How to distinguish between toothache and mumps

Written by Wang Peng

Dentistry

Updated on September 23, 2024

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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

1min 22sec

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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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Written by Yuan Lin Yan

Infectious Disease

56sec

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Is mumps contagious?

Mumps is contagious and mainly occurs in children and adolescents. Therefore, parents should take timely protective measures for children with mumps to prevent the infection from spreading to other children. Mumps is an acute respiratory infectious disease caused by the mumps virus invading the salivary glands. It is primarily transmitted through respiratory droplets, and its main clinical symptoms include fever and painful swelling in the parotid gland area, with body temperatures potentially reaching up to 40 degrees Celsius. Complications such as meningitis, meningoencephalitis, orchitis, oophoritis, and pancreatitis may also occur. For adults or children who have been infected with mumps before, the disease is not contagious again, as there are antibodies against the mumps virus in the body to resist the infection.

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Written by Wang Peng

Dentistry

43sec

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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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Written by Wang Ji Zhong

Internal Medicine

1min 5sec

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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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Written by Peng Miao Yun

Internal Medicine

43sec

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The contagious period of mumps is how many days?

Mumps is contagious and is mainly caused by viral mumps, also known as epidemic mumps. It is caused by the mumps virus, an acute respiratory infectious disease, and is mainly transmitted through droplets. The main patients are school-age children. The contagious period of mumps is generally about 2 to 3 weeks, during which it is highly contagious and requires isolation and treatment. Since the viral infection in the patient's body starts a few days before the symptoms appear, and is contagious until the swelling of the parotid glands subsides, isolation is advisable within 2 to 3 weeks.