It is the season of high incidence of hand-foot-mouth disease every year. This is an acute infectious disease caused by enterovirus, which is most likely to occur in children under 3 years old. I believe parents are familiar with it.
Hand-foot-mouth disease can be transmitted through digestive tract, respiratory tract and close contact. The main manifestations are maculopapule and herpes in hands, feet, oral cavity and other parts. At the same time, the baby may also have cough, runny nose, loss of appetite and other symptoms.
So, if the baby seems to have symptoms of hand-foot-mouth disease, what should he do, and should how be used to prevent it at ordinary times? Don’t worry, let’s listen to the professional doctor’s answer.
Do you need to go to the hospital in what?
Under normal circumstances, hand-foot-mouth disease can heal itself within 1-2 weeks, but a few babies’ illness will be more serious and should not be underestimated. Therefore, if the baby has symptoms of suspected hand-foot-mouth disease, it is recommended to make diagnosis and treatment by a professional pediatrician to confirm whether it is hand-foot-mouth disease and whether there is a possibility of severe illness.
If the symptoms are mild, you can observe them, but if the following conditions mentioned by Dr. Wang Qiuhua occur, you need to go to the hospital as soon as possible.
In case of any of the following situations, timely treatment is required: 1) persistent high fever for more than 24 hours, even oral antipyretic drugs are difficult to reduce fever; 2) No food or drink, or the urine volume is obviously reduced (anuria ≥ 12 hours); 3) listlessness, irritability, lethargy, even coma, etc.; 4) shortness of breath, pale complexion, cold limbs and sweating profusely; 5) frequent vomiting, especially jet vomiting; 6) unbearable headache; 7) limb shake or jumping, and stand unsteadily; 8) Frequent cough or asthma.
How to deal with the baby’s persistent fever and discomfort after the diagnosis of hand-foot-mouth disease?
After the diagnosis of hand-foot-mouth disease, many parents will be very worried. The baby continues to have a fever and poor appetite and spirit. Should the baby be given medication or infusion to make the disease better as soon as possible? Don’t worry, sometimes too much medication is not a good thing for the baby. How should be used to make the baby more comfortable. Listen to what Dr. Xu Ying said.
1) For the baby, The safe antipyretic is Tylenol, If the child’s body temperature exceeds 38.5, you can eat acetaminophen such as Tylenol and take it according to the instructions. If it is only a low fever, you can reduce clothes, feed breast milk and feed some water. If the child does not reach 38.5 above 38 degrees, fatigue, irritability and unstable sleep can also be fed with antipyretic drugs. Antipyretic drugs are to make the child comfortable.
2) Infusion does not shorten the course of virus infection. If the doctor diagnoses hand-foot-mouth disease clearly, There is no other discomfort, We don’t recommend infusion therapy in principle. This will cause extra burden on the heart and blood vessels. Increase the probability of cross infection. The most important thing is that this is a self-healing disease. Generally, the fever slowly subsides after three to five days, and the rash slowly disappears after 7 to 10 days. If infusion is needed, it is because the child does not eat milk or drink water or eat milk very little, urine volume is very small and yellow, and there are complications such as pneumonia and encephalitis.
3) Parents should pay attention to the observation of children’s urine volume and mental state to avoid dehydration. If there is no urine volume less than 6-8 times a day except low fever, and there is no severe vomiting, diarrhea, cough and wheezing, they can all be cared for at home.
4) Physical cooling can be carried out for the child, and the indoor temperature can be appropriately reduced to about 26 degrees, so as to prevent the wind from rushing straight at the child, take a bath in warm water, wear spacious and breathable clothes, and feed a little water several times in a small amount. It is also the same for breast milk. Children may have mouth pain and the water temperature should be low.
5) When diarrhea or cough and sputum occur, reexamination is required, but antibiotics are not used before there is no basis.
How to prevent hand-foot-mouth disease?
As hand-foot-mouth disease is an infectious disease, which is mainly transmitted through digestive tract, respiratory tract and contact, it can prevent babies from contracting hand-foot-mouth disease to a certain extent by washing hands frequently, ventilating frequently and eating cooked food to avoid taking babies to crowded places.
In addition, it can be prevented by giving the baby hand-foot-mouth disease vaccine. As to how effective the hand-foot-mouth disease vaccine is and how it should be given, please refer to Dr. Tian Wei’s answer.
1) The exact name of the hand-foot-mouth vaccine we are talking about is [inactivated enterovirus 71 (EV71) vaccine]. This vaccine can only prevent hand-foot-mouth disease caused by EV71 virus, but cannot prevent hand-foot-mouth disease caused by other enteroviruses (such as Coxsackie virus, etc.);
2) that vaccine is an inactivate component, and inoculation of the vaccine is absolutely impossible to cause vaccine-related hand-foot-mouth disease;
3) that hand-foot-mouth vaccine is inoculate with two doses at the age of 6 month, and the shortest interval between the two doses is one month;
4) Hand-foot-mouth disease caused by EV71 accounts for about 40% of all hand-foot-mouth disease cases. Hand-foot-mouth disease caused by EV71 is easy to develop into severe hand-foot-mouth disease with high mortality rate. This vaccine is the first of its kind in the world in China. It is of great significance to vaccinate children in time to prevent EV71 hand-foot-mouth disease.
> > Click here to view the complete question
If the baby has symptoms, ask a professional doctor for the most reassuring.
I hope the above three doctors’ answers can make parents know more about the diagnosis, care and prevention of hand-foot-mouth disease. However, according to the different situations of babies, it is suggested that they should not use drugs by themselves. They should consult with professional doctors first and seek medical treatment or treatment under the guidance of doctors, which will be safer and more effective.
We have specially selected a number of professional doctors for parents. If you have other questions, you can click on the card below to ask doctors one-on-one questions. You also support uploading photos and videos of your illness so that doctors can know more about your children’s situation.
