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 Tong Peng
Pediatrics
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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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Written by Wang Ji Zhong
Internal Medicine
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How is mumps caused?

There are several causes of mumps, which can be infectious, immune, obstructive, and idiopathic. The commonly referred mumps primarily refers to epidemic mumps, a prevalent infectious disease caused by the mumps virus infection in humans. Additionally, there is suppurative mumps, an acute bacterial condition mainly caused by Staphylococcus aureus, followed by Streptococcus. Some immune types of mumps, like Sjögren's syndrome, can cause chronic, autoimmune, and immune mumps. Therefore, identifying the cause of mumps and providing timely symptomatic treatment is essential.

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Written by Wang Ji Zhong
Internal Medicine
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Is mumps contagious?

The mumps commonly referred to is epidemic mumps, which is highly contagious, caused by an infection of the mumps virus leading to inflammation and swelling of the salivary glands, constituting an acute respiratory infectious disease. It is primarily transmitted through saliva, with individuals suffering from mumps serving as the contagion source. Viruses can be secreted via the saliva of infected individuals about two weeks before and after the onset of infection, hence its contagious nature. After developing symptoms, patients should be promptly isolated and treated to prevent transmission to others or to individuals with low immunity. Particularly during the spring and winter seasons, efforts should be made to avoid viral infections and seek timely treatment upon symptom onset.

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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 Wang Ji Zhong
Internal Medicine
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What are the early symptoms of mumps?

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.