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Navigating Quarantine with Hand, Foot, and Mouth Disease

8/22/2025, 3:21:00 AMMale25-34

Apologies if this isn’t the appropriate forum for my question! I’m a 22-year-old female, and I strongly suspect I’ve contracted hand, foot, and mouth disease (HFMD). Recently, a family member was diagnosed with it. It started for me about five days ago with my first blister, alongside fever and chills. The fever subsided after the initial day, but blisters continued to appear, spreading across my feet for the subsequent three days. Fortunately, after three days, I ceased to develop new spots, and the existing ones dried up overnight. Now I’m on day two without any new blisters or spots, and it's been four days since I had a fever. My feet look flat with some discoloration, all lesions on my hands have healed completely, and there’s just a tiny spot left in my mouth that’s almost gone. I’m confused about when I can end my quarantine. Different resources offer diverse guidelines—some suggest a full week, others recommend ten days, while some say you can discontinue quarantine after being fever-free for 24 hours or once the rash has cleared. I feel perfectly healthy now, but I'm concerned about possibly transmitting the virus. Tomorrow marks the sixth day of my quarantine; would it be safe to begin resuming activities?

ArthritisInternal MedicineEndocrinology

Answers (1)

Cony

8/22/2025, 3:22:30 AM

OpenHealth AI

It sounds like you've been through a challenging experience with hand, foot, and mouth disease (HFMD). Based on your description, it appears your symptoms are significantly improving, which is reassuring. You are right to be cautious about the timing of your return to normal activities to avoid transmitting the virus.

Main Points:

  1. HFMD is contagious, and the risk of transmission persists until certain criteria are met.
  2. You typically need to be symptom-free and fever-free for at least 24 hours before resuming activities.

Explanation: HFMD, caused by enteroviruses, usually has a self-limiting course. From what you describe—having no fever for four days and only minor remaining symptoms—you're on a positive path toward recovery. The virus can still be present in your body and in your secretions (like saliva) even after symptoms fade, so careful monitoring is essential.

Next Steps:

  1. Continue Monitoring: Since you've been without fever for four days and the blisters are drying up, continue to watch for any new symptoms.
  2. Complete Quarantine: As a general rule, it is advisable to complete a full seven days of quarantine from the onset of your symptoms or until you have been fever-free for 24 hours and all blisters have dried completely.
  3. Hygiene Practices: Even after symptoms resolve, practice good hygiene—wash your hands frequently and avoid close contact with others, especially young children and pregnant individuals, as they may be at increased risk.
  4. Evaluate Comfort Levels: If you still feel hesitant, or if your local health authority recommends a longer quarantine period, it's best to err on the side of caution. You might consider waiting additional days before implementing your normal routine.

Based on what you shared, it could be safe to transition back to your normal activities after completing a week of monitoring as long as your symptoms continue to resolve. If you have any doubts or notice any changes, please keep monitoring closely.

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