Watch out for these signs in children with hand, foot, and mouth disease, and follow these parenting tips


The surge in tomato flu cases in India, which is regarded as another variety of hand, foot, and mouth disease (HFMD), has brought attention to this condition recently. The coxsackie group of viruses, which cause hand, foot, and mouth disease, are more prevalent in young children under the age of five. It can impact older children and adults too. Along with a sore throat, fever, and sores on the palms, your children could also get tongue ulcers, reddish rashes, or raised sores.

A skin rash with flat or raised red spots, occasionally with blisters, develops over 1-2 days and is typically on the palms of the hands and soles of the feet; it may also appear on the knees, elbows, buttocks, and back. It usually starts with a fever, poor appetite, a vague feeling of being unwell (malaise), and sore throat. One or two days after fever starts, painful sores usually develop in the mouth. They start as small red spots that blister

The viruses can be discovered in the faeces, blister fluid, and nasal and throat secretions of an infected person (stool). Via intimate personal contact, the air (through coughing or sneezing), contact with excrement, contaminated objects and surfaces, and coughing or sneezing, an infected individual can spread the viruses. During the first week of illness, there is a higher chance of infection spread. Adults may never experience symptoms. They might nevertheless possibly spread disease.


To stop the transmission of disease, hygiene is crucial.

Patients with HFMD should be isolated and the standard isolation procedures should be followed for infection control, according to Dr. Sidharth Nayyar. “Proper hygiene includes mandatory hand washing after contact with patient, appropriate cleanliness during diaper changes, should not be shared, and should be properly washed articles such as toys contaminated,” he adds.


One should not be alarmed if their children develop HFMD because it is a self-limiting and typically mild sickness. There is no specific therapy for hand, foot, and mouth illness, although there are certain recommendations that can be made to lessen symptoms.

– Paracetamol for fever and pain may be helpful.

– Oral ulcers may be treated using mouthwashes or sprays that reduce mouth pain.

– Treatment for mild cases of HFMD should just be symptomatic. Treatment for fever, symptom relief, proper water, and relaxation are crucial.

– Instruction on proper hygiene and steps to take to stop the spread of illness to other children should be given to parents and other caregivers.


• When the youngster requires intravenous hydration and is unable to tolerate oral feedings.

• When the youngster appears toxic or is clinically very unwell.

• When a more serious condition cannot be ruled out.

• When a high-grade fever lasts for longer than 48 hours.

• When there is a suspicion that a patient may be experiencing neurological issues, such as increased lethargy, myoclonus, increased sleepiness, changes in the sensorium, and/or seizures.

• When there is a suspicion of cardiac problems (myocarditis), such as low blood pressure, low pulse volume, irregular heart rhythms, murmurs, galloping heartbeat, or misplaced apex beat

• When a child’s illness is too much for the parents to handle.

• When caring for the child at home is difficult due to a lack of family or social support.


• Remain calm.

• Keep away from school for at least a week, and isolate.

• Keep an eye on the kid’s temperature.

• Be sure to drink enough water.

• Steer clear of fatty, spicy foods because they will make your throat painful and hurt more.

• Provide homemade meals.

• Ensure proper washing of contaminated clothing, disposal of used diapers, and utensil sanitization.

• See your paediatrician on a regular basis.