Enterovirus
I would like to ask if red spots in a child's mouth are a sign of enterovirus.
Additionally, how likely is it for a child to have enterovirus with symptoms like subtle blisters? Furthermore, my child has an allergic constitution and often coughs noticeably in the morning or at night.
Are there any effective ways to improve this?
Xiao Ling, 20~29 year old female. Ask Date: 2008/06/14
Dr. Hong Shuokun reply Pediatrics
Hello, Xiaoling:
1.
The characteristic of enterovirus is the presence of ulcers in the oral cavity, which is usually accompanied by fever, mouth pain, and loss of appetite.
The presence of red spots in the mouth does not necessarily indicate enterovirus; it is important to see if they develop into ulcers.
You may want to consult a pediatrician for evaluation.
2.
Morning and nighttime coughs are indicative of allergic cough.
If such symptoms occur, it is important to seek medical care and treatment, as allergic cough is different from a cold.
A cold is an upper respiratory tract infection, while allergic cough is due to chronic inflammation in the lungs, necessitating the use of maintenance medications.
Please consult a pediatrician for further diagnosis and treatment as soon as possible.
Wishing you good health.
Reply Date: 2008/06/14
More Info
Hand, Foot, and Mouth Disease (HFMD) is a common viral infection that primarily affects young children, typically under the age of five. It is caused by several different viruses, most commonly the coxsackievirus. The symptoms of HFMD can include fever, sore throat, and a rash that appears as red spots or blisters on the hands, feet, and inside the mouth.
When you mention red spots or bumps in the oral cavity, this can indeed be a sign of HFMD, especially if they are accompanied by other symptoms such as fever or a sore throat. The lesions in the mouth can appear as small red spots that may develop into painful sores or ulcers, making it difficult for the child to eat or drink. The presence of blisters or vesicles, particularly on the palms of the hands and soles of the feet, is also characteristic of this disease.
Regarding your concern about the likelihood of your child having a viral infection, if the red spots in the mouth are accompanied by the typical symptoms of HFMD, such as fever and rash on the hands and feet, then it is quite possible that your child is experiencing this condition. However, it is important to note that other viral infections can present with similar symptoms, so a definitive diagnosis should be made by a healthcare professional.
As for your child's allergy-related cough, it is not uncommon for children with allergies to experience coughing, especially in the morning or at night. This could be due to several factors, including exposure to allergens such as dust mites, pet dander, or pollen, which can trigger respiratory symptoms. To help alleviate these symptoms, consider the following strategies:
1. Allergen Avoidance: Identify and minimize exposure to known allergens. This may include using hypoallergenic bedding, keeping pets out of the child's bedroom, and ensuring that the home is free from dust and mold.
2. Air Quality: Use air purifiers in your child's room to help reduce airborne allergens. Keeping windows closed during high pollen seasons can also help.
3. Humidity Control: Maintaining a comfortable humidity level in your home can help reduce allergens. A humidifier may be beneficial in dry environments, while a dehumidifier can help in damp areas.
4. Medication: Consult with your pediatrician about appropriate antihistamines or other allergy medications that may help control your child's symptoms.
5. Regular Cleaning: Regularly clean your home to reduce dust and allergens. Vacuuming with a HEPA filter and washing bedding frequently can make a significant difference.
If your child's symptoms persist or worsen, or if you have concerns about the red spots in their mouth, it is essential to consult a pediatrician. They can provide a thorough examination, confirm the diagnosis, and recommend appropriate treatment options. In the case of HFMD, treatment is generally supportive, focusing on relieving symptoms such as pain and fever, and ensuring adequate hydration.
In summary, while the symptoms you describe could indicate Hand, Foot, and Mouth Disease, it is crucial to seek medical advice for an accurate diagnosis and tailored management plan. Your child's health and comfort are paramount, and a healthcare professional can guide you through the best course of action.
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