How is mumps treated in children?

Written by Wang Ji Zhong
Internal Medicine
Updated on September 29, 2024
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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 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 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 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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Written by Huang Kun Mei
Pediatrics
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How is mumps treated?

Mumps is generally caused by a viral infection and requires antiviral treatment for the child. Mumps can easily lead to fever or orchitis in boys, among other things, so it is crucial to take it seriously. It is recommended to isolate the child and avoid crowded places to prevent the spread of the infection. Ensure that the child consumes a nutrient-rich diet, including fresh vegetables and fruits such as kiwi and broccoli. Viral mumps generally affects both sides and is quite contagious, so it is essential to avoid going out and to isolate to prevent infection.

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Written by Yuan Jun Li
Neurology
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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.