Hand, foot and mouth disease - Symptoms 

Symptoms of hand, foot and mouth disease 

Symptoms of hand, foot and mouth disease usually appear three to five days after infection with the virus. They last for 7 to 10 days before disappearing on their own.

Some people with hand, foot and mouth disease do not develop any symptoms.

If an adult develops the disease, their symptoms will usually be much milder than those of a child.

Early symptoms

The first symptoms of hand, foot and mouth disease include:

  • fever and feeling unwell,
  • loss of appetite,
  • sore throat, and
  • small red spots in the mouth, throat and skin.

Later symptoms

Mouth lesions

After one or two days, red spots in the mouth will develop into painful ulcers, particularly around the tongue, gums and inside of the cheeks. It may be difficult to eat, drink and swallow.

Skin rash

Any red spots on the skin will turn into a non-itchy rash over the following one to two days. The spots are flat or raised, sometimes with blisters, and smaller than chickenpox sores.

The rash develops on the palms of the hands, the soles of the feet and between the fingers and toes. In some cases, spots also develop on the buttocks and genitals.

Last reviewed: 12/01/2010

Next review due: 12/01/2012

Comments are personal views. Any information they give has not been checked and may not be accurate.

nrtm said on 21 May 2012

I have just been diagnosed with this disease and yes, it is really painful! I caught it from my 3 year old daughter who, last week, had a really painful ulcer on her tongue and virus-like symptoms (tiredness, lethargy, aching). Today I developed ulcers on my tongue and in my mouth, which are really painful. I have also developed painful blisters, as in the photo, on my hands. The doctor said it's really rare for adults to catch the disease so reading the comments on here have made me feel like Im not the only one! I have been prescribed a mouth wash and strong painkillers to relieve the symptoms of the ulcers.

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GrannyS said on 04 April 2012

I am so relieved to find these comments as I felt as if I was being pathetic! I'm 63 and this is a really, really uncomfortable, unpleasant disease.I work with small children and in 40 years have never come across this before!! The initial fever was sudden and the ensuing symptoms very uncomfortable- particularly in the mouth( can't tolerate anything warm and difficulty swallowing) and on the feet ( feels as if I'm walking on splinters). On day 5 the spots are still appearing - even under my nails -hence fingertips are very sensitive and throbbing. GP a bit dismissive " haha - there's no treatment...." I only visit the surgery once every 3 or 4 years when desperate so wasn't impressed! Sympathy to all fellow sufferers.

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rellenk said on 23 January 2012

My daughter had this november 2010, I was so worried about her, she had a really high temperature and a sore throat intially, I went to the docs with this and she had a few spots in her mouth, she ended up having tonsillitis as well as hfmd, her mouth was full of ulcers her hands arms legs and feet were also covered and I had to carry her everywhere as she was in so much pain, she didn't eat for a week, I took her to so many surgeries because I wasn't given any decent information of how to treat it or make her more comfortable. I don't know how schools and the health service can play this down, this is highly contagious disease and children should be kept off school for the whole duration. My daughter ended up having three weeks off school.

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gall6 said on 10 January 2012

my 10 yr old son presented with a 104 temp, followed by a totally ulcerated mouthy 24 hrs later. rushed him to drs who gave me mouthwash and no explanation of why he had a whole mouth rather one or two mouth ulcers. That night rushed him to A&E after spots appears (like the photo) on hands,feet lower limbs ,chin and neck. they knew straight away it was hand.foot,mouth. My son is crying all the time in so much pain, his mouth is so sore. Have now been given augmentin antibiotics and given paracetamol/ibuprofen, plus bought anbesol along side corsodyl mouthwash. Mums, follow your instincts, if your child in that much pain - go and get more advice.
Ans ywa Vickhj - I agree, this is painted as a generally mild illness, which isn't so in all cases. I just wish I could take my little boys pain away from him!

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root66 said on 31 December 2011

I have just got over the worst of this, after catching from my 20 month old granddaughter. rash was really itchy and I was not as careful as I could have been and ended up with spots all up my arms over my face and head and genital area and was unable to eat my Christmas dinner as my throat was so sore. Mine ended up getting infected with a staphylococcal infection and needed antibiotics.I am still unsure about the hand foot and mouth diagnosis as I have found no link between the two unless it was a different strain?! but not very nice

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heppyjed said on 11 December 2011

I am 66 and have caught this from my 3 year old grandson. The condition is not mild for me. It is very unpleasant and like flu. I have got over the fever and headaches and now have blisters round my mouth after 4 days and mouth ulcers and a raging sore throat. I keep having to lie down and struggle to keep going. I have found gargling with soluble asprin, taking paracetomol and bongela for the mouth ulcers helpful.

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feelingrough said on 26 October 2011

After looking after my grandaughter who had a very bad nappy rash and rash around her mouth I developed a very painful ulcer on my tongue more of a sore .I was so tired spent the day in bed the next day I developed tiny red sores on my fingers which went on to develop into bigger painful blisters.Each day I had more ulcers in my mouth my doctor diagnosed hfmd he gave me steroid tablets which are slowly helping.I am on day four and now have a sore throat with a hoarse voice .It certainly is'nt mild in adults I am finding it hard to eat it feels like my tongue is swollen and it brings tears to my eyes to put any food into my mouth.Help I want to feel better!

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teresave said on 18 September 2011

I am in Florida, USA, and am so grateful to have found this site and the comments. I am 44 years old and have no idea ho or where I caught this. After two days of wishing I could either chop off my hands or take a cheese grater to them I finally went to the doctor. The itching and pain was so bad that I could no longer feel the keys on the keyboard, and the typing had become extremely painful as it just made everything worse. Unfortunately, my job requires great deal of typing. The doctor also found lesions in my throat which, although not painful now, does explain the earlier (mild) sore throat. After a couple days of nonstop Benedryl plus Lydocaine as a topical anesthetic life is now improved. So long as I don't touch anything it is down to a fairly mild tingling. Typing, even this short amount, still sets off the painful itch cycle, so I will go apply more Lydocaine. I am just grateful to finally see other adults with this disease, and that I am not alone in feeling a very itchy rash. I was starting to feel a little insane / lack of belief in the diagnosis as everything said child disease and non-itchy rash.

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Vickijh said on 22 July 2011

like most of the other people on here, my symptoms have been far from mild! Not had many of the spots but have had an extremely painful mouth and have only been able to drink warm milk and eat madeira cake for nearly a week-the only things that could find that didn't make my mouth and throat worse! I wonder if its a different strain of the virus or something because it doesn't seem as mild as the nhs etc makes it out to be

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