Dr. Duan

You must take the problem of hand, mouth and foot disease seriously. I will be happy to answer your question about hand, mouth and foot disease: Hand, Mouth and Foot Disease (Hand, Mouth and Foot Disease) -mouth-foot disease) is an exanthematous infectious disease, mainly caused by coxsackie virus. It may occur all year round, but it is most common in summer and autumn. It can occur at any age, especially those under 3 years old. children. The virus lives in the pharynx, saliva, herpes and feces of children. It can be transmitted not only to other children through saliva, sneezing, coughing, and droplets when talking, but also indirectly through hands, daily necessities, and tableware. Once an epidemic occurs, many children will be infected. The infected children will develop small herpes similar to chickenpox on the skin of their hands, feet or oral mucosa, which is called hand, mouth and foot disease. 1. Most children suffer from it suddenly. The onset of the disease is first manifested by high fever, usually above 38 degrees, accompanied by symptoms such as headache, cough, runny nose, etc. The body temperature persists. The higher the body temperature, the longer the course of the disease, and the more severe the condition, and it is also accompanied by Symptoms of lack of energy and sleepiness. 2. When children have fever or 1-2 days after fever, herpes can be seen on their oral mucosa and lips. After the herpes ruptures, ulcers will form and the pain will be severe. Children often show irritability, crying, Drooling, not eating and other discomforts. 3. Skin maculopapular rashes can be seen on the palms, soles and buttocks of the child 1-2 days after oral herpes, with the soles of the feet being the most common. The rashes are round or oval, flat and can be as small as a grain of rice or as large as a pea. , hard with turbid fluid around the rash

Dr. Qi

Pediatric hand, foot and mouth disease is a rash disease in children. In the past two years, there have been cases in Singapore and other Southeast Asian countries. The outbreak of localized minor epidemics is also a clinically common disease in China, especially in kindergartens where children are relatively concentrated. Cross-infection due to mutual contact between children is not uncommon. Therefore, It is necessary to pay enough attention to this.

Pediatric hand, foot and mouth disease mostly occurs in children under 4 years old. It is mostly caused by a virus called Coxsackie A16. It can also be caused by Coxsackie A5 or Coxsackie A10 viruses. . Parents may find that their children suddenly have a fever, refuse to eat or suddenly like to eat liquid food, and have small red rashes or blisters on their hands and feet. When they go to the hospital for examination, they find that their children have small herpes and ulcers in their mouths, mostly on the tongue and buccal mucosa. and the hard palate. The routine blood examination showed an increase in lymphocytes, which led to the doctor’s diagnosis of hand, foot and mouth disease in children.

Clinically, the body temperature of this disease can drop to normal within 2 to 3 days; the rash on the hands and feet is often absorbed after 2 to 3 days without leaving a scab; the herpes and ulcers in the mouth can last for about 1 week time. Usually, some antiviral drugs can be effective, such as Chinese patent medicines: Daqingye oral liquid, antiviral oral liquid and Shuanghuanglian oral liquid; Western medicine: ribavirin tablets or oral liquid, all of which can have good curative effects. . For a small number of children who refuse to eat due to severe pain in oral ulcers and are accompanied by high fever, intravenous infusion of ribavirin, acyclovir, zedoary oil and other drugs can be given; iodine can be used for oral ulcers

Doctor Physician

Home care:

1. Sick babies must be isolated for 7-10 days from the onset of illness to avoid infecting other children.

2. The diet should be light and non-irritating. Avoid spicy, fish, shrimp, meat and other foods that can easily aggravate the condition.

3. The temperature of food should not be too high. Eating overheated food can stimulate the ulcer and cause pain, which is not conducive to the healing of the lesion.

4. Although hand, foot and mouth disease is similar to chickenpox and can usually be cured quickly, it should not be taken lightly. Care must be taken and precautionary isolation should be taken to prevent the spread of the epidemic. When the mother cannot identify the disease, she should see a doctor, and any suspicious children should be diagnosed, treated and isolated early.

You should pay attention to the following in daily life:

1. Avoid letting children come into contact with sick children or people with suspicious symptoms. Be sure to wash your hands before eating, and do not use other people’s tableware or other food at will. For daily necessities, try to avoid going to densely populated public places.

2. If the child is infected, he must rest well in bed, drink more warm water when he has a fever, and eat light and soft food. When the child has a sore mouth, pay attention to eating low-temperature food. When you are too severe to eat, you should go to the hospital for infusion in time to replenish the heat energy your body needs.

3. Pay attention to the hygiene of children. The feces should be disposed of immediately. Bedpans and clothes should be disinfected in time. Protect the skin of hands and feet and keep clothes and sheets clean to avoid contamination and ulceration. If you have a rash, wash your hands frequently and keep your nails short to prevent scratching the rash and causing skin infection.

The above are suggestions for the question "Treatment methods of hand, mouth and foot disease in children". I hope it will be helpful to you and wish you good health!

Dr. Hu Pharmacist

The onset of hand, foot and mouth disease is generally acute. Children often have fever with a body temperature of 38°C to 40°C. The duration of the fever is usually 4 to 7 days, 7 days. The above are rare. At the beginning of the disease, some children are often accompanied by symptoms such as runny nose, sore throat, anorexia, vomiting, and diarrhea.

Small red papules appear on the distal parts of the hands and feet, such as the fingers, palms, toes and mouth, and quickly turn into small herpes, 2-4mm in diameter, the size of a grain of rice, round or oval in shape, surrounded by redness and obvious pain. This kind of rash can sometimes be seen on the buttocks and perianal area of ??children. Clinically, this disease is mainly characterized by herpes on the hands, feet, and mouth, so it is commonly known as hand, foot, and mouth disease. Oral herpes is mostly distributed on the tongue, buccal mucosa, lips, hard palate, pharynx, tonsils, etc., and quickly turns into small ulcers. Children with salivation (drooling) experience pain when eating, and even affect eating.

Severe cases of hand, foot and mouth disease:

1. Patients with clinical manifestations of hand, foot and mouth disease, accompanied by myoclonus, or encephalitis, acute flaccid paralysis, cardiopulmonary disease Failure, pulmonary edema, etc.

2. Although infants and young children in areas where hand, foot and mouth disease is endemic do not have typical symptoms of hand, foot and mouth disease, they may have fever with myoclonus, or encephalitis, acute flaccid paralysis, cardiopulmonary failure, pulmonary edema, etc.

Hand, foot and mouth disease prevention and control measures:

Hand, foot and mouth disease is transmitted through many routes, and infants and children are generally susceptible. Good hygiene of children, families and child care institutions is the key to preventing this infection.

Dr. Du

Condition analysis: Hand, mouth and foot disease is an exanthematous infectious disease, mainly caused by coxsackie virus. It may occur all year round, but it is The disease is most common in summer and autumn, and can occur at any age, especially in children under 3 years old. The virus lives in the pharynx, saliva, herpes and feces of children. It can be transmitted not only to other children through saliva, sneezing, coughing, and droplets when talking, but also indirectly through hands, daily necessities, and tableware. Once it becomes popular, many children will be infected. The infected children will have chickenpox-like herpes on the skin of their hands, feet or oral mucosa, which is why it is called hand, mouth and foot disease.

Opinion Recommendation: Pay attention to oral skin hygiene, clean the oral cavity with normal saline every day, and pay attention to the patient to prevent scratching of skin herpes to prevent ulceration and infection. Pay attention to asking children to pay attention to hygiene. The feces should be disposed of immediately. Bedpans and clothes should be disinfected in time. Protect the skin of hands and feet and keep clothes and sheets clean to avoid contamination of ulcerated rashes. Wash children frequently. And keep your nails short to prevent scratching rashes and causing skin infection. Wish you good health!

The above are suggestions for the question "Treatment methods of hand, mouth and foot disease in children". I hope it will be helpful to you and wish you good health!

Dr. Lin

If this disease has no complications, the prognosis is generally good and recovery usually occurs within a week. Mainly symptomatic treatment.

(1) First isolate the child, and contacts should pay attention to disinfection and isolation to avoid cross-infection.

(2) Treat symptomatically and take good oral care. For those with severe oral herpes and ulcers, rinse with Kangfuxin Liquid or apply it on the affected area. You can also mix Smecta into a paste and apply it on the ulcer surface with a cotton swab after meals.

(3) Clothes and bedding should be clean, comfortable and soft, and changed frequently.

(4) Cut the baby's nails short and wrap the baby's hands if necessary to prevent scratching the rash

(5) Apply calamine lotion to the rash on the hands and feet in the early stages. 0.5% iodophor can be applied when herpes forms or ruptures.

(6) Babies with rash on their buttocks should clean their urine and feces at any time and keep their buttocks clean and dry.

(7) You can take antiviral drugs and Chinese herbal medicines to clear away heat and detoxify, and supplement vitamins B, C, etc.

Doctor Qian

Condition analysis: Hello, hand, foot and mouth disease is a common disease in infants and children. 1. Acute onset, fever; 2. Scattered herpes appear on the oral mucosa, the size of rice grains, with obvious pain; 3. Herpes the size of rice grains appear on the palms or soles of the feet, and the buttocks or knees may occasionally be affected; 4. There is inflammatory redness around the herpes, and the blister There is less fluid in the body; 5. Some children may be accompanied by cough, runny nose, loss of appetite, nausea, vomiting, and headache. Treatment suggestions 1. Go to the hospital for diagnosis and treatment, take medicine according to the doctor's instructions, and rest in bed. 2. If necessary, you can take Chinese patent medicines, such as Pediatric Yanbian Granules, Qingkailing Oral Liquid, Banlangen Granules and other oral drugs. 3. Apply watermelon cream or Smecta to the affected area of ??the mouth. 4. Pay attention to oral skin hygiene, clean the oral cavity with normal saline every day, and pay attention to the patient to prevent scratching of skin herpes to prevent ulceration and infection.

The above are suggestions for the question "Treatment methods of hand, mouth and foot disease in children". I hope it will be helpful to you and wish you good health!

Dr. Xiong

Hello, hand, foot and mouth disease is an enterovirus infectious disease that mostly occurs in children under 5 years old. It can cause herpes on the hands, feet, mouth and other parts of the body. A small number of children can cause myocarditis, pulmonary edema, aseptic meningoencephalitis and other complications. Infants and young children are generally susceptible to hand, foot and mouth disease. Most cases have mild symptoms, mainly including fever and rash on the hands, feet, mouth and other parts of the body. Or herpes and other characteristics, most patients can recover on their own. If there are no complications, most children with hand, foot and mouth disease can recover within a week. If there are no complications, the prognosis is generally good.

Prevention requires that during periods of high incidence and epidemic, avoid going to crowded public places, avoid contact with children with hand, foot and mouth disease, pay attention to washing hands frequently, pay attention to hygiene, open more windows at home for ventilation, and pay attention to balanced nutrition. Exercise more appropriately to enhance your physical fitness. Even if you are infected with hand, foot and mouth disease, as long as you are active and treated promptly, most people will recover well.

Dr. He

Hand, foot and mouth disease is a common disease in infants and children. 1. Acute onset, fever; 2. Scattered herpes appear on the oral mucosa, the size of rice grains, with obvious pain; 3. Herpes the size of rice grains appear on the palms or soles of the feet, and the buttocks or knees may occasionally be affected; 4. There is inflammatory redness around the herpes, and the blister There is less fluid in the body; 5. Some children may be accompanied by cough, runny nose, loss of appetite, nausea, vomiting, and headache. Treatment suggestions 1. Go to the hospital for diagnosis and treatment, take medicine according to the doctor's instructions, and rest in bed. 2. If necessary, you can take Chinese patent medicines, such as Pediatric Yanbian Granules, Qingkailing Oral Liquid, Banlangen Granules and other oral drugs. 3. Apply watermelon cream or Smecta to the affected area of ??the mouth. 4. Pay attention to oral skin hygiene, clean the oral cavity with normal saline every day, and pay attention to the patient to prevent scratching of skin herpes to prevent ulceration and infection.

Dr. Yang

Problem analysis: Hand-mouth-foot disease is an exanthematous infectious disease, mainly caused by coxsackie virus. It may occur at any time of the year, but is most common in summer and autumn. It can occur at any age, especially in children under 3 years old. The virus lives in the pharynx, saliva, herpes and feces of children. It can be transmitted not only to other children through saliva, sneezing, coughing, and droplets when talking, but also indirectly through hands, daily necessities, and tableware.

Suggestions: Avoid letting children come into contact with sick children or people with suspicious symptoms. Be sure to wash your hands before eating. Do not use other people’s tableware or other daily necessities at will. Try to avoid going to densely populated public places. ***Scene?

Dr. Gui

Hand, foot and mouth disease is an infectious disease caused by enterovirus and commonly affects children. The effect of traditional Chinese medicine is used to treat hand, foot and mouth disease. It is best to use a combination of oral medicine and oral medicine. Those without complications can be cured in about a week and the prognosis is good. Antiviral medication can also be used. Children should be asked to rinse their mouths with warm water regularly; they should not eat cold or spicy foods, and do not give them salty foods to avoid causing pain and refusing to eat; their diet should be easy to digest, and they should eat light, soft, and warm meals. Drink warm water. Preventive measures Preventive measures mainly include isolating sick children and strengthening infant and young child health care to reduce the chance of infection. At the same time, attention should be paid to indoor air circulation and appropriate temperature.

Dr. Jiang

Guidance: Hello. The symptoms of hand, foot and mouth disease are acute onset and fever; scattered herpes appear on the oral mucosa, the size of rice grains, and obvious pain; the palms or soles of the feet Rice-sized herpes may appear on the body, and occasionally the buttocks or knees may be affected. There is an inflammatory redness around the blister, and there is less fluid in the blister. Some children may have symptoms such as cough, runny nose, loss of appetite, nausea, vomiting, and headache. The disease is a self-limiting disease, and most patients have a good prognosis, with most patients recovering completely within a week without leaving any sequelae. A very small number of children can develop serious complications such as meningitis, encephalitis, myocarditis, flaccid paralysis, and pulmonary edema. There are currently no specific treatments, and treatment is generally symptomatic.

The above are suggestions on the issue of "Treatment methods for hand, mouth and foot disease in children". I hope it will be helpful to you, and I wish you good health!

Dr. Cai

Problem analysis: The general clinical manifestations of hand, foot and mouth disease are: acute onset, fever, oral pain, anorexia, scattered herpes or ulcers on the oral mucosa, hands, Maculopapular rashes appear on the feet, buttocks, arms, and legs, and later turn into herpes, mostly on the hands and feet, and on the backs of the palms. Most cases recover within a week, and the prognosis is good.

Suggestions: Generally, a blood routine is checked to see if there is any viral infection. Throat swabs or stool specimens can also be sent to the laboratory for virus testing, but virus testing takes 2 to 4 weeks to produce results. Therefore, I feel that the latter check is not necessary. It is important to diagnose the clinical manifestations of hand, foot and mouth disease.

Doctor Gao

Hello:

Hand, foot and mouth disease is an infectious disease caused by viral infection. Generally, viral infections are associated with self-healing , so if there are no complications, most of them will recover automatically in about a week. So there is no need for you to worry now. The child does not have any complications. If given antiviral drugs and symptomatic treatment, he should be fine soon. No need to worry.

Pay attention to food hygiene to prevent secondary infections; rest at home temporarily and do not go to school or kindergarten to reduce the spread of the disease.