First symptoms of hand foot and mouth

Hand, foot and mouth disease is a common infection that causes mouth ulcers and spots on the hands and feet.

It's most common in young children – particularly those under 10 – but can affect older children and adults as well.

Hand, foot and mouth disease can be unpleasant, but it will usually clear up by itself within 7 to 10 days. You can normally look after yourself or your child at home.

The infection is not related to foot and mouth disease, which affects cattle, sheep and pigs.

Symptoms of hand, foot and mouth disease

The symptoms of hand, foot and mouth disease usually develop between 3 and 5 days after being exposed to the infection.

The first symptoms may include:

  • a high temperature (fever), usually around 38°C to 39°C (100.4-102.2°F)
  • a general sense of feeling unwell
  • loss of appetite
  • coughing
  • abdominal (tummy) pain
  • a sore throat and mouth 

Mouth ulcers

After 1 or 2 days, red spots appear on the tongue and inside the mouth.

These quickly develop into larger yellow-grey mouth ulcers with red edges.

The ulcers can be painful and make eating, drinking and swallowing difficult. They should pass within a week.

Spotty rash and blisters

Soon after the mouth ulcers appear, you'll probably notice a rash made up of small, raised red spots on the skin.

These typically develop on the fingers, the backs or palms of the hand, the soles of the feet, and occasionally on the buttocks and groin.

The spots may then turn into small blisters with a grey centre.

The spots and blisters can sometimes be itchy or uncomfortable and typically last up to 10 days.

What to do if you or your child has hand, foot and mouth disease

If you have hand, foot and mouth disease, the best thing to do is to stay at home until you're feeling better. There's no cure for it, so you have to let it run its course.

Hand, foot and mouth disease is a common childhood illness that can also affect adults. It usually gets better on its own in 7 to 10 days.

Check if it's hand, foot and mouth disease

The 1st signs of hand, foot and mouth disease can be:

  • a sore throat
  • a high temperature
  • not wanting to eat

The 2nd stage usually starts a few days later and can include:

  • mouth ulcers, which can be painful
  • a raised rash of spots on the hands and feet, and sometimes the thighs and bottom

The rash of spots can look pink, red, or darker than the surrounding skin, depending on your skin tone.

The spots can turn into blisters, which might be grey or lighter than surrounding skin and can be painful.

The symptoms are usually the same in adults and children, but can be worse in babies and children under 5.

Mouth ulcers

First symptoms of hand foot and mouth

Credit:

Hercules Robinson / Alamy Stock Photo https://www.alamy.com/stock-photo-vesicle-on-tongue-of-child-with-coxsackie-a16-virus-infection-hand-12876583.html?pv=1&stamp=2&imageid=E0442865-9287-42AE-A268-26DB0F32DA91&p=18517&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dhand%2520foot%2520and%2520mouth%26qt_raw%3dhand%2520foot%2520and%2520mouth%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d0%26ispremium%3d1%26flip%3d0%26pl%3d

Spots on the hands and feet

Here is an image gallery with images and detailed descriptions. Select an image tab to get the bigger version of the image and to access the description.
  • First symptoms of hand foot and mouth
    1: Hand, foot and mouth disease spots on white skin. 1
  • First symptoms of hand foot and mouth
    2: Hand, foot and mouth disease spots and patches on medium brown skin. 2
  • First symptoms of hand foot and mouth
    3: Hand, foot and mouth disease blister on white skin. 3

First symptoms of hand foot and mouth

Credit:

sinsy / Alamy Stock Photo https://www.alamy.com/allergic-rash-skin-of-babys-right-foot-hand-foot-and-mouth-disease-image333897813.html

Detailed image description, image 1.

This image shows hand, foot and mouth disease spots on the wrist and hand of a baby with white skin.

There are 3 round, raised spots and several smaller, flat spots.

The large spots vary in size from around 2mm to 5mm. 1 spot is near the knuckle of the index finger, the other 2 are near the wrist. The skin around each spot is pink. The centre of each large spot is light pink or similar to the baby's skin tone. The spots look like they have fluid in them.

There are patches of pink skin on the fingers and back of the hand.

First symptoms of hand foot and mouth

Credit:

sawatdee keawbunsong: https://www.shutterstock.com/image-photo/children-hand-foot-mouth-disease-usually-1366937726

Detailed image description, image 2.

This image shows hand, foot and mouth disease spots on the palms of a child with medium brown skin.

The child's palms and fingers have many pink spots and patches on them. Most spots are round, but some are an uneven shape. The centre of some spots is light pink or the same colour as the surrounding skin. Other spots are dark pink or red without a lighter centre.

Some spots on the joints of the fingers look like red scratches.

The child's hands are resting in an adult's hands. The adult's legs and a blue patterned cloth are in the background.

First symptoms of hand foot and mouth

Credit:

Scott Camazine / Alamy Stock Photo https://www.alamy.com/ulcer-in-hand-foot-and-mouth-disease-in-a-4-year-old-boy-image3361429.html?pv=1&stamp=2&imageid=8B2A7E44-B651-433D-957E-AF02E3FF727C&p=9949&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dhand%2520foot%2520and%2520mouth%26qt_raw%3dhand%2520foot%2520and%2520mouth%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d0%26ispremium%3d1%26flip%3d0%26pl%3d

Detailed image description, image 3.

This image shows a hand, foot and mouth disease blister on the little toe of a child with white skin. The skin on the top of the toe is pink. There's a raised, round, light grey blister on the centre of the toe.

Next to the blister are two very small white blisters.

There is a blue background at the bottom of the image.

If you're not sure your child has hand, foot and mouth disease

Look at other childhood rashes.

Information:

Hand, foot and mouth disease has nothing to do with foot and mouth disease that affects farm animals.

How to treat hand, foot and mouth disease yourself

You cannot take antibiotics or medicines to cure hand, foot and mouth disease. It usually gets better on its own in 7 to 10 days.

To help the symptoms:

  • drink fluids to prevent dehydration and avoid acidic drinks, such as fruit juice
  • eat soft foods like yoghurt and avoid hot and spicy foods
  • take paracetamol or ibuprofen to help ease a sore mouth or throat

A pharmacist can help with hand, foot and mouth disease

Ask a pharmacist for advice about treatments, such as mouth ulcer gels, sprays and mouthwashes, to relieve pain.

They can tell you which ones are suitable for children.

Find a pharmacy

Non-urgent advice: See a GP if:

  • your symptoms or your child's symptoms do not improve after 7 to 10 days
  • you or your child has a very high temperature, or feels hot and shivery
  • you're worried about your child's symptoms
  • your child is dehydrated (they're not peeing as often as usual)
  • you're pregnant and get hand, foot and mouth disease

Hand, foot and mouth disease can be spread to other people.

Check with your GP surgery before going. They may suggest a phone consultation.

How to stop hand, foot and mouth disease spreading

Hand, foot and mouth disease is easily passed on to other people. It's spread in coughs, sneezes, poo and the fluid in the blisters. You can get it more than once.

You can start spreading it from a few days before you have any symptoms, but you're most likely to spread it to others in the first 5 days after symptoms start.

To reduce the risk of spreading hand, foot and mouth disease:

  • wash your hands often with soap and water, and children's hands too
  • use tissues to trap germs when you cough or sneeze
  • bin used tissues as quickly as possible
  • do not share towels or household items like cups or cutlery
  • wash soiled bedding and clothing on a hot wash

Staying off school or nursery

Keep your child off school or nursery while they're feeling unwell.

But as soon as they're feeling better, they can go back to school or nursery. There's no need to wait until all the blisters have healed.

Keeping your child away from other children for longer is unlikely to stop the illness spreading.

Hand, foot and mouth disease in pregnancy

Although there's usually no risk to the pregnancy or baby, it's best to avoid close contact with anyone who has hand, foot and mouth disease.

This is because:

  • having a high temperature during the first 3 months of pregnancy can lead to miscarriage, although this is very rare
  • getting hand, foot and mouth disease shortly before giving birth can mean your baby is born with a mild version of it

Speak to a GP or your midwife if you have been in contact with someone with hand, foot and mouth disease.

How quickly do hand foot and mouth symptoms start?

The symptoms of hand, foot and mouth disease usually develop between 3 and 5 days after being exposed to the infection. The first symptoms may include: a high temperature (fever), usually around 38°C to 39°C (100.4-102.2°F) a general sense of feeling unwell.

How do you know if you are getting hand foot and mouth?

Children may get a fever and develop a sore throat. They sometimes lose their appetites and don't feel well. One or two days after the fever begins, painful sores may develop in the front of the mouth or throat. A rash on the hands and feet and sometimes on the buttocks may also appear.

How long is hand, foot, and mouth disease contagious?

How long is it contagious? You are generally most contagious during the first week of illness. But, children with hand, foot, and mouth disease may shed the virus from the respiratory tract (nose, mouth and lungs) for 1-3 weeks and in the stool for weeks to months after the infection starts.

Does hand foot and mouth start gradually?

HFMD usually begins with a mild fever and a runny nose. This is followed by a sore throat and the appearance of a blister-like rash in the mouth and on the hands and feet, which gradually become ulcerated. Ulcers sometimes appear around the nappy area in babies, but this is less common.