illness making it painful to swallow. Otherwise there is a real risk of dehydration. If your child is reluctant to eat, try pureed foods, custard, yoghurt or soups, as these soft options are much easier to swallow. Anti-inflammatory zinc-oxide lotions and other ointments and gels containing zinc can help dry out the blisters. Cold chamomile or marigold tea or plant-based lotions (for example, lemon balm, thyme or chamomile) can alleviate oral discomfort. Gently dab a honey-soaked cotton swab on the painful blisters in your mouth. This also helps relieve the pain caused by the sores. Ice lollies have a pleasant cooling effect and help prevent dehydration of the oral mucosa. With blisters in the mouth, it is probably best to avoid acidic drinks, such as fruit juice. The acid further irritates the oral mucosa and simply makes the pain worse.
  • #39 Hand, Foot, and Mouth Disease (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/hfm.html
    There’s no cure for HFM and no vaccine to prevent it, but your doctor can recommend home care to make your child more comfortable during recovery. […] You can give acetaminophen or ibuprofen if your child is achy or irritable. Never give aspirin to children or teens, as it may cause a rare but serious illness called Reye syndrome. […] Cold foods like ice cream, smoothies, and popsicles also help by numbing the area, and will be a welcome treat for kids who have trouble swallowing (and even those who don’t!). Avoid hot drinks, sodas, and acidic food (citrus juice, tomato sauce, etc.) because they can make the pain worse. […] Kids with blisters on their hands or feet should keep the areas clean and uncovered. Wash the skin with lukewarm soap and water, and pat dry. If a blister pops, dab on a bit of antibiotic ointment to help prevent infection and cover it with a small bandage. […] Make sure your child drinks plenty of fluids to stay hydrated.
  • #40 What doctors wish patients knew about hand, foot and mouth disease | American Medical Association
    https://www.ama-assn.org/delivering-care/population-care/what-doctors-wish-patients-knew-about-hand-foot-and-mouth-disease
    For the rash and sores experienced, you don’t have to do much with them. […] They can be left open for the most part, Dr. Yen said, noting that I did mention that the fluid can be infectious if they burst open, but they usually dry up pretty quickly. […] So, it’s not necessary to try to cover them all up. […] Just keep them open. […] If they’re going to rupture, they’re going to rupture on their own, he added. […] And if they have a lot of those blisters, they shouldn’t be returning to day care or school. […] We hear most routine infections are going to take seven to 10 days for recovery. […] Most children improve—particularly with the mouth sores—within about three to five days, Dr. Yen said, noting that the average is three to five days and then occasionally we’ll get a little bit more of a prolonged course with some of the sores and the rash lingering for up to a week or a little bit longer.
  • #41 Hand, foot and mouth disease | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/hand-foot-and-mouth-disease
    Diagnosis is made by a doctor, and there is no specific treatment. […] HFMD is a mild illness that resolves within a week. There is no specific treatment and usually none is required. […] Use paracetamol (not aspirin) as directed for fever and any discomfort. Offer plenty of fluids, but avoid orange juice, which is acidic and may cause pain with mouth ulcers. […] Allow blisters to dry naturally. Do not pierce blisters, as the fluid within them is infectious. […] If a child with HFMD complains of severe headache, if fever persists, of if there are any worrying symptoms, consult your doctor immediately.
  • #42 Hand, foot, and mouth disease – Wikipedia
    https://en.wikipedia.org/wiki/Hand,_foot,_and_mouth_disease
    Medications are usually not needed as hand, foot, and mouth disease is a viral disease that typically resolves on its own. Currently, there is no specific curative treatment for hand, foot, and mouth disease. […] Disease management typically focuses on achieving symptomatic relief. Pain from the sores may be eased with the use of analgesic medications. Fever reducers can help decrease body temperature. […] A minority of individuals with hand, foot, and mouth disease may require hospital admission due to complications such as inflammation of the brain, inflammation of the meninges, or acute flaccid paralysis. Non-neurologic complications such as inflammation of the heart, fluid in the lungs, or bleeding into the lungs may also occur.
  • #43 Hand-Foot-and-Mouth Disease-Viral Rash
    https://www.seattlechildrens.org/conditions/a-z/hand-foot-and-mouth-disease-viral-rash/
    After contact with HFMD, children come down with symptoms in 3-6 days. Can return to child care or school after the fever is gone. Most often, this takes 2 to 3 days. […] Mouth sores should go away by 7 days. Rash on the hands and feet lasts 10 days. The rash on the hands and feet may then peel. […] Call Your Doctor If: Signs of dehydration occur. Fever lasts more than 3 days. You think your child needs to be seen. Your child becomes worse.
  • #44 Hand, Foot, and Mouth Disease (HFMD): Symptoms & Treatment
    https://www.health.com/hand-foot-and-mouth-disease-overview-7253034
    Applying prescription or over-the-counter ointments to calm skin rashes. […] If your child has HFMD, it’s especially important to see a healthcare provider if your child: Has a weakened immune system […] Is younger than 6 months […] Is not drinking enough fluids […] Has signs of dehydration […] Has symptoms that don’t get better after 10 days […] Has severe symptoms. […] The good news is that while there isn’t a specific treatment or vaccine for HFMD available in the U.S., there are a few different HFMD vaccines and antiviral medications in the clinical trial phase. So we may see a vaccine or HFMD-specific treatment in the future.
  • #45 Hand-Foot-and-Mouth Disease in Children: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.hand-foot-and-mouth-disease-in-children-care-instructions.uh3650
    Home care can help relieve the symptoms. They usually go away in about 7 to 10 days. This illness is caused by a virus, not bacteria, so antibiotics won’t help. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. […] Ask your doctor if you can give your child acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) for fever, pain, or fussiness. Be safe with medicines. Read and follow all instructions on the label. […] Watch for and treat signs of dehydration, which means that the body has lost too much water. […] Call your doctor now or seek immediate medical care if: Your child cannot swallow or cannot drink enough because of throat pain. […] Watch closely for changes in your child’s health, and be sure to contact your doctor if: Your child does not get better as expected.
  • #46 Hand-Foot-and-Mouth Disease: Rapid Evidence Review | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/1001/p408.html
    Hand-foot-and-mouth disease is a clinical diagnosis based on the presentation of a low-grade fever with a maculopapular or papulovesicular rash on the hands and soles of the feet and by painful oral ulcerations. Treatment is supportive and directed toward hydration and pain relief as needed with acetaminophen or ibuprofen. […] Discomfort because of pain or fever can be treated with weight-based acetaminophen or ibuprofen. Oral application of topical lidocaine is not recommended for use in children because of the lack of benefit and the potential for harm. Antiviral treatments are not available. One clinical trial of acyclovir (n = 13) reported a reduction of fever and skin changes within 24 hours; however, more evidence is needed. Indications for hospitalization include a failure to maintain adequate hydration or the development of neurologic or cardiopulmonary complications. […] Management is supportive and directed toward the relief of pain, lowering of fever, and adequate oral hydration because of the self-limiting nature of hand-foot-and-mouth disease.
  • #47 Hand, foot, and mouth disease – Wikipedia
    https://en.wikipedia.org/wiki/Hand,_foot,_and_mouth_disease
    Medications are usually not needed as hand, foot, and mouth disease is a viral disease that typically resolves on its own. Currently, there is no specific curative treatment for hand, foot, and mouth disease. […] Disease management typically focuses on achieving symptomatic relief. Pain from the sores may be eased with the use of analgesic medications. Fever reducers can help decrease body temperature. […] A minority of individuals with hand, foot, and mouth disease may require hospital admission due to complications such as inflammation of the brain, inflammation of the meninges, or acute flaccid paralysis. Non-neurologic complications such as inflammation of the heart, fluid in the lungs, or bleeding into the lungs may also occur.
  • #48 Hand-Foot-and-Mouth Disease (HFMD) Treatment & Management: Medical Care, Prevention
    https://emedicine.medscape.com/article/218402-treatment
    The treatment of hand-foot-and-mouth disease (HFMD) is supportive. In fact, there is no antiviral agent specific for the etiologic agents. Ensure adequate fluid intake to prevent dehydration. Cold liquids are generally preferable. Spicy or acidic substances may cause discomfort. Intravenous hydration may be necessary if the patient has moderate-to-severe dehydration or if discomfort precludes oral intake. Fever may be treated with antipyretics. Pain may be treated with standard doses of acetaminophen or ibuprofen. Direct analgesia may also be applied to the oral cavity via mouthwashes or sprays. Intravenous immunoglobulin (IVIG) and milrinone have shown some efficacy in a few reports. […] There is a relative dearth of treatment options for enterovirus-associated HFMD cases. Recent research has yielded several promising novel and existing therapeutics targeting specific viral mechanisms of action. These include molecular decoys, receptor antagonists, uncoating and translation inhibitors, polyprotein processing inhibitors, and replication inhibitors. Pleconaril is an uncoating inhibitor that shows promise in enterovirus 71 associated infections. […] Amantadine and quinacrine, both translation inhibitors, and ribavirin, a replication inhibitor, are also being investigated as treatment options.
  • #49 Hand, Foot, and Mouth Disease – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK431082/
    HFMD is a mild clinical syndrome and resolves within 7 to 10 days. Treatment is primarily supportive. Pain and fever can be managed with NSAIDs and acetaminophen. Making sure the patient remains well-hydrated is important. Additionally, a mixture of ibuprofen and diphenhydramine can be used to gargle, which helps coat the ulcers, easing the pain. […] Over the past decade, researchers have developed specific treatments to manage enterovirus 71-induced HFMD because of its severe neurological complications. So far, no drug has been approved, but promising novel agents include molecular decoys, translation inhibitors, receptor antagonists, and replication inhibitors. An antiviral agent that has shown promise in treating enterovirus 71 is pleconaril, an anti-picornaviral agent. However, there are currently no licensed antivirals for the treatment of HFMD.
  • #50 Hand-Foot-and-Mouth Disease (HFMD) Treatment & Management: Medical Care, Prevention
    https://emedicine.medscape.com/article/218402-treatment
    The treatment of hand-foot-and-mouth disease (HFMD) is supportive. In fact, there is no antiviral agent specific for the etiologic agents. Ensure adequate fluid intake to prevent dehydration. Cold liquids are generally preferable. Spicy or acidic substances may cause discomfort. Intravenous hydration may be necessary if the patient has moderate-to-severe dehydration or if discomfort precludes oral intake. Fever may be treated with antipyretics. Pain may be treated with standard doses of acetaminophen or ibuprofen. Direct analgesia may also be applied to the oral cavity via mouthwashes or sprays. Intravenous immunoglobulin (IVIG) and milrinone have shown some efficacy in a few reports. […] There is a relative dearth of treatment options for enterovirus-associated HFMD cases. Recent research has yielded several promising novel and existing therapeutics targeting specific viral mechanisms of action. These include molecular decoys, receptor antagonists, uncoating and translation inhibitors, polyprotein processing inhibitors, and replication inhibitors. Pleconaril is an uncoating inhibitor that shows promise in enterovirus 71 associated infections. […] Amantadine and quinacrine, both translation inhibitors, and ribavirin, a replication inhibitor, are also being investigated as treatment options.
  • #51 A program concerning the Hand-Foot-And-Mouth disease in South East Asia | Institut Pasteur
    https://www.pasteur.fr/en/international/international-programs/program-concerning-hand-foot-and-mouth-disease-south-east-asia
    To date, there is no specific treatment for this disease. […] To date, there is no specific treatment for this disease. […] The project will also study the socio-economic contribution of preventive and therapeutic interventions in the young child. […] The teams will also test the efficacy and safety of two molecules (suramin and itraconazole) already used in other human diseases, to treat enteroviruses infections. […] It will also study the socio-economic contribution of a vaccination program using the anti-EV71 vaccine already available and it will inform the health authorities on the economic soundness of the establishment a vaccination program using an already developed and tested vaccine.
  • #52 Hand, Foot, and Mouth Disease – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK431082/
    Several vaccine candidates have been developed against HFMD and Enteroviruses. Strain-specific inactivated whole-virus aluminum-adjuvant vaccines have been developed in China and are approved for widespread use. In a study with 10,077 participants, a 3-dose regimen of the EV71 C4a vaccine showed an overall efficacy of 94.7%, with protection lasting around 2 years.
  • #53 Understanding Hand-Foot-and-Mouth Disease
    https://www.webmd.com/a-to-z-guides/remedies-for-hand-and-foot-and-mouth-disease
    There are currently no specific remedies or treatments for hand-foot-and-mouth disease. Your doctor may advise you to have your child rest, while you do what you can to control the symptoms. Make sure the child gets enough fluids and receives medication for any aches and pains. The doctor may recommend avoiding aspirin, as that can lead to other complications. […] You and your child may take certain precautions to reduce risk of exposure to hand-foot-and-mouth disease: Always wash your hands Practice frequent handwashing, especially after changing a diaper or using the toilet. Wash your hands before any food preparation. Use a gel or hand wipes with alcohol if no soap and water are available. Disinfect areas where people gather Clean high-traffic areas with soap and water, then follow with a diluted (watered-down) chlorine bleach and water solution. Make sure that items like toys and pacifiers receive frequent cleaning. Keep contagious individuals separate Limit exposure to anyone infected with hand-foot-and-mouth mouth disease. Its a good idea to keep children out of childcare or school until their mouth sores heal and theyre fever free.
  • #54 Hand-Foot-and-Mouth Disease: Rapid Evidence Review – PubMed
    https://pubmed.ncbi.nlm.nih.gov/31573162/
    Hand-foot-and-mouth disease is caused by human enteroviruses and coxsackieviruses. […] Treatment is supportive and directed toward hydration and pain relief as needed with acetaminophen or ibuprofen. Oral lidocaine is not recommended, and antiviral treatment is not available. […] The best methods to prevent the spread of hand-foot-and-mouth disease are handwashing and disinfecting potentially contaminated surfaces and fomites.
  • #55 Hand, foot and mouth disease | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/hand-foot-and-mouth-disease/
    Hand, foot and mouth disease can be unpleasant, but it will usually clear up by itself within 7 to 10 days. You can normally look after yourself or your child at home. […] Theres no cure for hand, foot and mouth disease. […] Antibiotics wont help as hand, foot and mouth disease is caused by a virus. […] You should keep your child away from nursery or school until theyre feeling better. Adults with the condition should stay away from work until theyre feeling better. […] Rest at home, drink lots of water, eat soft foods like yoghurt or soup if swallowing is uncomfortable, take paracetamol or ibuprofen to ease a sore throat or fever, and use mouth gels, rinses or sprays for mouth ulcers.
  • #56 What doctors wish patients knew about hand, foot and mouth disease | American Medical Association
    https://www.ama-assn.org/delivering-care/population-care/what-doctors-wish-patients-knew-about-hand-foot-and-mouth-disease
    For returning to school or day care, it depends. […] It is typically recommended that they can return after they are fever free, first of all. […] So, ideally fever free for about 24 hours, he said. […] It’s also important that if the child, especially younger kids, have uncontrolled drooling because of the pain or they have open sores, especially a lot of open sores, it’s probably better not to have them return to school or day care until those symptoms have resolved.
  • #57 What doctors wish patients knew about hand, foot and mouth disease | American Medical Association
    https://www.ama-assn.org/delivering-care/population-care/what-doctors-wish-patients-knew-about-hand-foot-and-mouth-disease
    For returning to school or day care, it depends. […] It is typically recommended that they can return after they are fever free, first of all. […] So, ideally fever free for about 24 hours, he said. […] It’s also important that if the child, especially younger kids, have uncontrolled drooling because of the pain or they have open sores, especially a lot of open sores, it’s probably better not to have them return to school or day care until those symptoms have resolved.
  • #58
    https://www.parkwayeast.com.sg/conditions-diseases/hand-foot-mouth-disease/diagnosis-treatment
    Most cases of HFMD respond well to conservative treatment at home. Being sufficiently hydrated is key to recovery. You should: […] Use oral numbing drops or gels to coat painful oral ulcers in younger children and infants. You can also give regular paracetamol and ibuprofen for pain relief prior to feeding. […] Provide cool food and drinks. Cool food and liquids such as juices, ice cream or yoghurt may be easier to eat with a painful mouth. […] Allow blisters to dry out naturally. Usually, the blisters are not itchy and do not require additional creams, lotions or medication for symptom relief. […] Observe good hand hygiene while taking care of your child to prevent the disease from spreading. […] You should bring your child to a doctor for clearance to return to childcare or school when their blisters have fully dried up and oral ulcers have healed.
  • #59 Centre for Health Protection – Hand, Foot and Mouth Disease
    https://www.chp.gov.hk/en/healthtopics/content/24/23.html
    There is no specific drug treatment for HFMD. Patients should drink plenty of water and take adequate rest, and may receive symptomatic treatment to reduce fever and pain from oral ulcers. […] If the infection is caused by EV71, the patient is advised to stay at home for two more weeks after recovery from the disease (i.e. fever and rash have subsided, and vesicles have dried and crusted). […] Parents should monitor the child’s condition closely and seek medical advice immediately if there is persistent high fever, decrease in alertness, or deterioration in general condition.
  • #60 Hand, foot and mouth disease
    https://www.nhs.uk/conditions/hand-foot-mouth-disease/
    Hand, foot and mouth disease usually gets better on its own in 7 to 10 days. […] You cannot take antibiotics or other medicines to cure it. […] To help the symptoms: drink cool fluids to soothe the mouth and prevent dehydration (but avoid acidic drinks, such as fruit juice); eat soft foods like yoghurt and avoid hot, salty and spicy foods; take paracetamol or ibuprofen to help ease a sore mouth or throat. […] Ask 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.
  • #61 Hand, foot and mouth disease
    https://info.health.nz/conditions-treatments/infectious-diseases/hand-foot-and-mouth-disease
    Hand, foot and mouth disease can be unpleasant, but it will usually clear up by itself within 7 to 10 days. There is no medicine to treat hand, foot and mouth disease. […] To relieve the symptoms, you can take paracetamol or ibuprofen to help reduce a fever. Ask your healthcare provider or pharmacist for advice. […] Drink plenty of fluids. If you have a sore mouth, you might prefer eating plain, soft food that does not need lots of chewing.
  • #62 Hand, Foot, and Mouth Disease (HFMD): A Comprehensive Guide
    https://www.webmd.com/children/hand-foot-mouth-disease
    Theres no cure or vaccine for hand, foot, and mouth disease. Because a virus causes it, antibiotics wont help. It usually goes away on its own after 7-10 days. In the meantime, you can ease symptoms with: […] Over-the-counter pain relievers such as ibuprofen or acetaminophen or numbing mouth sprays. Dont use aspirin, because it can cause serious illness in children. […] Cold treats such as ice pops, yogurt, or smoothies to soothe a sore throat. Avoid juice and soda, which have acids that might irritate sores. […] Anti-itch lotion, such as calamine, for rashes. […] While there is no specific medical treatment for HFMD, most people get better on their own in 7-10 days.
  • #63 Hand, foot and mouth disease
    https://www.rch.org.au/kidsinfo/fact_sheets/hand_foot_and_mouth_disease/
    Hand, foot and mouth disease is an infection caused by a virus. […] If your child has hand, foot and mouth disease, you can care for them at home by ensuring they drink lots of fluids and giving them regular pain medicine. […] To care for your child at home, you can: encourage them to drink frequent sips of water or rehydration fluids like electrolytes to stop them getting dehydrated. You can try giving them a regular icy pole if they do not want to drink juice or oral rehydration solution. […] give them pain relief medicine, such as paracetamol or ibuprofen. Do not give your child aspirin. […] Hand, foot and mouth disease is a mild illness that rarely causes complications. Antibiotics will not help, as they do not work on viruses. […] Look after your child at home if: they have a mild fever and seem otherwise well. […] They are drinking enough fluids.
  • #64 About Hand, Foot, and Mouth Disease | Hand, Foot, and Mouth Disease (HFMD) | CDC
    https://www.cdc.gov/hand-foot-mouth/about/index.html
    HFMD is usually not serious. Most people get better on their own in 7 to 10 days with minimal or no medical treatment. […] You can take steps to manage symptoms while you or your child are sick. […] Take over-the-counter medications to relieve fever and pain caused by mouth sores. Never give aspirin to children. […] You can take steps to relieve symptoms and prevent dehydration while you or your child are sick. Drink enough liquids. Mouth sores can make it painful to swallow, so your child may not want to drink much. Make sure they drink enough to stay hydrated.
  • #65 Hand, foot and mouth disease
    https://www.rch.org.au/kidsinfo/fact_sheets/hand_foot_and_mouth_disease/
    Hand, foot and mouth disease is an infection caused by a virus. […] If your child has hand, foot and mouth disease, you can care for them at home by ensuring they drink lots of fluids and giving them regular pain medicine. […] To care for your child at home, you can: encourage them to drink frequent sips of water or rehydration fluids like electrolytes to stop them getting dehydrated. You can try giving them a regular icy pole if they do not want to drink juice or oral rehydration solution. […] give them pain relief medicine, such as paracetamol or ibuprofen. Do not give your child aspirin. […] Hand, foot and mouth disease is a mild illness that rarely causes complications. Antibiotics will not help, as they do not work on viruses. […] Look after your child at home if: they have a mild fever and seem otherwise well. […] They are drinking enough fluids.