What are the early symptoms of mumps?

Written by Wang Ji Zhong
Internal Medicine
Updated on September 24, 2024
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Mumps has a significant impact on the human body, especially in children. Its complications include orchitis, pneumonia, etc., seriously affecting human health. Mumps can be categorized into purulent, immune, and epidemic types. Generally, when we refer to mumps, it is usually epidemic mumps, which has a relatively sudden onset and is caused by the mumps virus. Early symptoms include swelling of the parotid gland, with early redness and swelling at the opening of the parotid duct, and as it progresses, swelling around the earlobe. This can also lead to a lack of strength in the masseter muscles, affecting eating, localized skin heating, and severe cases may have headaches, fever, and loss of appetite among other systemic manifestations.

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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.

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Written by Wang Peng
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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
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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 hot compresses be used to reduce swelling in mumps?

Patients with mumps can use hot compresses as an adjunct treatment, but hot compresses usually do not reduce swelling. Mumps is generally caused by bacterial or viral infections, so the local swelling is not directly related to the patient's stagnation of blood. Although hot compresses can alleviate some pain, they cannot invigorate the blood and dissipate blood stasis; therefore, they do not effectively reduce swelling. It is recommended that patients with viral mumps undergo antiviral treatment, while those with bacterial mumps should receive anti-inflammatory treatment. Additionally, during treatment, it is important to ensure proper isolation to prevent the spread of infectious diseases.

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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.