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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best method to treat mumps

The best treatment for mumps mainly depends on the specific condition of the child. If it is bacterial mumps, give the child some anti-infection drugs for treatment, and if there is suppuration, antibacterial treatment is necessary, along with standardized treatment. There is also epidemic mumps. If it is epidemic mumps, it is necessary to apply topical medications and timely administer oral antiviral drugs to the child because epidemic mumps is a self-healing infectious disease. Pay attention to a light, easily digestible diet, and avoid giving the child spicy and greasy foods.

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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.

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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 Wang Ji Zhong
Internal Medicine
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How is mumps treated in children?

The mumps we commonly refer to as children's mumps is epidemic mumps, which is prevalent among children and is a contagious disease caused by the mumps virus. It commonly occurs in the autumn and winter seasons and presents symptoms like fever and swollen salivary glands, along with general discomfort. It also frequently leads to complications such as meningitis, orchitis, and oophoritis. Patients may experience mild pain and increased pain when opening the mouth to eat. In such cases, it is important to isolate the patient, ensure bed rest until the swelling of the salivary glands completely subsides, and maintain oral cleanliness. Avoid acidic foods that may irritate the mouth, ensure adequate fluid intake, and focus on symptomatic treatment. Since antibiotics are ineffective against the mumps virus, severe cases may require antiviral medication treatment and attention to local swelling and pain relief, hoping for a swift recovery. (Please use medication under the guidance of a medical professional.)

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Can mumps cause facial paralysis?

Mumps generally does not cause facial paralysis. This disease is an inflammation caused by a viral infection of the salivary glands. Patients mainly exhibit symptoms of redness, swelling, heat, and pain in the area of the salivary glands, primarily located behind the ears. It occurs mostly in children, but adults can also contract the disease. Treatment mainly involves antiviral medications and drugs that clear heat and detoxify, as well as possible physical therapy. Facial paralysis, also known as facial neuritis, is caused by a viral invasion that leads to the demyelination of the facial nerve. This might also be related to exposure to cold winds. The main symptoms include paralysis of the facial expression muscles affecting the eyelids and other facial features, which may lead to widened eye slits, disappearance of forehead lines, flattening of the nasolabial fold, and deviation of the mouth corner. There may also be issues such as air leakage while whistling.