While conventional medical treatment remains the primary approach for managing Hand, Foot, and Mouth Disease, many individuals and families seek natural remedies and complementary therapies to alleviate symptoms and support recovery. These approaches, when used appropriately alongside conventional care, may provide additional comfort and symptom relief. However, it is essential to approach these remedies with caution, understanding their limitations and potential risks, particularly when used in children.
One of the most common natural approaches for managing HFMD symptoms involves dietary modifications and nutritional support. During the acute phase of the illness, when oral ulcers can make eating painful, soft, bland foods that are easy to swallow are generally better tolerated. Natural, nutrient-dense foods that may be beneficial include:
Yogurt, which provides protein and calcium while its cool temperature can soothe oral ulcers. Some yogurts also contain probiotics that may support immune function. Smoothies made with soft fruits like bananas and berries, combined with protein sources like yogurt or nut butters, can provide nutrition in an easily consumable form. Coconut water or natural electrolyte solutions can help maintain hydration and replace lost electrolytes without the artificial colors and flavors found in some commercial products. Honey, for children over 1 year of age, has natural antimicrobial properties and can coat oral ulcers, providing temporary relief. However, honey should never be given to infants under 1 year due to the risk of infant botulism.
Herbal remedies have been traditionally used in various cultures to manage symptoms similar to those seen in HFMD. Several herbs are believed to have antiviral, anti-inflammatory, or soothing properties that may be beneficial:
Licorice root (Glycyrrhiza glabra) has demonstrated antiviral activity against some viruses and may help soothe oral ulcers. It can be used as a tea or as a deglycyrrhizinated licorice (DGL) mouthwash. However, whole licorice should not be used long-term or in large amounts, particularly in individuals with hypertension. Echinacea is commonly used to support immune function, though evidence for its effectiveness against viral illnesses like HFMD is limited. It is available in various forms, including teas, tinctures, and capsules. Slippery elm bark has demulcent properties that can coat and soothe irritated mucous membranes, including oral ulcers. It can be prepared as a tea or lozenge. Chamomile tea has mild anti-inflammatory properties and may help calm an irritable child, promoting rest which is essential for recovery.
Essential oils have gained popularity as natural remedies for various ailments, including viral infections. However, their use in children requires extreme caution due to potential toxicity and the risk of allergic reactions. Some essential oils that have been studied for their potential antiviral properties include:
Tea tree oil (Melaleuca alternifolia) has demonstrated antiviral activity in some studies, but it should never be ingested and should be used topically only in highly diluted forms (typically 1% or less concentration) in children older than 2 years. Lavender oil has calming properties and may help promote sleep, which is important for recovery. It can be diffused in a room or applied topically in highly diluted forms. Eucalyptus oil has been used for respiratory symptoms, but should not be used directly on children or near their faces. It can be diffused in a room with proper ventilation.
It is crucial to note that essential oils should never be ingested, should always be properly diluted before topical application, and should be used with caution, if at all, in young children. Some essential oils can cause respiratory distress in infants and young children when diffused.
Homeopathic remedies are sometimes used by families seeking natural approaches to managing HFMD symptoms. Homeopathy is based on the principle of “like cures like” and uses highly diluted substances to stimulate the body’s healing response. Some homeopathic remedies that may be recommended for HFMD symptoms include:
Belladonna, which is sometimes used for high fever and redness in HFMD. Mercurius solubilis, which may be recommended for mouth ulcers and excessive salivation. Rhus toxicodendron, which is sometimes used for skin rashes and restlessness.
It is important to understand that the scientific evidence supporting the effectiveness of homeopathy is limited, and these remedies should not replace conventional medical care, particularly in cases of severe symptoms or complications.
Hydrotherapy, the use of water for therapeutic purposes, may provide comfort for children with HFMD. Cool or lukewarm baths can help reduce fever and soothe skin discomfort. Adding colloidal oatmeal to bathwater may help relieve itching associated with the rash. However, very cold water or ice baths should be avoided as they can cause shivering, which may actually increase body temperature.
Acupressure, a traditional Chinese medicine technique that involves applying pressure to specific points on the body, has been used to alleviate various symptoms. Some acupressure points that may be beneficial for HFMD symptoms include:
LI4 (Hegu), located between the thumb and index finger, which is traditionally used to relieve pain and reduce fever. GV14 (Dazhui), located at the base of the neck, which is sometimes used for fever reduction. PC6 (Neiguan), located on the inner forearm, which may help with nausea and vomiting.
While acupressure is generally safe when performed correctly, it should be done gently in children, preferably by a trained practitioner or under the guidance of one.
Aromatherapy, the use of aromatic plant extracts and essential oils, may help create a calming environment and promote rest, which is important for recovery. Lavender and chamomile are generally considered safe for use with children when properly diluted and used in appropriate ways (such as in a diffuser). However, as mentioned earlier, caution should be exercised when using essential oils around young children.
Probiotics, beneficial bacteria that support gut health, have been studied for their potential role in immune function and prevention of viral infections. Some research suggests that certain probiotic strains may help reduce the duration and severity of viral illnesses, though specific studies on HFMD are limited. Probiotic-rich foods like yogurt, kefir, and fermented vegetables, or probiotic supplements designed for children, may be considered as part of a supportive approach to HFMD recovery.
Vitamin and mineral supplements are sometimes used to support immune function during viral illnesses. While a balanced diet should provide most necessary nutrients, some supplements that may be considered (preferably under healthcare provider guidance) include:
Vitamin C, which has immune-supporting properties and may help reduce the duration of viral illnesses. Zinc, which plays a role in immune function and may have antiviral effects. Vitamin D, which is important for immune regulation and may help reduce the risk of viral infections.
It is important to note that megadoses of vitamins or minerals are not recommended and can be harmful, particularly in children. Supplements should be used in appropriate doses and preferably under the guidance of a healthcare provider.
Mind-body approaches, including relaxation techniques and gentle movement, may help manage the discomfort and irritability associated with HFMD. For older children, simple breathing exercises or guided imagery can help distract from discomfort and promote rest. Gentle stretching or movement, as tolerated, can help maintain comfort during recovery.
Traditional medicine systems from various cultures offer approaches that may complement conventional HFMD treatment. For example:
Traditional Chinese Medicine (TCM) may use herbal formulations, acupuncture, or dietary therapy to address symptoms and support recovery. Ayurveda, the traditional medicine system of India, may recommend specific herbs, dietary modifications, and lifestyle practices to balance the body and support healing. Traditional herbal remedies from various cultures may include plants with antiviral, anti-inflammatory, or soothing properties.
While these traditional approaches have been used for centuries, scientific evidence supporting their effectiveness specifically for HFMD is often limited. When considering traditional remedies, it is important to consult with knowledgeable practitioners and to ensure that any herbs or preparations used are safe and appropriate for children.
Safety considerations are paramount when using natural remedies for HFMD, particularly in children. Some important safety guidelines include:
Always consult with a healthcare provider before giving any natural remedy to a child, especially if the child has underlying health conditions or is taking medications. Be aware that “natural” does not mean “safe” – many natural substances can have side effects or interact with medications. Be cautious about giving any herbal remedies to infants or very young children, as their developing bodies may respond differently to these substances. Ensure that any herbs or supplements used are from reputable sources and are free from contaminants. Never use essential oils undiluted on the skin or give them internally to children. Monitor children closely for any adverse reactions when using natural remedies, and discontinue use if any concerning symptoms develop.
It is also important to recognize the limitations of natural remedies for HFMD. While these approaches may provide symptomatic relief and support comfort, they do not cure the underlying viral infection. Conventional medical care remains essential for managing HFMD, particularly in cases with severe symptoms or complications.
The integration of natural remedies with conventional care requires a balanced approach. Natural remedies can be used alongside conventional treatments to provide additional comfort and support, but they should not replace necessary medical interventions. For example, while cool liquids and honey (for children over 1 year) may soothe a sore throat, they should not replace appropriate fever management with acetaminophen or ibuprofen when needed.
In conclusion, natural remedies and complementary approaches may offer additional comfort and symptom relief for children with HFMD when used appropriately alongside conventional care. However, these approaches should be undertaken with caution, under the guidance of healthcare providers when possible, and with an understanding of their limitations and potential risks. The primary focus should remain on ensuring adequate hydration, nutrition, rest, and appropriate medical care for the child with HFMD.
Lifestyle Considerations During and After HFMD
Managing Hand, Foot, and Mouth Disease extends beyond medical treatment to encompass various lifestyle considerations that can support recovery, prevent transmission, and promote overall well-being. These lifestyle aspects are particularly important for families navigating the challenges of HFMD, as they can significantly impact the comfort of the affected child, the risk of spread to others, and the overall experience of the illness.
Rest and sleep are fundamental components of recovery from HFMD. The body’s immune system functions optimally when adequately rested, and sufficient sleep supports the healing process. During the acute phase of HFMD, children may feel more fatigued than usual and require more sleep or quiet rest time. Parents and caregivers should encourage rest by:
Creating a calm, comfortable environment conducive to sleep. Reducing stimulating activities, especially in the hours before bedtime. Allowing the child to nap as needed during the day. Adjusting schedules to accommodate increased rest needs, particularly if the child is having difficulty sleeping at night due to discomfort.
Hydration is a critical lifestyle factor during HFMD, particularly given the risk of dehydration from painful oral ulcers that may discourage fluid intake. Maintaining adequate hydration supports immune function, helps regulate body temperature, and promotes healing. Strategies to ensure proper hydration include:
Offering fluids frequently in small amounts, which may be better tolerated than large volumes at once. Providing a variety of fluids to appeal to the child’s preferences, including water, diluted juices, broths, and oral rehydration solutions. Using creative methods to encourage fluid intake, such as fun cups, silly straws, or making ice pops from hydrating liquids. Monitoring for signs of dehydration, including decreased urine output, dry mouth, lethargy, and, in infants, a sunken fontanelle (soft spot on the head).
Nutrition plays a vital role in supporting recovery from HFMD. The illness can affect appetite and the ability to eat due to oral ulcers, making nutritional intake challenging. However, adequate nutrition is essential for immune function and healing. Nutritional considerations during HFMD include:
Offering soft, bland foods that are easy to swallow and less likely to irritate oral ulcers. Examples include yogurt, applesauce, mashed potatoes, oatmeal, and smoothies. Avoiding acidic, spicy, salty, or rough-textured foods that can cause pain when eating. Focusing on nutrient-dense foods that provide essential vitamins and minerals to support immune function. Being flexible with meal times and amounts, recognizing that appetite may be reduced during the acute phase of illness. Considering nutritional supplements or liquid meal replacements if oral intake is significantly reduced, particularly for young children or those with prolonged decreased appetite.
Activity modification is often necessary during HFMD. While complete bed rest is not typically required, activity should be adjusted based on the child’s energy levels and symptoms. Guidelines for activity during HFMD include:
Encouraging quiet play and rest during the acute phase of illness, particularly when fever is present. Allowing the child to gradually return to normal activities as symptoms improve, with attention to their energy levels and comfort. Avoiding strenuous physical activity until the child has fully recovered, which may take 7-10 days or longer. Balancing rest with gentle movement, which can help maintain comfort and prevent stiffness.
Comfort measures are important lifestyle considerations that can significantly impact the child’s experience of HFMD. Simple interventions can help alleviate discomfort and promote well-being:
Dressing the child in loose, comfortable clothing made from soft fabrics to minimize irritation of skin lesions. Maintaining a comfortable room temperature, as fever can cause fluctuations in body temperature and comfort. Using soft blankets or pillows to create a cozy environment for rest. Providing gentle distractions such as quiet play, reading, or age-appropriate screen time to help the child focus on something other than discomfort.
Emotional support is a crucial aspect of managing HFMD, particularly for young children who may not fully understand why they feel unwell. The illness can cause irritability, fussiness, and emotional distress due to discomfort and disruption of normal routines. Providing emotional support includes:
Offering extra comfort, cuddles, and reassurance to the child during the illness. Explaining the illness in age-appropriate terms, helping the child understand that they will feel better soon. Maintaining as much of the child’s normal routine as possible, including bedtime rituals and favorite activities that can be done while resting. Acknowledging the child’s feelings of discomfort or frustration and validating their experience.
Isolation and infection control within the home are important lifestyle considerations to prevent the spread of HFMD to other family members. The contagious nature of the virus requires specific measures to reduce transmission:
Keeping the affected child away from other children, particularly those who have not had HFMD before. Designating specific care providers for the sick child when possible, to minimize exposure of other family members. Implementing strict hand hygiene practices for all household members, especially after contact with the sick child or their belongings. Separating personal items like towels, bedding, cups, and utensils for the affected child. Regularly cleaning and disinfecting high-touch surfaces in the home, including toys, doorknobs, and electronic devices.
School and childcare attendance is a significant lifestyle consideration for families with school-aged children or children in childcare. Guidelines for returning to these settings include:
Keeping the child home from school or childcare until they are no longer contagious, typically until fever has resolved for at least 24 hours without medication and oral lesions or skin blisters have healed or crusted over. Communicating with the school or childcare center about the child’s illness and following their specific policies for return after HFMD. Gradually reintroducing the child to normal activities, recognizing that they may need to ease back into the routine after several days at home.
Work-life balance for parents and caregivers is often challenged when a child has HFMD. The need to care for a sick child may require parents to take time off work or adjust their schedules. Strategies for managing this include:
Planning ahead when possible, knowing that HFMD is common in young children and having contingency plans for childcare. Communicating with employers about the need for flexibility or time off to care for a sick child. Utilizing available sick leave or family leave policies. Seeking support from family, friends, or community resources when needed.
Post-illness recovery is an important phase that may require continued lifestyle adjustments even after the acute symptoms have resolved. Some children may experience fatigue or decreased appetite for several days after other symptoms have improved. Supporting this recovery phase includes:
Gradually returning to normal activities and routines as the child’s energy levels improve. Continuing to offer nutritious foods to support complete recovery. Monitoring for any lingering symptoms or complications, such as nail changes (onychomadesis), which can occur several weeks after HFMD, particularly with certain strains like Coxsackievirus A6. Ensuring the child has fully recovered before returning to strenuous activities or sports.
Long-term health considerations after HFMD are generally minimal for most children, as the illness is typically self-limiting without long-term consequences. However, some considerations include:
Understanding that having HFMD once does not provide immunity against all enteroviruses that can cause the disease, so it is possible to get HFMD again from different viral strains. Monitoring for any unusual symptoms that may develop after recovery, though this is rare. Maintaining good hygiene practices even after recovery to prevent future infections.
Preventive lifestyle measures can help reduce the risk of HFMD in the future. These include:
Continuing good hand hygiene practices, even after the immediate illness has passed. Teaching children proper hand washing techniques and the importance of not putting hands or objects in their mouths. Maintaining a healthy lifestyle with adequate sleep, balanced nutrition, and regular physical activity to support overall immune function. Staying informed about HFMD activity in the community, particularly during peak seasons.
Family and social considerations during HFMD include managing the impact on family dynamics and social activities. HFMD can disrupt normal family routines and social engagements, requiring adjustments:
Communicating with friends and family about the illness to prevent exposure while the child is contagious. Finding alternative ways to maintain social connections while the child is isolated, such as video calls or virtual playdates. Managing the emotional impact on siblings who may be disappointed about canceled activities or who feel neglected when attention is focused on the sick child.
Community awareness and education are broader lifestyle considerations that can help prevent HFMD spread. Families can contribute to community health by:
Sharing accurate information about HFMD with other parents and caregivers. Supporting public health recommendations during outbreaks, such as keeping sick children home from group activities. Advocating for appropriate infection control measures in childcare settings and schools.
In conclusion, lifestyle considerations during and after HFMD encompass a wide range of factors that can support recovery, prevent transmission, and promote overall well-being. From rest and hydration to emotional support and infection control, these lifestyle aspects play a crucial role in managing the illness and minimizing its impact on the child and family. By addressing these considerations thoughtfully, parents and caregivers can help ensure the best possible outcome for children with HFMD while protecting the health of others in the community.
FAQs
- What is Hand, Foot, and Mouth Disease?
Hand, Foot, and Mouth Disease (HFMD) is a common viral illness that primarily affects infants and children. It is characterized by fever, sores in the mouth, and a rash on the hands and feet. The disease is caused by enteroviruses, most commonly Coxsackievirus A16 and Enterovirus 71.
- Who is at risk of getting HFMD?
While anyone can get HFMD, it most commonly affects children under the age of 5 years. The disease can occur in older children and adults, but they often have milder symptoms. Individuals in close-contact settings like childcare centers, preschools, and elementary schools are at higher risk due to the contagious nature of the virus.
- How is HFMD spread?
HFMD is spread through direct contact with nasal secretions, saliva, fluid from blisters, and stool of infected individuals. The virus can also spread indirectly through contact with contaminated surfaces and objects, including toys, doorknobs, and eating utensils. Poor hygiene practices facilitate the spread of the virus.
- What are the first signs of HFMD?
The first signs of HFMD often include fever, reduced appetite, sore throat, and a general feeling of being unwell (malaise). One or two days after the fever begins, painful sores may develop in the mouth, followed by a skin rash on the hands and feet.
- How long does HFMD last?
The illness typically lasts 7 to 10 days. The fever usually resolves within 2 to 3 days, while the mouth sores and rash may take longer to heal completely. Most children recover fully without complications.
- Is HFMD contagious?
Yes, HFMD is highly contagious. An infected person is most contagious during the first week of illness, but the virus can remain in the body for weeks after symptoms have resolved and can be spread to others during this time.
- How long is a person with HFMD contagious?
A person with HFMD is contagious from the onset of symptoms and can remain contagious for several weeks. The virus can be shed in stool for up to several weeks after recovery. Children should be kept home from school or childcare until fever has resolved and mouth sores and blisters have healed.
- Can adults get HFMD?
Yes, adults can get HFMD, though they often have milder symptoms or may be asymptomatic. Adults who have not been exposed to the viruses that cause HFMD before are more susceptible to infection.
- Is HFMD the same as Foot-and-Mouth Disease?
No, HFMD is not the same as Foot-and-Mouth Disease. HFMD affects humans and is caused by enteroviruses. Foot-and-Mouth Disease is a viral disease that affects cloven-hoofed animals like cattle, pigs, and sheep. The two diseases are caused by different viruses and are not related.
- How is HFMD diagnosed?
HFMD is typically diagnosed based on the characteristic symptoms and physical examination. During outbreaks, diagnosis is often clinical. Laboratory tests, including throat swabs, stool samples, or fluid from blisters, can confirm the diagnosis and identify the specific virus causing the illness.
- What is the treatment for HFMD?
There is no specific treatment for HFMD. Management focuses on relieving symptoms, including fever and pain from mouth sores. Over-the-counter pain relievers like acetaminophen or ibuprofen can help reduce fever and discomfort. Maintaining hydration is crucial, especially if the child has painful mouth sores that make swallowing difficult.
- Can HFMD be prevented?
HFMD can be prevented through good hygiene practices, including frequent hand washing with soap and water, disinfecting contaminated surfaces and objects, and avoiding close contact with infected individuals. During outbreaks, children with HFMD should be excluded from childcare settings until they are no longer contagious.
- Is there a vaccine for HFMD?
Vaccines are available for Enterovirus 71 (EV-71), one of the viruses that can cause HFMD, in some countries, particularly in Asia. However, these vaccines do not protect against other enteroviruses that cause HFMD, such as Coxsackievirus A16. No vaccine is currently available that protects against all strains of HFMD-causing viruses.
- Can you get HFMD more than once?
Yes, it is possible to get HFMD more than once. This is because HFMD can be caused by different viruses (primarily different enteroviruses), and infection with one virus does not provide immunity against others. Even infection with the same virus may not provide complete long-term immunity.
- What are the complications of HFMD?
Complications of HFMD are rare but can occur, particularly with Enterovirus 71 infection. These may include viral meningitis, encephalitis (inflammation of the brain), acute flaccid paralysis, and in rare cases, potentially fatal complications like brainstem encephalitis or pulmonary edema. Dehydration is a more common complication, especially in young children who refuse to drink due to painful mouth sores.
- When should I seek medical attention for HFMD?
Medical attention should be sought if the child has a high fever that persists for more than 3 days, shows signs of dehydration (such as decreased urination, dry mouth, lethargy), has neurological symptoms (such as severe headache, neck stiffness, confusion, seizures, or limb weakness), or if symptoms seem unusually severe or are not improving.
- Can HFMD be serious?
While most cases of HFMD are mild and resolve without complications, the disease can be serious, particularly when caused by Enterovirus 71. Severe cases may involve neurological complications that can be life-threatening. Infants and young children are at higher risk for severe disease.
- How can I make my child more comfortable during HFMD?
To make your child more comfortable during HFMD, you can offer over-the-counter pain relievers (like acetaminophen or ibuprofen) for fever and pain, provide plenty of fluids to prevent dehydration, offer soft, bland foods that are easy to swallow, and use topical oral analgesics for mouth sores. Keeping your child cool and comfortable with loose clothing can also help.
- What should my child with HFMD eat and drink?
Children with HFMD should consume soft, bland foods that are easy to swallow and less likely to irritate mouth sores. Examples include yogurt, applesauce, mashed potatoes, oatmeal, and smoothies. It is important to avoid acidic, spicy, salty, or rough-textured foods. For hydration, water, diluted juices, and oral rehydration solutions are recommended.
- Can HFMD affect pregnancy?
Pregnant women who develop HFMD generally experience a mild illness similar to that of other adults. However, there is limited information about the effects of enterovirus infections on pregnancy. Some studies suggest a possible association between maternal enterovirus infection and adverse pregnancy outcomes, but this risk appears to be low. Pregnant women should consult their healthcare provider if they have been exposed to HFMD or develop symptoms.
- How long should a child with HFMD stay home from school or childcare?
A child with HFMD should stay home from school or childcare until they are no longer contagious. This typically means until the fever has resolved for at least 24 hours without medication and any mouth sores or skin blisters have healed or crusted over. This usually takes about 7 to 10 days from the onset of symptoms.
- Can HFMD cause nail problems?
Yes, in some cases, HFMD can cause nail problems several weeks after the acute illness. This condition, known as onychomadesis, involves the shedding of the fingernails or toenails. It is more commonly associated with certain strains of HFMD, particularly Coxsackievirus A6. The nail changes are usually temporary and the nails typically regrow without issue.
- Is HFMD seasonal?
HFMD does show some seasonal patterns, with outbreaks more common in warmer months. In temperate climates, spring and summer see increased incidence, while in tropical regions, the disease may circulate year-round with periodic surges. The reasons for this seasonality are not entirely understood but may relate to factors such as increased social mixing during warmer weather and changes in humidity affecting virus survival.
- Can HFMD be confused with other conditions?
Yes, HFMD can be confused with other conditions that cause fever and rash, such as chickenpox, herpes simplex virus infections, aphthous stomatitis, and allergic reactions. The characteristic distribution of the rash on hands and feet, along with mouth sores, usually helps distinguish HFMD from these conditions.
- How can I prevent HFMD from spreading in my home?
To prevent HFMD from spreading in your home, practice good hand hygiene, especially after contact with the infected person or their belongings. Disinfect frequently touched surfaces and objects, including toys, doorknobs, and electronic devices. Avoid sharing personal items like towels, bedding, cups, and utensils. Keep the infected child away from other family members as much as possible, particularly young children who have not had HFMD before.
- Are there any natural remedies for HFMD?
While there is no cure for HFMD, some natural remedies may help alleviate symptoms. These include offering cool liquids and popsicles for sore throat, using honey (for children over 1 year) to coat mouth sores, and ensuring adequate rest and hydration. Some herbal remedies like licorice root or chamomile tea may provide relief, but these should be used with caution, especially in children, and under the guidance of a healthcare provider.
- Can HFMD cause long-term effects?
For most children, HFMD resolves without long-term effects. However, in rare cases of severe HFMD, particularly those involving neurological complications, long-term effects such as neurological deficits or developmental delays may occur. These are extremely rare and typically associated with severe Enterovirus 71 infections.
- How common is HFMD worldwide?
HFMD is a common childhood illness worldwide, but its prevalence varies by region. It is particularly prevalent in the Asia-Pacific region, where large outbreaks involving hundreds of thousands of cases have been reported in countries like China, Malaysia, Singapore, and Japan. In temperate regions, HFMD occurs more commonly in spring and summer months.
- Can pets get HFMD?
No, pets cannot get HFMD. The viruses that cause HFMD are specific to humans and do not infect animals like dogs, cats, or other pets. Similarly, humans cannot get HFMD from animals. The disease is transmitted only between humans.
- What is the difference between HFMD and herpangina?
HFMD and herpangina are both caused by enteroviruses and share some symptoms, including fever and sore throat. The main difference is that herpangina typically causes small, painful blisters or ulcers on the back of the mouth and throat, but does not involve the rash on hands and feet that is characteristic of HFMD. Herpangina is generally considered a milder illness than HFMD.
Medical Disclaimer:
The information provided on this website is for general educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.