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Suggest Treatment For Fever Along With Rashes On Hands And Foot

Posted on Mon, 23 Jan 2017

Question: my son 7 yrs old had fever on 19th december and also rashes on his hand foot and also sensation while eating. we went to a doc and he said it was hand foot mouth and gave paracetamol and nukast 4 for allergy and a cough syrup. the third day fever subsided. now after 2 weeks i saw he got skin peeling from his fingers on hands and 2 fingers on feet and also dry skin on lips and peeling. He also has blocked nose but no fever. I read on the internet about staph fever and kawasaki disease so im very much concerned. please advice

Answered by Dr. Sumanth Amperayani (15 minutes later)

Brief Answer:
It is natural to have skin peeling 2-4 weeks after HFMD

Detailed Answer:
Hi, i've gone through your query....

Nothing to worry. It's natural for skin to peel during recovery from hand foot mouth disease (HFMD). It is in the natural course of the disease. Nothing to worry about it.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Sumanth Amperayani (6 minutes later)

sir
if u remember me we had lots of discussions abt my sons abscess which healed after 2nd surgery which aalso had a cysts but then cyst was actually not found.
just read on internet abt hand feet fingers peeling and also his lips are dry and peelin so i got dreaded reading abt all directing towards kawasaki and or staph infection which require immediate treatment. so i chose to take ur opinion

Answered by Dr. Sumanth Amperayani (5 minutes later)

Brief Answer:
I remember - don't worry

Detailed Answer:
Hi...I remember your son's case very well. To be XXXXXXX after all the discussion and interaction we had, and the praises you showered on me, I thought you would always prefer only me on this platform of health care magic.

But it was a general question and by sheer chance I tumbled upon your query.

Never mind...

I feel that this is only hand foot mouth disease because -

1. A physician seen and diagnosed hand foot mouth disease.

2. It is very common for skin to peel in HFMD.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (4 minutes later)

sir
in our old queries there is no option for recharge or fresh questions and i am happy that u got my question.
so sir can i forget this problem as the doc asked to use candid ointment
on the internet first fever then rashes then skin peelin frm hand foot and lips indicated rare probs like kawasaki and staph fever so it lost my sleep and i msgd rite away.
Are you sure about it

Answered by Dr. Sumanth Amperayani (3 minutes later)

Brief Answer:
I am sure it is hand foot mouth disease

Detailed Answer:
Hi...I am sure that it is hand foot mouth disease.

If you have further doubt on it, I suggest you upload the images of skin peeling, tongue on this website so that I can guide you better.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (10 hours later)

Sir
I have taken picture of hand lips tongue and feet . On the feet the corner 2 small fingers have peeling and in hands there is peeling on all fingers. Lips are cracked . The pictures i have sent to YYYY@YYYY 9 in total as they werent uploaded here and showing error

please advice

Answered by Dr. Sumanth Amperayani (1 minute later)

Brief Answer:
Please contact out customer care

Detailed Answer:
Hi... please contact our customer care or administrative team.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (8 minutes later)

also sending u 3 more pics here one showin dandruff type skin whitening above eye lashes on eye lids and 2 pics showing pin head type multiple dots around navel which is there since 1 yr for which we r putting dipsalic with vaseline
pls advice after seeing email pics and these also

Answered by Dr. Sumanth Amperayani (2 hours later)

Brief Answer:
Looks like a recovering hand foot mouth disease please

Detailed Answer:
HI...As of now this looks like recovering hand foot mouth disease...regarding the photos in the mail.

Regarding the photos here - I suggest you consult the dermatologist in out panel in your local city.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (7 minutes later)

sir
is there peeling of skin after hfmd.
dispalic ointment is given by dermatologist and also candid which has reduced the skin problem but no ointment for skin peeling. Can we leave it alone the skin peeling or put anything. Is it normal

Answered by Dr. Sumanth Amperayani (49 minutes later)

Brief Answer:
Leave alone the skin peeling - it will get better by itself

Detailed Answer:
Hi...no need to use any ointment for skin peeling.

It will get better spontaneously.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (4 hours later)

sir
today got certain blood tests done
ESR IS HIGH AND CRP IS ALSO HIGH
HAEMTOCRIT IS LOW AND NEUTROPHYL HIGH AND LYMPHOCITE LOW

please advice if there is any cause for concern

Answered by Dr. Sumanth Amperayani (2 hours later)

Brief Answer:
Nothing to worry about it

Detailed Answer:
Hi... There is nothing to worry about it. The reports are normal.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sumanth Amperayani (35 minutes later)

sir
so many values are higher or lower than the normal limits but you say all is normal pls explain . I got the tests done normally . And sorry for disturbing you and asking same thing again and again

Answered by Dr. Sumanth Amperayani (10 hours later)

Brief Answer:
Tests do not mean anything when the kid is normal please

Detailed Answer:
Hi...when the kid is normal - the test results do not mean anything.

The test results should always be interpreted keeping in mind the patient's condition. They cannot be relied upon solely and further action initiated. If we to interpret the test results solely - then the results should be grossly abnormal.

In this case the tests are not showing gross abnormalities. Nothing to worry about individual test results per se.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Sumanth Amperayani (10 hours later)

Sir
even my pediatrician whom we show didnt give any medicines . I got worried and thought about antibiotic as a doc on healthcare magic said give antibiotic for bacterial infection.
My son is well now only skin peeling and blocked nose and lil bit of cough when he wakes up. He had fever 2 weeks back for hfmd and after 3 days it was ok. Eating sleep urine stool are ok now and he is active. Just the other doc said crp is high esr is high hct is low and wcb is high along with neutrophyl so give antibiotic for bacterial infection.
I also sent the reports to a family pediatrician who stays outside he said reports are in normal range and no medicines needed if no fever and normal activities

Answered by Dr. Sumanth Amperayani (3 hours later)

Brief Answer:
Suggestions on tests

Detailed Answer:
Hi....I agree with you. Everybody's clinical skills wouldn't be the same. We cannot find fault with them.

I completely agree with your Pediatrician. He advised you excellently that there is no need for antibiotic.

As I was telling you - Everybody's clinical skills wouldn't be the same. We cannot find fault with them. That's the reason why I suggested a direct question option as only me will be answering a direct question.

Regards - Dr. Sumanth

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar