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Clinical Reference Systems: Pediatric Advisor 10.0
Spanish version
Hand, Foot, and Mouth Disease - Brief Version
What is hand, foot and mouth disease?
Your child may have hand, foot, and mouth disease, if your
child has:
 | Small, painful sores in his mouth.
 | Small water blisters or red spots on the palms of his
hands and soles of the feet. You may also see these on
the webs between the fingers and toes.
 | Five or fewer blisters on each hand or foot
 | Low-grade fever between 100°F and 102°F
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This happens most often in children 6 months to 4 years old.
A virus causes this disease. The fever goes away by the 3rd
or 4th day. The mouth sores go away in 7 days. The rash on
the hands and feet can last 10 days.
How can I take care of my child?
Helping the pain.
 | If your child is very young, put 1/2 teaspoon
antacid solution in the front of the mouth four
times a day after meals.
 | Children over age 4 can use 1 teaspoon of an antacid
solution as a mouthwash after meals.
 | Give acetaminophen (Tylenol) or ibuprofen (Advil) if
your child's mouth really hurts, or for fever over
102° F. No aspirin.
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Feeding your child.
 | Give soft foods, like yogurt, cottage cheese, and
Jell-O.
 | Use a cup instead of a bottle.
 | Cold drinks, milkshakes, popsicles, and sherbert can
feel good.
 | Stay away from citrus, salty, or spicy foods.
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Spreading hand, foot, and mouth disease.
 | Your child's playmates may get the disease in 3 to
6 days.
 | Your child may go back to school when the fever goes
away.
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Call your child's doctor right away if:
 | Your child has not urinated for more than 8 hours.
 | Your child acts very sick.
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Call your child's doctor during office hours if:
 | The fever lasts more than 3 days.
 | You have other concerns or questions.
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Written by B.D. Schmitt, M.D., author of "Your Child's Health," Bantam Books.
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Copyright 1999 Clinical Reference Systems
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