Hand, foot, and mouth disease (HFMD) is a common illness of infants and children caused by a virus. It most often occurs in children under 10 years old. It is characterized by fever, sores/ulcers in the mouth, and a rash with blisters. The blisters may appear in the mouth, palms of the hands and soles of the feet. The rashes may also appear on buttocks and on the legs and arms. The ulcers in the mouth usually appear on the tongue, the sides of the cheeks, gums or near the throat.
What causes HFMD?
The most common causes of Hand, Foot and Mouth disease are coxsackie virus A16, enterovirus 71 (EV71) and other enteroviruses. The enterovirus group includes polioviruses, coxsackieviruses, echoviruses and other enteroviruses.
When and where does HFMD occur?
Individual cases and outbreaks of HFMD occur worldwide, more frequently in summer and early autumn (in temperate countries). In the recent past, major outbreaks of HFMD attributable to enterovirus EV71 have been reported in Malaysia in 1997 and in Taiwan in 1998. HFMD is endemic in Malaysia and occurs every year. In Sarawak, the number of cases of HFMD tends to increase from February to June.
Is HFMD serious?
HFMD caused by coxsackie virus A16 infection is a mild disease and nearly all patients recover within 7 to 10 days. Complications are uncommon. HFMD caused by Enterovirus EV71 may be associated with neurological complications such as aseptic meningitis and encephalitis. Cases of fatal encephalitis which occurred during outbreaks of HFMD in Malaysia in 1997 and in Taiwan in 1998 were caused by EV71.
Is HFMD contagious?
Yes, HFMD is moderately contagious. A person is most contagious during the first week of the illness. The virus can be transmitted from person to person via direct contact with nose and throat discharges, saliva, fluid from blisters, or the stool of infected persons. The virus may continue to be excreted in the stools of infected persons up till 1 month. HFMD is not transmitted to or from pets or other animals.
How soon will someone become ill after getting infected?
The usual period from infection to onset of symptoms (incubation period) is 3 to 7 days. Fever is often the first symptom of HFMD followed by blister/rash.
Blister on the palms on the hand, foot and ulcer on the inner gums.
Simptom2 HFMD nie demam.. Mia pun demam.. Cam biasa bwk g klinik,amek ubat & standby ubat batuk & selsema.
Malam Mia nangis ckp sakit tekak. Ngan cergas & pantas aku membuatkan air asam jawa. Mia minum ngan semangat tapi sikit arrr... Susu dh tak moh.. asik ngan plain water. Aku deside nak bwk g klinik blek sbb x der ubat sakit tekak.
While masuk jer jumpe doktor, doktor pun pelik smlm dah dtg ari nie dtg lagi. Aku ckp Mia ngadu sakit tekak. Doktor check & says.. SUSPECT HFMD.. aku & yang tekejut besar.. ngan confident aku TER'ague' ngan doktor.. Yea ker..? Doktor suh aku tgk inside mulut Mia. Bersepah2 ulser.. tekak merah.. kat hand dia ada sebutir dua bubble. Then yg paling obivouse sekali bwh lips dia ada big bubble. Aku ingat nyamok gigit. As usual aku asume pimple.. dia kan suke berangan.. ;-P ... But my assumtion is 'wrong'.. Arrgghhh.... Sib baik kat kaki dia tak der pape..
So, Mia kene quarantine.. & new antibiotic.. for 3 days.. if makin byk kuar bubble tue. Aku kene bwk dia g sepital.. Me & Dady terus amek EL..
3 days is strugle..
- ensure ubat 4hrs w/o fail
- monitor tempreture
- soft food only
- eskrim as much as can
- memilk kene cold
- x leh bwk g maner2
- tanya dh mkn ubat blom?
(tlg grip time mkn ubat)
- tanya tempreture ok x?
- tanya bubur dia dh masak, wat sedap2?
- tanya eskrim ada lagi?
- tanya nak minum memilk x, dady bubuh ais..?
- tanya ada bwk g maner2 tak?
(all about the supervise..huh..!!)
We manage to help her recover around 3 days. So..tak yah g sepital. Yeeehaaaa...!!!
Patient yg x reti diam dh lena.. Fuhh..!! Lega..!!
** Alhamdullilah.. Sihat kembali jd milik Damia.