Hi mummies, my son was diagnosed with hfmd ytd. He was ok during the day. However, I realised that he started refusing to drink any liquids (including my breastmilk which is always his comfort food). He has been crying a lot and would wake up halfway through his sleep as he was in pain whenever he swallows his saliva. When do I know if I shd bring him to the A&E?

You can try freezing some of your breast milk or some fruit puree to encourage him to eat. Dehydration is one of the main worry for children with HFMD. If your son is still not taking in any food or fluid, it is best to bring him to the doctor to prevent him from getting dehydrated. According to the KKH website (http://www.kkh.com.sg/HealthPedia/Pages/ChildhoodIllnessesHFMD.aspx), you should bring your son to the Children’s Emergency when you notice any of the following: - when the oral intake of fluids is poor, or when the child is unable to swallow, or vomits persistently - when the tongue is dry, or when the child has decreased urine output (dehydration) - if the child appears lethargic, drowsy or irritable, is crying persistently, or is disorientated - when seizures occur - if there is difficulty in breathing - if the child looks ashen, pale or blue. - if the child complains of acute headache or giddiness, or if there is neck stiffness Hope he feels better soon!!