Hand, Foot, and Mouth Disease (HFMD) is a common viral illness that frequently affects young children, though it can occur in individuals of any age. This condition is often recognized by characteristic rashes on the hands and feet, but it also commonly involves the mouth and throat. Understanding how HFMD appears in the throat can help caregivers identify the illness.
Throat Symptoms of Hand, Foot, and Mouth Disease
HFMD causes painful sores within the mouth and throat. These lesions begin as small, red spots that quickly develop into fluid-filled blisters. They then rupture, forming shallow, painful ulcers with a reddish base or lighter pink center.
These mouth sores can appear anywhere inside the mouth, including the tongue, gums, cheeks, and particularly the back of the throat, tonsils, and soft palate. These painful ulcers make eating, drinking, and swallowing difficult, often leading to discomfort and refusal to consume food or liquids, especially in younger children. The discomfort is often most intense during the initial three to five days of the illness.
Other Common Signs of Hand, Foot, and Mouth Disease
Beyond the throat, HFMD often presents with a characteristic rash on the hands and feet. This rash consists of flat or slightly raised red spots, which may or may not develop into blisters. These spots can appear on the palms and soles, and sometimes on the buttocks, groin, elbows, or knees. The rash is generally not itchy, but blisters may be painful.
Other initial symptoms that may precede the rash and mouth sores include a fever, feeling unwell, and a sore throat. Individuals may also experience a loss of appetite, irritability, and sometimes a runny nose or stomachache. These symptoms help confirm a suspected case of HFMD.
Managing Symptoms and When to See a Doctor
Managing HFMD focuses on relieving symptoms and ensuring comfort, as there is no specific cure. Offering cool fluids is important to soothe the mouth and prevent dehydration; acidic drinks like fruit juice should be avoided. Soft foods such as yogurt, applesauce, or ice cream are easier to consume when mouth sores are present. Over-the-counter pain relievers like acetaminophen or ibuprofen help manage fever and pain.
While HFMD is typically a mild illness that resolves within 7 to 10 days, certain situations warrant medical attention. If a child shows signs of dehydration, such as reduced urination, lack of tears, or a very dry mouth, a healthcare professional should be consulted. Other reasons to seek medical advice include a high or persistent fever, severe pain, worsening symptoms, or if symptoms do not improve after 7 to 10 days. Rare but serious complications like a stiff neck, severe headache, lethargy, or difficulty breathing also require urgent medical evaluation.