Toddler With Injured Lip Question

[Unregistered]

Hi - I have a 2 year old girl in my care who yesterday fell at home. Her mom text me last night saying that she cut her inside top lip pretty bad and soaked 3 washrags with blood. I asked if they took her to the dr which they hadnt. The bleeding stopped so they thought she was ok. This morning they drop her off and tell me that they are taking her to the dr today because it still looks really bad. She said her breath smells like blood and that top gum part is ripped inside. Also she has a history of chewing on the inside of her cheek during the night time leaving it raw in the morning with blood on her pillow.

She has done the mouth chewing here at nap time too. Her parents dont think its a big deal but now that she has this lip injury they are FINALLY taking her to the dr today. Whats strange though is when they dropped her off this morning (Im still trying to figure out WHY they brought her anyway) she has a big white headed blister on her chin below her bottom lip that she said showed up a couple hours after the fall. So now she has chewed up cheeks inside, a ripped upper inner lip and a nasty pus filled sore under her chin.

Has anyone ever seen anything like this? I told her she most likely needs antibiotics and to find out how to prevent her from chewing the inside of her mouth as well. OH and shes NOT eating either since the accident. The dad is picking her up at 1130am to get her to her dr appt. Still not sure WHY they brought her in the first place.

[Unregistered]

UPDATE... Need advice!!!

Okay - so the mom just called me to notify me that the girl as hand foot mouth disease!!! Im so freaked out now! Im trying to find a link on here with any info on it. Has anyone else had experience with this before?

Luckily she was out monday & tuesday. She came today for just 2 hours and left for the dr. She didnt play with anyone or any toys because she was so out of it. But she did sit at the picnic table with 2 others and have lunch.

I just bleached everything and am washing all blankets and sheets and pillows. any other advice would be So appreciated!!!

[jen2651]

perhaps the white headed thing is where her bottom teeth went through her lip...keep us updated!

[Michael]

Okay - so the mom just called me to notify me that the girl as hand foot mouth disease!!! Im so freaked out now! Im trying to find a link on here with any info on it. Has anyone else had experience with this before?

Luckily she was out monday & tuesday. She came today for just 2 hours and left for the dr. She didnt play with anyone or any toys because she was so out of it. But she did sit at the picnic table with 2 others and have lunch.

I just bleached everything and am washing all blankets and sheets and pillows. any other advice would be So appreciated!!!

Here is an earlier thread: https://www.daycare.com/forum/showthread.php?t=21746

I will look for more.

Here is another: https://www.daycare.com/forum/showthread.php?t=21219

[meganlavonnesmommy]

HFM is no joke. It's highly contagious, and miserable for the kid. My son had it a few years ago and it was awful. He was a crying crabby mess for 10 days, wouldnt eat or drink, was miserable. His sores were on the insides of his mouth, so he had problems eating or drinking.

I would wash/bleach everything you can and lysol spray or upholstery clean everything else. And definately make sure they dont return without a drs note saying when she isnt contagious. The sores need to be crusted over and no longer open or oozing at the very least.

[nannyde]

I've had it in my day care once and it was horrible. The cleaning was horrible.

[Mrs.Ky]

hand foot and mouth is the WORST. It went threw my daycare about 5 years ago a dcg brang it in then it spread like wildfire threw my 2 kids, my other daycare kids, my neighbors 3 kids across the street, and her daycare kids they all played together didnt know she had it till it was to late my middle child was 3 at the time he cried for days and wouldnt eat I was pulling my hair out had to close daycare for a week and disinfect everything. the dcg needs to stay gone from your daycare at the least 5 days.

[SilverSabre25]

HFM is the only illness of which I live in fear. It's highly contagious, long-lasting, and can reinfect its victims.

Good luck! Unfortunately, eveyone's probably already been exposed...

[juliebug]

ugh it is horrible the one time we had it i closed for a week and we finally got raid of it for good! i was cleaning and bleaching but it was still just getting passed around!

[Kaddidle Care]

We've had one or two cases but it's not been a huge problem. Just bleach your toys and surfaces and her cot if you can. Extra bleaching in the bathroom as coxsackie is from poor bathroom habits for the most part. Make sure your children are using soap when washing their hands. Send her bedding home to be washed. Try to remember what she touched and bleach everything that can be bleached.

Make sure you get a note from the Dr. that states when she can return.

[Crystal]

Here is a child care fact sheet for HFM.....you do not need to exclude the child from care:

http://www.ucsfchildcarehealth.org/pdfs/illnesses/HandFootMouth_0509.pdf

[nannyde]

Here is a child care fact sheet for HFM.....you do not need to exclude the child from care:

http://www.ucsfchildcarehealth.org/p...Mouth_0509.pdf

I don't agree with this.

http://www.mayoclinic.com/health/hand-foot-and-mouth-disease/DS00599/DSECTION=prevention

Isolate contagious people. Because hand-foot-and-mouth disease is highly contagious, people with the illness should limit their exposure to others while they have active signs and symptoms. Keep children with hand-foot-and-mouth disease out of child care or school until fever is gone and mouth sores have healed. If you have the illness, stay home from work.

Hand-foot-and-mouth disease is usually a minor illness causing only a few days of fever and relatively mild signs and symptoms. However, a rare and sometimes serious form of the coxsackievirus can involve the brain and cause other complications:

Viral meningitis. This is an infection and inflammation of the membranes (meninges) and cerebrospinal fluid surrounding the brain and spinal cord. Viral meningitis is usually mild and often clears on its own.Encephalitis. This severe and potentially life-threatening disease involves brain inflammation caused by a virus. Encephalitis is rare.

Children usually develop immunity to hand-foot-and-mouth disease as they get older by building antibodies after exposure to the virus that causes the disease. However, it's possible for adolescents and adults to get the disease.

[nannyde]

Here is a child care fact sheet for HFM.....you do not need to exclude the child from care:

http://www.ucsfchildcarehealth.org/p...Mouth_0509.pdf

I don't agree with this at all. I wrote a post regarding the information from the Mayo Clinic which is what I used in my decisions regarding exclusions. It has to be approved so hopefully Michael will see it and put it up.

Since this is happening real time... I would suggest the OP research it before allowing a kid back in with it.

This disease is WICKED. I even had a DCM get when it went thru my house. She missed a ton of work and was VERY sick.

One of the challenges with this disease is that the spectrum of response to what you should do is... no exclusion and "cleaning" whatever they touch (even though it's passed by respiratory droplets in part to exclude them until the blisters are dried and bleach EVERYTHING.

So you have to decide where you are in the spectrum. I choose bleach everything and exclude. It still infected half of my kids and one parent. It was very nasty.

I would NEVER allow a kid in my house with HFM. The kids passing it to each other is actually the smallest part of my decision although enough for me to be steadfast. The biggest is my son, my helper, my parents, and me. It's the BIG people I worry more about.

[Mom_of_two]

I personally would not take the child either! Definitely would need days on antibiotics and doctors note. If I see any rash/blister I would not let them in the door at all without a note. I sure hope you are all ok- keep us posted!!

[Unregistered]

update

Yes the girl is staying home until all blisters have healed and gone. I called the mom last night to ask her if they did some type of swab test to determine 100% that it is HFMD. She said the dr did not because he said it was so mild. She has a blister on the side of her tongue and the one on her chin and thats it. She also did not get a drs note!!!

I reminded her that she will need to get her re-checked BEFORE she will return here and that per my own policy she cant come back until its completely healed and gone. If she had a fever on this last Monday and the blister showed up Tuesday night - how long should I keep her out? I think the mom thinks as soon as the blister is healed its okay but I read online that they are still contagious for awhile. I keep reading 7 days of being contagious... Any advice on that part? And of course she will HAVE to bring a drs note saying that shes all good before I'd even consider her returning.

Im glad in a way that this girl had the lip injury because otherwise I wonder if the parents would have ever taken her to the dr and found out she has this HFMD. They are the type of parents that wait forever to get things checked out.