Symptoms
- Painful mouth ulcers — often the first sign, can affect feeding
- Small blisters/spots on hands, feet, and sometimes buttocks
- Mild fever, tiredness, sore throat
- Reduced appetite due to mouth pain
Home Care
- Paracetamol or ibuprofen for pain and fever
- Cold foods (ice lollies, yoghurt) soothe mouth ulcers
- Encourage fluids — dehydration risk if child refuses to drink due to mouth pain
- Keep away from nursery/school until child feels well (no legal exclusion period, but common sense applies)
Contagious Period and Prevention
| Fact | Detail |
|---|---|
| Spread via | Coughing, sneezing, contact with blister fluid, and stool |
| Handwashing | Most effective prevention — teach children to wash hands after toilet |
| Adults can catch it too | Usually milder in adults |
| Immunity | Only to that specific strain — reinfection with different strains possible |
When to Seek Medical HelpSigns of dehydration (no wet nappies for 8+ hours, no tears when crying), high fever not responding to medication, extreme drowsiness or irritability, or symptoms lasting more than 10 days.
Fingernail PeelingA few weeks after hand, foot and mouth disease, some children experience fingernail and toenail peeling or loss. This is harmless and the nails grow back normally over 1–2 months.
Can adults get hand, foot and mouth disease?
Yes, though it's much more common in children under 5. Adult cases are usually milder but can occasionally be more uncomfortable.
Is it the same as foot and mouth disease in animals?
No — completely different diseases caused by different viruses. Hand, foot and mouth disease only affects humans.
Can my child go to nursery?
Most guidance says children can return once they feel well enough, even if spots remain, as the virus can shed for weeks after symptoms resolve.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.