What to do if hand, foot and mouth disease causes fever

Hand, foot and mouth disease is a disease with a particularly high incidence in infants and young children, and fever is its most typical symptom. Hand, foot and mouth disease is generally caused by a viral infection. If treated properly, it can generally be cured. However, if parents do not take their children to the doctor in time and delay the best treatment time, it will have a great impact on the child's body. So, what should you do if hand, foot and mouth disease causes a fever?

1. General treatment

If there are no complications, the prognosis of this disease is generally good and most patients recover within a week. Mainly for symptomatic treatment.

(1) First, isolate the sick child, and those in contact should be disinfected and isolated to avoid cross infection.

(2) Provide symptomatic treatment and maintain good oral care. For severe oral herpes and ulcers, gargle or apply Kangfuxin liquid to the affected area. You can also mix montmorillonite powder into a paste and apply it to the ulcer surface with a cotton swab after meals.

(3) Clothes and bedding should be clean, comfortable, soft, and changed frequently.

(4) Cut your baby’s nails short and wrap your baby’s hands if necessary to prevent scratching the rash.

(5) In the early stages of a rash on the hands and feet, apply calamine lotion. When herpes forms or breaks, apply 0.5% iodine tincture.

(6) For babies with rashes on their buttocks, their urine and feces should be cleaned up at all times and their buttocks should be kept clean and dry.

(7) You can take antiviral drugs and Chinese herbal medicines that clear heat and detoxify, and supplement vitamins B and C.

2. Combined treatment

(1) Closely monitor changes in the patient's condition, especially the functions of important organs such as the brain, lungs, and heart; for critically ill patients, pay special attention to monitoring blood pressure, blood gas analysis, blood sugar, and chest X-ray.

(2) Pay attention to maintaining the balance of water, electrolytes, acid and alkali, and protecting important organs.

(3) Patients with increased intracranial pressure can be given dehydration treatment such as mannitol. Severe cases can be given drugs such as methylprednisolone and intravenous immunoglobulin as appropriate.

(4) Patients with signs of respiratory failure such as hypoxemia and dyspnea should receive mechanical ventilation as soon as possible.

(5) Maintain stable blood pressure and administer vasoactive drugs if necessary.

Treatment of other severe conditions: If DIC, pulmonary edema, heart failure, etc. occur, appropriate treatment should be given.

3. Antiviral drugs

Because antiviral drugs are generally best used 24 to 48 hours before onset of illness. Often when we diagnose hand, foot and mouth disease, the most effective treatment stage has passed, and the use of antiviral drugs is not recommended now.