What is the treatment for Hand, Foot, and Mouth Disease (HFMD)?

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From the Research

Hand, foot, and mouth disease treatment should focus on symptom management, as it is a viral infection that typically resolves on its own within 7-10 days, with the most recent and highest quality study 1 supporting this approach. The treatment involves managing symptoms such as fever and pain, and preventing complications.

Key Considerations

  • Over-the-counter pain relievers like acetaminophen or ibuprofen can help reduce fever and alleviate discomfort, as recommended by 2 and 1.
  • For children, use age-appropriate dosing as indicated on the medication packaging.
  • Cold foods like popsicles, ice cream, or cold beverages can soothe mouth sores, while avoiding spicy, salty, or acidic foods that may cause irritation.
  • Salt water rinses (1/2 teaspoon salt in 1 cup warm water) can help relieve mouth pain, as suggested by 2.
  • Keep the affected person well-hydrated, as mouth sores may make drinking painful, potentially leading to dehydration.
  • Topical oral anesthetics like benzocaine can temporarily numb mouth pain, but use with caution in young children.
  • Rest is important for recovery, and maintaining good hygiene by washing hands frequently helps prevent spreading the virus to others.
  • The disease is most contagious during the first week, so infected individuals should avoid close contact with others during this period.
  • Since this is caused by enteroviruses (commonly coxsackievirus), antibiotics are ineffective, and treatment focuses on managing symptoms while the immune system fights the infection, as stated in 2 and 1.

Prevention

  • Vaccination of susceptible individuals in high-risk areas and good personal hygiene are important preventative measures to combat the disease, as recommended by 1 and 3.
  • Familiarity with the disease, including its atypical manifestations, is crucial for making a correct diagnosis and initiating appropriate treatment.
  • A timely diagnosis can help avoid contact with the affected individual and decrease the risk of an outbreak, as highlighted in 3.

References

Research

Hand, Foot, and Mouth Disease: A Narrative Review.

Recent advances in inflammation & allergy drug discovery, 2022

Research

Hand-Foot-and-Mouth Disease: Rapid Evidence Review.

American family physician, 2019

Research

Hand, foot and mouth disease: current knowledge on clinical manifestations, epidemiology, aetiology and prevention.

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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