What is Mumps
Mumps is a disease caused by a virus that usually
spreads through saliva and can infect many parts of the body,
especially the parotid salivary glands. These glands, which
produce saliva for the mouth, are found toward the back of each
cheek, in the area between the ear and jaw. In cases of mumps,
these glands typically swell and become painful.
The disease has been recognized for several centuries, and medical
historians argue over whether the name "mumps" comes from an old
word for "lump" or an old word for "mumble."
Mumps was common until the mumps vaccine was licensed in 1967.
Before the vaccine, more than 200,000 cases occurred each year in
the United States. Since then the number of cases has dropped to
fewer than 1,000 a year, and epidemics have become fairly rare. As
in the pre-vaccine era, most cases of mumps are still in kids ages
5 to 14, but the proportion of young adults who become infected
has been rising slowly over the last two decades. Mumps infections
are uncommon in kids younger than 1 year old.
After a case of mumps it is very unusual to have a second bout
because one attack of mumps almost always gives lifelong
protection against another. However, other infections can also
cause swelling in the salivary glands, which might lead a parent
to mistakenly think a child has had mumps more than once.
Treatment
If you think that your child has mumps, call your doctor, who can
confirm the diagnosis and work with you to monitor your child and
watch for complications. The doctor can also notify the health
authorities who keep track of childhood immunization programs and
mumps outbreaks.
Because mumps is caused by a virus, it cannot be treated with
antibiotics.
At home, monitor and keep track of your child's temperature. You
can use nonaspirin fever medications such as acetaminophen or
ibuprofen to bring down a fever. These medicines will also help
relieve pain in the swollen parotid glands. Unless instructed by
the doctor, aspirin should not be used in children with viral
illnesses because its use in such cases has been associated with
the development of Reye syndrome, which can lead to liver failure
and death.
You can also soothe the swollen parotid glands with either warm or
cold packs. Serve a soft, bland diet that does not require a lot
of chewing and encourage your child to drink plenty of fluids.
Avoid serving tart or acidic fruit juices (like orange juice,
grapefruit juice, or lemonade) that make parotid pain worse.
Water, decaffeinated soft drinks, and tea are better tolerated.
When mumps involves the testicles, the doctor may prescribe
stronger medications for pain and swelling and provide
instructions on how to apply warm or cool packs to soothe the area
and how to provide extra support for the testicles.
A child with mumps doesn't need to stay in bed, but may play
quietly. Ask your doctor about the best time for your child to
return to school.
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