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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Written by Hu Qi Feng
Pediatrics
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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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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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Written by Hu Qi Feng
Pediatrics
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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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Written by Wang Ji Zhong
Internal Medicine
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Is mumps infectious during the incubation period?

We generally distinguish three types of mumps: epidemic mumps, suppurative mumps, and immune mumps. However, the most commonly seen type is epidemic mumps, which is caused by the mumps virus and is an acute respiratory infectious disease characterized by the swelling of the salivary glands. Patients with mumps are infectious during the incubation period. Research has shown that the virus can be detected from 7 days before the swelling of the salivary glands to 9 days after the swelling, approximately lasting a week. This indicates that these two weeks are the infectious period. Therefore, when we identify patients with mumps, it is crucial to isolate them in a timely manner and provide treatment to prevent the spread of the infection to others.

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Pediatrics
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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.