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26   COMMON CONDITIONS


         INFECTIOUS DISEASES




         Mumps




              Mumps is a viral infection that was common in children before
                                                                            WARNING
              routine immunization. The incubation period is 2–3 weeks. The
              illness usually starts with a fever, headache, and muscle aches.  Contact your doctor urgently if any
                                                                     of the following develop:
              These are usually followed by swelling on one or both sides of
                                                                     ● Severe headache and avoidance
              the face and neck of the parotid salivary glands, which are just in
                                                                     of bright light
              front of and below the ears. Talking, eating, and drinking may be  ● Vomiting, seizures, or excessive
              painful. Mumps is usually mild in children, but teenagers and  drowsiness
              adults may develop potentially serious complications.


              See your doctor first
                                                                    DRUG REMEDIES
              Make an appointment to see your doctor to
              confirm mumps and check for complications.    Analgesics will bring down a fever and
                                                            relieve muscle aches and the pain of swollen glands.
                                                            ● For a child, give acetaminophen (see p.177),
         What you can do yourself                           available as liquid medicine or chewable pills, or
                                                            ibuprofen (see p.185), available as liquid medicine.
              There is no specific treatment for mumps, but you  Make sure you ask your pharmacist to recommend an
              can make yourself or your child more comfortable.   appropriate product for your child.
                                                            ● Adults can take acetaminophen (see p.177) or
              ● Rest until symptoms begin to ease.
                                                            ibuprofen (see p.185).
              ● A warm compress, such as a washcloth soaked
              in warm water, applied to the side of the face,
              can help relieve pain in swollen glands.
                                                                      PREVENTION
              ● Drink plenty of fluids, but avoid acidic fruit juices
              because they stimulate saliva and may make the  Immunization to protect against mumps is
              enlarged glands more painful. Use a straw if  given as part of the MMR (measles, mumps, rubella)
              opening your mouth is painful.                vaccine. Make sure your child is immunized.
              ● Have soup, yogurt, and other soft, bland foods
              that are easy to swallow.
              ● An analgesic will help reduce fever and relieve  Seek further medical advice
              aches and pains (see DRUG REMEDIES, right).
                                                            Arrange to see your doctor if you or your
              ● If mumps affects the testes, stay in bed and
                                                            child develops:
              wear supportive clothing, such as two pairs of
                                                            ● Pain in the abdomen or chest
              close-fitting underpants, until symptoms ease.
                                                            ● Swelling and pain in the testes
              ● If there are no complications, a child can usually
              go back to school, or an adult return to work,
              5 days after the onset of the illness. Full recovery,
              however, can take 1–2 weeks.
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