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infection",[693,695],{"title":690,"path":694},"\u002Fsq-1\u002Fen\u002Fhealth-advice\u002Fhand-foot-and-mouth-disease-and-herpangina",{"title":696,"path":697},"Pied-main-bouche et herpangine","\u002Fsq-1\u002Fconseils-sante\u002Fpied-main-bouche-et-herpangine",{"titre":699,"texte":700},"What it is",{"processed":701,"value":703,"format":704},{"#type":702,"#text":703,"#format":704},"processed_text","Hand, foot and mouth disease and herpangina is a contagious viral infection caused by enteroviruses and mainly affect children. They can cause fever and sores in the mouth. Spots or fluid-filled blisters may also appear on the skin, including on the hands or feet, or in the throat.","basic_html",{"id":706,"fieldAnchor":22,"notes":707,"references":717},"2902",{"titre":708,"texte":709,"miseAJour":712},"Notes and references",{"format":704,"processed":710,"value":711},{"#type":702,"#text":711,"#format":704},"The information sheet does not replace medical advice. If you have any doubts, contact a healthcare professional. ",{"time":713,"offset":714,"timestamp":715,"timezone":716},"2026-10-28T00:00:00+00:00","+00:00",1793145600,"UTC",[718],{"url":686,"title":719,"internal":118},"Guides infirmiers d’éducation aux autosoins, Santé Québec Capitale-Nationale – Universitaire ",[721,727,728,733,737,741,745],{"__typename":722,"attributes":723,"tag":726},"MetaTagValue",{"content":724,"name":725},"Hand, Foot and Mouth Disease and Herpangina | Santé 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811","\u002Fsq-1\u002Fpictogramme\u002Ftelephone-811",{"__typename":17,"id":762,"name":763,"mediaImage":764},"165","telephone-811.png",{"mime":47,"title":22,"alt":22,"width":765,"height":765,"size":766,"url":767,"focalPoint":768},160,3885,"https:\u002F\u002Ffichier.sitesq.apps.ti.sante.quebec\u002Fsq-1\u002F2026-02\u002Ftelephone-811.png",{"x":769,"y":769},80,{"format":94,"processed":771,"value":772},{"#type":702,"#text":772,"#format":94},"\u003Cp>Call Info-Santé at 811, Option 1, to speak with a nurse at any time.\u003C\u002Fp>",{"icone":774,"texte":785},{"id":775,"name":776,"path":777,"picto":778},"25","Services sociaux","\u002Fsq-1\u002Fpictogramme\u002Fservices-sociaux",{"__typename":17,"id":779,"name":780,"mediaImage":781},"161","services-sociaux.png",{"mime":47,"title":22,"alt":22,"width":765,"height":765,"size":782,"url":783,"focalPoint":784},4173,"https:\u002F\u002Ffichier.sitesq.apps.ti.sante.quebec\u002Fsq-1\u002F2026-02\u002Fservices-sociaux.png",{"x":769,"y":769},{"format":94,"processed":786,"value":787},{"#type":702,"#text":787,"#format":94},"\u003Cp>Go to the pharmacy for advice on medications or treatment.\u003C\u002Fp>",{"icone":789,"texte":800},{"id":790,"name":791,"path":792,"picto":793},"72","Rendez-vous accepté","\u002Fsq-1\u002Fpictogramme\u002Frendez-vous-accepte",{"__typename":17,"id":794,"name":795,"mediaImage":796},"353","rendez-vous-accepte.png",{"mime":47,"title":22,"alt":791,"width":765,"height":765,"size":797,"url":798,"focalPoint":799},9565,"https:\u002F\u002Ffichier.sitesq.apps.ti.sante.quebec\u002Fsq-1\u002F2026-05\u002Frendez-vous-accepte.png",{"x":769,"y":769},{"format":94,"processed":801,"value":802},{"#type":702,"#text":802,"#format":94},"\u003Cp>Make an appointment at your medical clinic or 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data-list-item-id=\"e4bda629d714b04304695790b8da60fa6\">confusion, agitation, or unusual behaviour\u003C\u002Fli>\u003Cli data-list-item-id=\"ef10384c11c6395a734320cf6b432902c\">hallucinations (seeing or hearing things that are not real)\u003C\u002Fli>\u003C\u002Ful>","Rapid changes in the person’s condition:",{"texte":843,"sousTitre":846},{"format":94,"processed":844,"value":845},{"#type":702,"#text":845,"#format":94},"\u003Cul>\u003Cli data-list-item-id=\"e791421077ecfef734f8efe5ef73055c1\">breathing becomes increasingly difficult, even at rest  \u003C\u002Fli>\u003Cli data-list-item-id=\"e6eca192f41154c1f2ad87055197ba005\">there is a high-pitched or wheezing sound when breathing (stridor)\u003C\u002Fli>\u003Cli data-list-item-id=\"e4dfda2ac90ad74eaf01f45e2c4a2787c\">the chest or abdomen pulls inward with each breath (retractions)\u003C\u002Fli>\u003Cli data-list-item-id=\"e9c4262a8f41a992a7f36988eb464dc51\">the skin, lips or fingers are blue or bluish (cyanosis)  \u003C\u002Fli>\u003Cli data-list-item-id=\"eb583ea0447b4500342b6f502fababa90\">in babies and children under 2 years of age: the nostrils flare with each breath\u003C\u002Fli>\u003C\u002Ful>","Severe difficulty breathing, especially with the following symptoms:",{"texte":848,"sousTitre":851},{"format":94,"processed":849,"value":850},{"#type":702,"#text":850,"#format":94},"\u003Cul>\u003Cli data-list-item-id=\"eeba12b15f93596eddd29504214b5e77c\">dry mouth\u003C\u002Fli>\u003Cli data-list-item-id=\"ee48b1d2e37d582de24fa5d8d387468a3\">extreme thirst\u003C\u002Fli>\u003Cli data-list-item-id=\"eeefc381d0a97111c3448398ee05e1a26\">dark yellow urine (pee)\u003C\u002Fli>\u003Cli data-list-item-id=\"e3ffc86f13a3d9344cf2967739e053548\">no urine (pee) for more than 12 hours (for babies: a dry diaper or much less urine than usual)\u003C\u002Fli>\u003Cli data-list-item-id=\"e350ef9d7a7dcc2b94a7f303b70d0c7a0\">crying without tears\u003C\u002Fli>\u003Cli data-list-item-id=\"e8a034621d1423c63d8c22c797f34f9ad\">weakness\u003C\u002Fli>\u003C\u002Ful>","Signs of dehydration that persist despite drinking plenty of fluids:",{"texte":22,"sousTitre":853},"Drinking very little fluid",{"id":855,"titre":856,"fieldAnchor":22,"listeAction":857},"2897","What you can do at home",[858,864],{"typeAction":859,"sousTitre":860,"texte":861},"quoi_faire","What to do",{"value":862,"processed":863,"format":94},"\u003Cul>\u003Cli data-list-item-id=\"ed4fe82d0f1d9b77890b20b82a2d0731e\">To relieve pain, take acetaminophen (Tylenol) or ibuprofen (Advil). When in doubt, ask a pharmacist for advice.\u003C\u002Fli>\u003C\u002Ful>\u003Cp class=\"paragraphe-encadre\">Important: Ibuprofen is contraindicated for children under 6 months of age.\u003C\u002Fp>\u003Cp>\u003Cstrong>If there is a fever\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul>\u003Cli data-list-item-id=\"e86b5c3ac75d70b91ab36f92805be6652\">Get as much rest as possible.\u003C\u002Fli>\u003Cli data-list-item-id=\"e1a18c497aa08dbdec4587f68490be58c\">Drink warm or cold fluids often, whichever feels more soothing.\u003C\u002Fli>\u003Cli data-list-item-id=\"ecd2f5ee2489b3c5cfd09d1f3f7f52acf\">Eat according to appetite.\u003C\u002Fli>\u003Cli data-list-item-id=\"e13b988b7ee267992f32e7df6ad482336\">Adjust clothing or blankets as needed to prevent feeling too hot, too cold, or chilled.\u003C\u002Fli>\u003Cli data-list-item-id=\"e1972f0db965f7130a95a7d96b46a6dce\">If needed, see the health advice sheets on  \u003Cul>\u003Cli data-list-item-id=\"e2cac3e58b7fb4247cd5cf5821e7e3259\">\u003Ca href=\"https:\u002F\u002Fsante.quebec\u002Fen\u002Fhealth-advice\u002Ffever-ages-0-11\u002F\">Fever Aged 0 to 11\u003C\u002Fa>\u003C\u002Fli>\u003Cli data-list-item-id=\"e69576f0c4b5bfcdaa846da584ad9a168\">\u003Ca href=\"https:\u002F\u002Fsante.quebec\u002Fen\u002Fhealth-advice\u002Ffever-ages-12-and-over\u002F\">Fever Aged 12 and Older\u003C\u002Fa>\u003C\u002Fli>\u003C\u002Ful>\u003C\u002Fli>\u003C\u002Ful>\u003Cp>\u003Cstrong>Sores in the mouth\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul>\u003Cli data-list-item-id=\"eec353435644286b83a6d2233947f1221\">Drink cold fluids.\u003C\u002Fli>\u003Cli data-list-item-id=\"e2a5312457d574400ffc098479beb618f\">Avoid acidic, spicy, salty, hard, or very hot foods and beverages.\u003C\u002Fli>\u003Cli data-list-item-id=\"e558849b6f5828b161f2336e9bf73225a\">Brush teeth regularly with a very soft toothbrush.\u003C\u002Fli>\u003Cli data-list-item-id=\"e5837e38770335437b228d369adc7163d\">Rinse the mouth with cold water or salt water 4 to 6 times a day, especially after eating or drinking.\u003C\u002Fli>\u003Cli data-list-item-id=\"eb1406f4cf526d3ad477b2b91a3e2b9f7\">Avoid mouthwash containing alcohol.\u003C\u002Fli>\u003Cli data-list-item-id=\"ebd66dfb53ab86290370aa71e0ef275c5\">For young children: Use a cup, spoon, or syringe instead of a bottle because sucking increases mouth pain.\u003C\u002Fli>\u003Cli data-list-item-id=\"e188e98777d7312e08914d2e4a487d2d1\">For older children: Use a straw.\u003C\u002Fli>\u003Cli data-list-item-id=\"e7faca57b5a79b364e9f01710a05f6e5d\">Anesthetic gel is not recommended.\u003C\u002Fli>\u003C\u002Ful>\u003Cp class=\"paragraphe-encadre\">Important: Anesthetic gel is contraindicated for children aged 2 years and younger. When in doubt, ask a pharmacist for advice.\u003C\u002Fp>\u003Cp>\u003Cstrong>To prevent spreading the infection\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul>\u003Cli data-list-item-id=\"e18a71160e2fcd5e8287a217f58e72fbf\">Wash hands often.\u003C\u002Fli>\u003Cli data-list-item-id=\"e671e00941355ff56ae67c037c6c1d507\">Cough into the elbow or a tissue.\u003C\u002Fli>\u003Cli data-list-item-id=\"e217b4d32cee9c8f42511978b69b8e28c\">Do not share items that have been in contact with the sick person’s mouth.\u003C\u002Fli>\u003Cli data-list-item-id=\"e81eeb96ffaa1670af4f89ded4bb1127a\">Stay home during the most contagious period.\u003C\u002Fli>\u003Cli data-list-item-id=\"e2f507f38f5c46ac743413ade1f7143ba\">Avoid contact with babies, pregnant people, and people who are immunocompromised.\u003C\u002Fli>\u003Cli data-list-item-id=\"e080b74f338413de8f26e5b8a485336b5\">Regularly clean and disinfect frequently touched surfaces and objects. \u003Cbr> \u003C\u002Fli>\u003C\u002Ful>",{"#type":702,"#text":862,"#format":94},{"typeAction":865,"sousTitre":866,"texte":867},"a_eviter","Avoid",{"value":868,"processed":869,"format":94},"\u003Cul>\u003Cli data-list-item-id=\"ebfe9090d27265a036962a45756df8885\">Avoid citrus juices, such as orange, lemon, and grapefruit juice, as well as spicy foods.\u003C\u002Fli>\u003C\u002Ful>",{"#type":702,"#text":868,"#format":94},{"id":871,"titre":872,"conseils":873},"2901","See also",[874,883,892],{"id":875,"title":876,"translations":877},"480","Chickenpox",[878,880],{"title":876,"path":879},"\u002Fsq-1\u002Fen\u002Fhealth-advice\u002Fchickenpox",{"title":881,"path":882},"Varicelle","\u002Fsq-1\u002Fconseils-sante\u002Fvaricelle",{"id":884,"title":885,"translations":886},"401","Fever – Ages 0-11",[887,889],{"title":885,"path":888},"\u002Fsq-1\u002Fen\u002Fhealth-advice\u002Ffever-ages-0-11",{"title":890,"path":891},"Fièvre (0-11 ans)","\u002Fsq-1\u002Fconseils-sante\u002Ffievre-0-11-ans",{"id":893,"title":894,"translations":895},"448","Measles",[896,898],{"title":894,"path":897},"\u002Fsq-1\u002Fen\u002Fhealth-advice\u002Fmeasles",{"title":899,"path":900},"Rougeole","\u002Fsq-1\u002Fconseils-sante\u002Frougeole",1793295288615]