What is mumps?

Written by Yuan Lin Yan
Infectious Disease
Updated on September 18, 2024
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Mumps is an acute respiratory infectious disease caused by the mumps virus that invades the parotid glands. It primarily occurs in children and adolescents and is transmitted through respiratory droplets, often causing epidemics in classrooms. Clinically it presents with fever, swelling and pain in the parotid gland area, and body temperatures can reach up to 40°C. There can also be complications such as meningitis, meningoencephalitis, orchitis, oophoritis, and pancreatitis. To manage mumps, it is advisable to avoid acidic foods, maintain oral hygiene, and rinse the mouth with saline after meals. Pain relief medication can be used for headaches and pain in the swollen parotid glands. For testicular swelling and pain, local cold compresses or support with cotton padding and a jockstrap can be helpful. Proper supplementation with water, electrolytes, and energy is important. Antiviral medications can be used early on, and diuretics can be added for severe headaches and vomiting. In severe cases or those with complications like meningoencephalitis or myocarditis, steroids may be administered.

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Symptoms of mumps

There are many types of mumps, with acute suppurative mumps being common. In the early stages of inflammation, the symptoms are relatively mild and not obvious. If the condition continues to develop, pain in the parotid region becomes apparent, with slight swelling and tenderness in the parotid area, and mild redness and pain at the duct opening. As the disease progresses further to the stage of suppuration and necrosis of the parotid tissue, continuous pain in the parotid area, or throbbing pain, becomes evident. The swelling centered around the parotid area and earlobe becomes more prominent. At this point, massaging the gland can exude pus from the duct opening. Treatment mainly involves maintaining oral hygiene and administering systemic anti-inflammatory treatment. If an abscess forms, incision and drainage are performed.

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What are the symptoms of mumps?

In clinical settings, there are two types of mumps: suppurative mumps and epidemic mumps. Suppurative mumps is caused by Staphylococcus aureus infection; while epidemic mumps is caused by a mumps virus infection. Particularly severe cases of mumps can have serious complications including fever, orchitis, pneumonia, etc. Thus, it is crucial to detect and treat it early. Common symptoms of suppurative mumps include swelling and pain in the salivary glands, with redness, swelling, heat, and pain appearing prominently. When pressure is applied to the swollen gland, pus can be seen flowing from the salivary duct. Epidemic mumps usually has an acute onset and is more common in the winter and autumn. It also features enlargement of the salivary glands, accompanied by headache, fever, and loss of appetite. There will be redness and swelling around the mouth, eventually developing into central swelling at the earlobe, affecting eating, and with localized feverish skin.

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How to distinguish between toothache and mumps

Tooth pain and mumps are easy to distinguish. First, when a tooth has a deep cavity, it becomes sensitive to hot and cold stimuli, producing transient pain. If there is periapical periodontitis or pulpitis, the pain becomes spontaneous and persists, worsening at night and becoming intolerable. If a patient has mumps, there is usually swelling and pain in the head and face, centered around the earlobe. Upon examination, the opening of the parotid duct inside the mouth is visibly swollen and pus is discharged when pressed.

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What causes mumps in children?

Mumps in children is an acute respiratory infectious disease caused by the mumps virus, characterized primarily by the enlargement of the salivary glands. It can be complicated by meningitis and pancreatitis. Clinically, it presents as mumps with symptoms including fever, headache, loss of appetite, and discomfort. Within 24 hours, pain beneath the earlobe occurs, with the center of the earlobe presenting a saddle-like shape, swelling accompanied by pain. The salivary glands shrink after four to five days, and the salivary duct appears red and swollen, which aids in diagnosis. Some children may also develop complications such as meningitis and pancreatitis. After the age of ten, male children may experience complications like orchitis.

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Treatment methods for children's mumps

Mumps currently has no specific antiviral treatment; treatment is primarily symptomatic. It is important to maintain oral cleanliness, provide a light diet, avoid acidic foods, and drink plenty of water. For symptoms such as high fever and headache, or concurrent inflammation of the testicles, antipyretic analgesics should be administered. Traditional Chinese medicine treatments often involve clearing heat and detoxifying, softening hardness and relieving pain. Common treatments include modified Puji Xiaodu Yin taken orally or Qing Dai mixed with vinegar applied topically. Under medical guidance, ribavirin can be used in the early stages of the disease, administered intravenously at a dose of 10 to 15 milligrams per kilogram of body weight per day, with a treatment course of 5 to 7 days. Corticosteroids may be used for severe cases for a short course of three to five days.