Does having white spots on the tongue after a fever indicate hand, foot, and mouth disease?

Patient's question:

Daughter is 1 year and 5 months old, drinking milk. She got hand, foot, and mouth disease two months ago. Last night, she had a fever of 39°C, and by the third day, the fever subsided. I noticed the child wasn’t eating and even cried when drinking water. Today, I found small white spots on her tongue, and her hands and feet are cold. It can’t be hand, foot, and mouth disease again!

Doctor's answer:

Based on the situation you described, it should not be hand, foot, and mouth disease. Hand, foot, and mouth disease typically causes blisters to appear on the body very quickly, and more often, symptoms like low-grade fever, fatigue, and mental lethargy appear a few days before the blisters. Even if it is hand, foot, and mouth disease, it is not a serious issue. Most children recover on their own without special treatment. Eat well, observe carefully, and visit the hospital if necessary. Hand, foot, and mouth disease can be quite harmful to children, so it is recommended that family members take the child to a specialist for follow-up treatment under the guidance of a doctor. In daily life, it is okay to give the child some juice, which is beneficial for digestion, vitamins, and preventing stomach issues. We hope the child can recover quickly!

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