Viruses are raging, the most correct way to deal with hand, foot and mouth disease and herpangina

Yesterday, some employees of the company posted in a large group a notice issued by their children\’s kindergarten on preventing viral diseases. It suddenly dawned on me that this is the time of year when preschool parents tremble with viral outbreaks. The culprit is hand, foot and mouth & herpetic pharyngitis. Many kindergartens across the country have been closed due to this, and the number of pediatric patients has increased sharply. So what is the origin of hand, foot and mouth disease and herpetic pharyngitis and buccal inflammation? Let me explain it clearly to you today. What is the relationship between hand, foot and mouth disease and herpangina? 1. Viruses are similar. Hand, foot and mouth and herpetic angina are both contagious diseases, and children under 5 years old are at high risk. They are a pair of cousins, both from the same family, that is, the famous enterovirus. The viruses that cause hand, foot and mouth disease and the viruses that cause herpetic pharyngitis and buccal inflammation have many overlaps, so they are very similar but also different in symptoms and transmission routes. 2. Herpetic angina can also be said to be a special type of hand, foot and mouth disease, except that there is no rash on the hands, feet, buttocks, etc. In other words, some cases of hand, foot and mouth disease may only manifest as herpetic angina without a rash at all. But herpangina does not mean hand, foot and mouth disease. Guidelines from the Ministry of Health: Without rash cases, it is not clinically appropriate to diagnose hand, foot and mouth disease. This means that if there is herpes only in the isthmus and no rash occurs, it should be diagnosed as \”herpetic angina\”. If a rash is found, it is \”hand, foot and mouth disease\”. The similarities between hand, foot and mouth disease and herpetic angina: 1. The symptoms are the same. After herpetic angina and hand, foot and mouth infection, herpes will appear on the pharynx and soft palate of the mouth, and they will also be accompanied by varying degrees of fever and sore throat. 2. The same route of transmission. Hand, foot and mouth disease and herpangina are both acute infectious diseases caused by enteroviruses invading the human body. The virus can be transmitted through towels, toys, etc. In addition, the patient\’s saliva, throat secretions, etc. can also be transmitted. Contains viruses and may transmit diseases. 3. Both adults and children can be infected with hand, foot and mouth and herpetic angina. Children under 10 years old are more likely to be infected. In China, children under 5 years old are more likely to be infected. Adults can also get hand, foot and mouth disease and herpangina from children, but the symptoms are usually mild. The differences between hand, foot and mouth disease and herpangina 1. The location of herpes is different: children infected with hand, foot and mouth disease will not only have herpes in the oral pharynx and soft palate, but also have herpes on the lips, hands and feet, including around the anus. There are small clear blisters and sometimes a rash on the knees and elbows. 2. Children with herpetic angina have different symptoms. They have a fever first and then discover herpes. They have a sudden high fever that does not go away. The body temperature is around 39-40 ℃. The fever may be accompanied by convulsions. Then they find bubbles in the mouth when they go to the doctor. Rash, the child has obvious sore throat, crying and uncomfortable eating. The fever will last for 3 to 5 days. Most cases of hand, foot and mouth symptoms include rash first and then fever (some may be asymptomatic), usually with moderate to low fever, body temperature not higher than 38.3°C, and sore throat symptoms. Some children even have no sore throat symptoms and have a fever of 1 ~Back to normal in 2 days. Hand, foot and mouth disease and herpetic pharynxWhich isthmus is more terrifying? Herpetic pharyngitis and buccal inflammation are more severe and can make parents panic, but in terms of complications, hand, foot and mouth are more dangerous. Herpesangina rarely causes serious complications and severe cases, but there are about 1% severe cases of hand, foot and mouth, especially in children under 3 years old, which can cause myocarditis, pulmonary edema, aseptic meningoencephalitis and other complications. , sometimes even life-threatening. How to treat hand, foot and mouth disease and herpangina? Herpetic pharyngitis and hand, foot and mouth disease are both self-limiting diseases. There is no specific treatment method. The main treatment methods are symptom relief and supportive care. If it is a mild case, you can usually rest and observe at home, and you can use medicine to reduce the fever. Taking antibiotics is useless, and there are no specific antiviral drugs. Ribavirin and Chinese patent medicines are also not needed. My child has hand, foot and mouth disease, what should I do? 1. Closely observe the mental state. When the mental state is poor, you can use acetaminophen or ibuprofen to reduce fever. At the same time, pay attention to active rehydration to prevent dehydration. 2. Keep clothes and quilts clean and soft. You can keep your child\’s nails short to prevent scratching the rash. If you have a rash on your buttocks, you should also keep your buttocks dry. If the herpes ruptures and becomes infected, topical antibiotic ointment can be used (ask your doctor before use). 3. Keep food light, soft, and easy to digest, and avoid being too sour, salty, hot, or spicy to reduce oral irritation. After eating, you can rinse your mouth with warm boiled water or light salt water. In addition, it is also very important to have a good rest, open windows for ventilation, and maintain indoor air circulation. 4. As for severe hand, foot and mouth disease, the most important thing is to detect signs of serious illness in time and seek medical treatment as soon as possible. If the following conditions occur, it may be severe hand, foot and mouth disease/herpetic angina, please seek medical attention immediately: listlessness, irritability, or performance that is different from usual, high fever that persists (body temperature lasting ≥39°C, poor cooling effect), frequent vomiting of limbs Tremors or weakness when standing, unsteady breathing, significantly accelerated heart rate, asymmetry in sweating parts of the body, symptoms of dehydration such as decreased urine output (no urine for more than 6 hours), under 3 years old, refusing to eat for 2 to 3 days, and symptoms do not improve after 2 to 3 days, pale complexion, difficulty breathing, marbled skin What should I do if my child has herpetic angina (mottled blue-purple pattern)? 1. First of all, don’t panic. There is no difference between herpes angina and a cold. It will be cured in about 7 days. If you are in low spirits or have a high fever, provide antipyretic treatment. Tylenol (acetaminophen) or Motrin (ibuprofen) is recommended. If the sore throat is severe, medication to relieve sore throat, such as lidocaine gel, can be provided to ensure fluid intake. 2. Close observation is required, because both hand, foot and mouth disease are caused by enterovirus infection and have the same origin. If there is a rash on the hands and feet, it is hand, foot and mouth disease; 3. Pay attention to rest and drink more water, which will help the recovery; 4. Extremely Some children may become seriously ill due to physical problems. There is no way to prevent this. If parents find that their children have no energy, vomiting, shaking, etc., they should seek medical treatment in time. How to prevent hand, foot and mouth disease and herpangina? For any disease, prevention is better than cure. The same is true for hand, foot and mouth disease and herpangina. So how should we prevent it?? 1. Avoid close contact with sick children. Children with weak resistance should not be taken to public places where crowds gather and have poor air circulation, such as movie theaters, playgrounds, swimming pools, etc. If there are sick children in kindergarten, they must be isolated. 2. Always open windows at home for ventilation to allow indoor air flow to disperse viruses and reduce the chance of illness. 3. Maintain good personal hygiene habits: Herpes or hand, foot and mouth disease are usually spread through droplets and contaminated hands. Be sure to ask your children to wash their hands frequently after returning home, before meals and after using the toilet, and to dry clothes and bedding frequently. 4. Boil and disinfect tableware: Children\’s tableware should be fully cleaned and disinfected before and after use. Some children like to bite their hands or clothes. Correct children\’s bad habits to avoid getting diseases from the mouth. Do not let children drink raw water or eat raw or cold food. Drink more boiled water: It is beneficial to the excretion of viruses in the body and purifies the internal environment. 5. Proper exercise to improve immunity: increase blood circulation and improve the skin\’s ability to regulate temperature, thereby enhancing the body\’s disease resistance. 6. Light diet and balanced nutrition: Eat more fresh fruits and vegetables, appropriately mix whole grains and miscellaneous grains, avoid high-sugar, high-fat and fried foods, and increase calcium-rich fish, shrimp and soy products. 7. Ensure sleep: Ensure that children get enough sleep every day and do not let them get too tired. 8. Get vaccinated against hand, foot and mouth: There is no vaccine for herpetic pharyngitis and buccal disease. Hand, foot and mouth can be vaccinated with the second-category vaccine EV71 vaccine. The protection rate against enterovirus 71 type (also the most critical type) infection is over 90%, which is Category II vaccines. However, vaccination does not guarantee that you will be completely free from hand, foot and mouth disease. This is because the vaccine only protects against one type of virus, EV71, while there are more than 20 types of enteroviruses that cause hand, foot and mouth disease. However, symptoms can be reduced if infected with the EV71 virus after vaccination. Children 6 months to 5 years old can choose to be vaccinated.