What are the symptoms of mumps?

Written by Wang Ji Zhong
Internal Medicine
Updated on September 04, 2024
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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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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.

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Written by Wang Ji Zhong
Internal Medicine
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How long is the isolation period for mumps?

The mumps we commonly refer to is an acute contagious disease caused by the mumps virus. It is transmitted through close contact with an infected individual or someone carrying the virus. Therefore, it is crucial to isolate individuals diagnosed with mumps in certain situations. Patients with mumps can shed the virus in their saliva from 7 days before until 9 days after the swelling of the salivary glands, making roughly a two-week period during which the infectiousness is at its peak. Therefore, patients with mumps need to be isolated for about two weeks to prevent the transmission of the virus to others.

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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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Written by Yuan Lin Yan
Infectious Disease
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What is mumps?

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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What are the early symptoms of mumps?

Mumps in children is a contagious disease, and its complications can cause significant damage to the body. Its early symptoms often manifest as swelling below the earlobe, sometimes starting on one side and then appearing on the opposite side a few days later, or swelling can occur simultaneously on both sides, including the entire area around the earlobe, often with noticeable redness and tenderness. Additionally, affected children may also experience fever, headache, sore throat, loss of appetite, and nausea. Diagnosis can be confirmed through lymph nodes in the neck and an ultrasound of the parotid gland, and it can also be diagnosed by complete blood count and antibody tests to provide symptomatic treatment.