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Hand, Foot, and Mouth Disease (HFMD)
Hand, Foot, and Mouth Disease (HFMD) is a highly contagious viral illness that primarily affects young children, though adults can also be infected. It is characterized by sores in the mouth and a rash on the hands and feet.
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Causes of HFMD
1. Viral Infection:
Most commonly caused by Coxsackievirus A16 or Enterovirus 71.
2. Person-to-Person Transmission:
Spread through respiratory droplets, saliva, or nasal secretions.
3. Contact with Contaminated Surfaces:
Touching objects or surfaces contaminated with the virus.
4. Fecal-Oral Transmission:
Poor hand hygiene after using the toilet or changing diapers.
5. Close Contact:
Common in daycare centers, schools, or crowded places.
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Signs of HFMD
General Symptoms
1. Fever:
Often the first symptom.
2. Sore Throat.
3. Fatigue or Irritability.
Oral Symptoms
4. Painful Sores:
Red spots or ulcers inside the mouth, especially on the tongue, gums, and inner cheeks.
Skin Symptoms
5. Rash on Hands and Feet:
Flat or raised red spots, sometimes with blisters.
6. Rash on Buttocks or Legs:
Less common but possible.
Other Symptoms
7. Loss of Appetite:
Due to painful mouth sores.
8. Dehydration:
From difficulty eating or drinking.
9. Runny Nose.
10. Mild Headache.
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Effects of HFMD
Short-Term Effects
1. Pain and discomfort from mouth sores and rashes.
2. Difficulty eating and drinking, leading to dehydration.
3. Mild fever and fatigue.
Rare Complications
4. Viral Meningitis:
Inflammation of the membranes surrounding the brain and spinal cord.
5. Encephalitis:
Brain inflammation (very rare).
6. Nail Shedding (Onychomadesis):
Temporary loss of fingernails or toenails weeks after recovery.
7. Severe Dehydration:
From inability to consume enough fluids.
8. Heart or Lung Issues:
Rare complications from Enterovirus 71.
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Solutions and Management of HFMD
Home Care
1. Hydration:
Encourage plenty of fluids, such as water, milk, or electrolyte solutions.
2. Soft Foods:
Serve bland, soft, and cold foods like yogurt, applesauce, or ice cream to ease mouth pain.
3. Pain Relief:
Over-the-counter medications like ibuprofen or acetaminophen for fever and discomfort.
4. Saltwater Rinses:
Use warm saltwater to relieve mouth pain and prevent infection.
Preventive Measures
5. Good Hygiene:
Wash hands thoroughly, especially after using the toilet or changing diapers.
6. Disinfect Surfaces:
Clean toys, doorknobs, and other frequently touched surfaces.
7. Avoid Sharing:
Do not share utensils, cups, or towels.
8. Isolate the Infected Person:
Keep children with HFMD out of daycare or school until fever-free and sores heal.
Medical Treatments
9. Topical Anesthetics:
Gel or spray for mouth sores to reduce pain.
10. Monitor for Complications:
Seek medical attention for persistent fever, difficulty breathing, or neurological symptoms.
When to Seek Medical Help
11. Severe Dehydration:
Signs include dry mouth, sunken eyes, or decreased urination.
12. High or Persistent Fever:
Lasting more than three days.
13. Unusual Symptoms:
Weakness, confusion, or persistent vomiting.
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Recovery
Most cases of HFMD resolve within 7–10 days without long-term effects. Prompt care, hygiene, and hydration are key to managing symptoms and preventing complications.
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