Hand and mouth disease in children

As in every year, the incidence of hand and mouth disease has increased considerably this year. A disease that worries parents quite a hand due to prolonged fever and anorexia period hand foot mouth disease. Children cannot eat because of oral wounds, which causes weight loss. It is mostly seen in the first months of summer or autumn.

What is Hand Foot and Mouth Disease?
It is a viral disease caused by a family of viruses called entero viruses, characterized by high fever, tonsils and sores filled with water in the mouth, aphthae in the mouth, rash in the hands, feet, mouth and sometimes genital area.

How is hand-foot disease transmitted?
The disease is highly contagious. It can be passed from child to child as well as from a pregnant mother to a baby. Infected person can be transmitted by direct contact with nose, throat secretions, fluid and feces in rashes, or by close personal contact with patients, by coughing or sneezing by air, contact with feces, contact with surface contaminated objects.

Sometimes it can be transmitted from swimming pools, but rarely, the virus is resistant to chlorine.

What are the symptoms of hand foot and mouth disease?
Painful rashes filled with water in the mouth, hand, foot and genital area
Dehydration of the body in children who cannot drink enough water due to oral wounds
Throat ache
Pity in the mouth while eating
inability to swallow
Not all patients may have all of their symptoms. Sometimes we can only encounter patients with rash in the mouth and no rash elsewhere, and we may also encounter patients with no rash and no fever.

What are the complications of hand and foot disease?
Complications are very rare in hand and mouth disease.

Meningitis or encephalitis: Fortunately it is not a common situation. Rarely, viral meningitis or encephalitis may occur.
Nail loss: The loss of nails in some children is temporary and nails usually grow again without medical treatment.
How to protect?
It is very important to wash hands frequently and not to put dirty hands on mouth and face. People with hand-foot-mouth disease should be avoided because it is contagious. It is also imperative to ventilate the environment frequently so that fresh air can enter. Environmental surfaces should be disinfected in schools, playgrounds and nurseries. Especially playgrounds and ball pools are dangerous for transmission.
Avoid contact with sick individuals
Hand hygiene matters. Let’s teach our children to wash their hands after the toilet, before and after dinner.
How to treat hand foot mouth disease?
The fever of the disease, wounds on the hands, feet and mouths make the families very worried but there is no special treatment for the disease. Existing symptoms are tried to be relieved.

Antipyretics for fever,
Local therapies for oral wounds
Hospitalization may be required if there is a decrease in fluid intake due to non-falling fever and mouth sores.
Itch relievers if you have a lot of itch
Course of hand and foot disease
The disease begins with fever. A few days after the onset of fever, rashes filled with fluid appear in the mouth. Rash and fever may be accompanied by anorexia, sore throat, malaise. A few days after the onset of mouth rashes, rashes occur in the hands, feet and genital area. Hand and foot rashes heal by 5-7 and sometimes within 10 days.

Recommendations for mothers
Hand and mouth disease is often mild to moderate disease and can be treated at home. But watch your child closely at home; If inflammation of the lesions, feeding is impaired, fever does not fall, consult your doctor.
Let’s not forget that it is always easier to avoid disease than to be treated. So, first of all, let’s avoid hand and foot disease. Keeping people showing signs of illness away from children; wash hands frequently with soap and water to prevent infection.
Use the medications recommended by your doctor in the appropriate shape and dosage.
Particularly in children under the age of 5 let’s reduce the fever.
Be sure to feed. Feed in small amounts but often because feeding is more tiring than normal times.
Encourage plenty of fluid intake. This will help to overcome the disease easily.
How should we feed children with hand and mouth disease?
The most worrisome mothers after fever during the course of hand and foot disease are that children who have this disease are very poor appetite due to oral wounds. In this case, it is important not to pressure the child to eat. He’il get better and get his old appetite anyway. The point to be considered is fluid consumption. If you think your baby does not consume enough fluid, you should consult a doctor.

Other than that, mouth sores will not burn, not hurt, acid-free foods should be given. The food provided should not be too cold, nor too cold. Both cold and hot foods cause trauma to wounds and delay healing.

When to consult a doctor?
Fever more than 3-4 days

Asked on 9 Haziran 2019 in Child.
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