Can Hand, Foot, and Mouth Disease Cause Vomiting?

Hand, Foot, and Mouth Disease (HFMD) is a common viral illness that typically affects infants and children younger than five years old, though older children and adults can also contract it. This contagious infection is caused by enteroviruses. HFMD often spreads in environments where children are in close contact. The illness usually resolves on its own within seven to ten days.

Vomiting and Hand, Foot, and Mouth Disease

Vomiting can occur with Hand, Foot, and Mouth Disease, though it is not considered one of the primary or most common symptoms. While HFMD is primarily known for its characteristic rash and mouth sores, the viral nature of the illness means that general symptoms like malaise and fever can sometimes lead to nausea and vomiting.

One significant reason for vomiting in HFMD patients, especially young children, relates to the painful mouth sores. These sores, which can appear on the tongue, gums, and inside of the cheeks, make swallowing difficult and painful. This discomfort can lead to a refusal to eat or drink, potentially resulting in an upset stomach or even dehydration. Furthermore, the initial stage of HFMD often includes a fever and flu-like symptoms, which can contribute to a general feeling of unwellness and nausea. In rare instances, severe or persistent vomiting might indicate a more serious complication of the infection.

Recognizing Other Symptoms and Seeking Care

Beyond the possibility of vomiting, Hand, Foot, and Mouth Disease presents with several more typical and recognizable symptoms. The illness often begins with a fever and flu-like symptoms such as a sore throat and a general feeling of being unwell. Following these initial signs, painful sores or ulcers commonly develop inside the mouth, particularly on the tongue and the inner surfaces of the cheeks. These mouth sores can be very uncomfortable and may affect a child’s willingness to eat or drink.

A distinctive rash usually appears on the palms of the hands and soles of the feet, and sometimes on the buttocks, arms, or legs. This rash consists of flat or slightly raised red spots, which may develop into blisters that can be painful but are generally not itchy. Medical attention should be sought if vomiting is severe or persistent, or if there are signs of dehydration, such as decreased urination, a dry mouth, few or no tears when crying, or unusual lethargy. Other reasons to contact a healthcare provider include a fever lasting longer than three days, severe pain preventing eating or drinking, or any unusual neurological symptoms like extreme drowsiness or seizures.