Hand foot and mouth disease on hands

Hand, foot, and mouth disease (HFM) is a common viral infection that causes painful red blisters in the mouth and throat, and on the hands, feet, and diaper area. The coxsackievirus causes most HFM infections.

HFM is contagious and easily spreads through contact with unwashed hands, feces (poop), saliva (spit), mucus from the nose, or fluid from the blisters. Kids under age 7 are most at risk for HFM. Infections are common in childcare centers, preschools, schools, summer camps, and other places where kids are close together.

Besides the blisters, kids often have a fever for a few days and can get dehydrated because it hurts to swallow liquids. Symptoms usually clear up within a week to 10 days, and kids recover completely.

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.

What Are the Signs & Symptoms of Hand, Foot, and Mouth Disease?

The blisters caused by HFM are red with a small bubble of fluid on top. They often peel, leaving an ulcer, which is a sore with a reddish base. The soles of the feet and the palms of the hands may have a rash that can look like flat red spots or red blisters.

Occasionally, there might be a pink, non-itchy rash on other parts of the body, such as the buttocks and thighs. However, some kids will have no problems other than sores in the back of the throat (called herpangina).

It can be hard for parents to tell if a child (especially a very young one) has HFM if sores are only inside the mouth or throat. Very young kids might not be able to communicate that they have a sore throat. But if a child stops eating or drinking, or wants to eat or drink less often, it's a sign that something is wrong.

A child with HFM also might:

  • have a fever, muscle aches, or other flu-like symptoms
  • become irritable, fussy, or sleep more than usual
  • begin drooling (due to painful swallowing)
  • only want to drink cold fluids
  • have belly pain, vomiting, or diarrhea

How Is HFM Treated?

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.

When Should I Call the Doctor?

Call your doctor if your child remains very irritable, can't be comforted, is sluggish, or seems to be getting worse. Also call if you see signs of dehydration, like a dry or sticky mouth, sunken eyes, and peeing less than usual or fewer wet diapers.

Can Hand, Foot, and Mouth Disease (HFM) Be Prevented?

To prevent the spread of HFM, keep kids home from school and childcare while they have a fever or open blisters on the skin and in the mouth.

Hand washing is the best protection. Remind everyone in your family to wash their hands well and often, especially after using the toilet or changing a diaper, and before preparing or eating food. Shared surfaces and toys in childcare centers should be cleaned often with a disinfectant because many viruses can live on objects for a few days.

Hand, foot and mouth disease is a common childhood illness that can also affect adults. It usually gets better on its own in 7 to 10 days.

Check if it's hand, foot and mouth disease

The 1st signs of hand, foot and mouth disease can be:

  • a sore throat
  • a high temperature
  • not wanting to eat

The 2nd stage usually starts a few days later and can include:

  • mouth ulcers, which can be painful
  • a raised rash of spots on the hands and feet, and sometimes the thighs and bottom

The rash of spots can look pink, red, or darker than the surrounding skin, depending on your skin tone.

The spots can turn into blisters, which might be grey or lighter than surrounding skin and can be painful.

The symptoms are usually the same in adults and children, but can be worse in babies and children under 5.

Mouth ulcers

Hand foot and mouth disease on hands

Credit:

Hercules Robinson / Alamy Stock Photo https://www.alamy.com/stock-photo-vesicle-on-tongue-of-child-with-coxsackie-a16-virus-infection-hand-12876583.html?pv=1&stamp=2&imageid=E0442865-9287-42AE-A268-26DB0F32DA91&p=18517&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dhand%2520foot%2520and%2520mouth%26qt_raw%3dhand%2520foot%2520and%2520mouth%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d0%26ispremium%3d1%26flip%3d0%26pl%3d

Spots on the hands and feet

Here is an image gallery with images and detailed descriptions. Select an image tab to get the bigger version of the image and to access the description.
  • Hand foot and mouth disease on hands
    1: Hand, foot and mouth disease spots on white skin. 1
  • Hand foot and mouth disease on hands
    2: Hand, foot and mouth disease spots and patches on medium brown skin. 2
  • Hand foot and mouth disease on hands
    3: Hand, foot and mouth disease blister on white skin. 3

Hand foot and mouth disease on hands

Credit:

sinsy / Alamy Stock Photo https://www.alamy.com/allergic-rash-skin-of-babys-right-foot-hand-foot-and-mouth-disease-image333897813.html

Detailed image description, image 1.

This image shows hand, foot and mouth disease spots on the wrist and hand of a baby with white skin.

There are 3 round, raised spots and several smaller, flat spots.

The large spots vary in size from around 2mm to 5mm. 1 spot is near the knuckle of the index finger, the other 2 are near the wrist. The skin around each spot is pink. The centre of each large spot is light pink or similar to the baby's skin tone. The spots look like they have fluid in them.

There are patches of pink skin on the fingers and back of the hand.

Hand foot and mouth disease on hands

Credit:

sawatdee keawbunsong: https://www.shutterstock.com/image-photo/children-hand-foot-mouth-disease-usually-1366937726

Detailed image description, image 2.

This image shows hand, foot and mouth disease spots on the palms of a child with medium brown skin.

The child's palms and fingers have many pink spots and patches on them. Most spots are round, but some are an uneven shape. The centre of some spots is light pink or the same colour as the surrounding skin. Other spots are dark pink or red without a lighter centre.

Some spots on the joints of the fingers look like red scratches.

The child's hands are resting in an adult's hands. The adult's legs and a blue patterned cloth are in the background.

Hand foot and mouth disease on hands

Credit:

Scott Camazine / Alamy Stock Photo https://www.alamy.com/ulcer-in-hand-foot-and-mouth-disease-in-a-4-year-old-boy-image3361429.html?pv=1&stamp=2&imageid=8B2A7E44-B651-433D-957E-AF02E3FF727C&p=9949&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dhand%2520foot%2520and%2520mouth%26qt_raw%3dhand%2520foot%2520and%2520mouth%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d0%26ispremium%3d1%26flip%3d0%26pl%3d

Detailed image description, image 3.

This image shows a hand, foot and mouth disease blister on the little toe of a child with white skin. The skin on the top of the toe is pink. There's a raised, round, light grey blister on the centre of the toe.

Next to the blister are two very small white blisters.

There is a blue background at the bottom of the image.

If you're not sure your child has hand, foot and mouth disease

Look at other childhood rashes.

Information:

Hand, foot and mouth disease has nothing to do with foot and mouth disease that affects farm animals.

How to treat hand, foot and mouth disease yourself

You cannot take antibiotics or medicines to cure hand, foot and mouth disease. It usually gets better on its own in 7 to 10 days.

To help the symptoms:

  • drink fluids to prevent dehydration and avoid acidic drinks, such as fruit juice
  • eat soft foods like yoghurt and avoid hot and spicy foods
  • take paracetamol or ibuprofen to help ease a sore mouth or throat

A pharmacist can help with hand, foot and mouth disease

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.

Find a pharmacy

Non-urgent advice: See a GP if:

  • your symptoms or your child's symptoms do not improve after 7 to 10 days
  • you or your child has a very high temperature, or feels hot and shivery
  • you're worried about your child's symptoms
  • your child is dehydrated (they're not peeing as often as usual)
  • you're pregnant and get hand, foot and mouth disease

Hand, foot and mouth disease can be spread to other people.

Check with your GP surgery before going. They may suggest a phone consultation.

How to stop hand, foot and mouth disease spreading

Hand, foot and mouth disease is easily passed on to other people. It's spread in coughs, sneezes, poo and the fluid in the blisters. You can get it more than once.

You can start spreading it from a few days before you have any symptoms, but you're most likely to spread it to others in the first 5 days after symptoms start.

To reduce the risk of spreading hand, foot and mouth disease:

  • wash your hands often with soap and water, and children's hands too
  • use tissues to trap germs when you cough or sneeze
  • bin used tissues as quickly as possible
  • do not share towels or household items like cups or cutlery
  • wash soiled bedding and clothing on a hot wash

Staying off school or nursery

Keep your child off school or nursery while they're feeling unwell.

But as soon as they're feeling better, they can go back to school or nursery. There's no need to wait until all the blisters have healed.

Keeping your child away from other children for longer is unlikely to stop the illness spreading.

Hand, foot and mouth disease in pregnancy

Although there's usually no risk to the pregnancy or baby, it's best to avoid close contact with anyone who has hand, foot and mouth disease.

This is because:

  • having a high temperature during the first 3 months of pregnancy can lead to miscarriage, although this is very rare
  • getting hand, foot and mouth disease shortly before giving birth can mean your baby is born with a mild version of it

Speak to a GP or your midwife if you have been in contact with someone with hand, foot and mouth disease.

Can hand foot and mouth just be on hands?

The hallmarks of the virus are a rash that appears on the hands, feet and mouth, but the rash can often be found all over the body, including the trunk and genitals,” Dr. Schmidt states. The look of the rash can vary from person to person. Some people experience small, red spots that don't cause any discomfort.

How long is hand foot mouth contagious?

People with hand, foot, and mouth disease are usually most contagious during the first week that they are sick. People can sometimes spread the virus to others for days or weeks after symptoms go away or if they have no symptoms at all.

What is the first stage of hand, foot, and mouth disease?

Hand, foot, and mouth disease usually begins with a fever, reduced appetite, sore throat, and feeling lethargic. After developing a fever, painful sores may develop in the mouth. These sores, called herpangina, appear as spots — usually in the back of the mouth. These spots can blister and become painful.

How do you know if you have hand, foot, and mouth disease?

Painful, blister-like lesions on the tongue, gums and inside of the cheeks. A rash on the palms, soles and sometimes the buttocks. The rash is not itchy, but sometimes it has blisters. Depending on skin tone, the rash may appear red, white, gray, or only show as tiny bumps.