What's wrong with the swelling and pain under the earlobe

The swelling and pain under the earlobe is most likely caused by mumps, excluding lymph node inflammation. Mumps is a viral infectious disease that is more common in children. The main clinical manifestations are fever and swelling and pain in the cheek. Mumps is autoimmune. Generally, people who have had mumps will not get mumps again, but a small number of people will have relapses. Mumps itself is not scary, but if not treated in time, the complications caused can be fatal. So what should you do after discovering mumps?

1. For patients with parotid gland enlargement, obvious pain, and obvious systemic symptoms (such as high fever), it is recommended to give antiviral drugs, antibiotics, and vitamin C intravenously for 3-5 consecutive days. After the symptoms have improved significantly, switch to oral antiviral drugs for 3-5 days. Through about 10 days of systematic treatment, most children can recover without any sequelae. For very severe parotid gland swelling, you can also consider applying some Chinese medicine externally to promote swelling reduction, but you must pay attention to skin protection to avoid skin damage. It should be noted that it is impossible to completely cure mumps by external application alone, and it may even leave complications such as recurrent mumps. For those with mild symptoms, they can be basically cured in about 7-10 days through oral antiviral drugs, antibiotics and VC.

2. Traditional Chinese medicine treatment dispels wind, relieves exterior symptoms, clears away heat and detoxifies. Take 60-90 grams of Isatis root decoction or Yinchi powder plus 15 grams of Daqingye decoction; for local application, you can use Zijin Ding or Qingdai powder mixed with vinegar, apply it topically several times a day; or use thin dandelion, duckweed, narcissus root, purslane, etc. to mash and apply externally to relieve local swelling and pain. If necessary, take painkillers, aspirin and other antipyretic and analgesic drugs orally.

3. Treatment of complications

(1) When complications occur such as meningoencephalitis, orchitis, or myocarditis, adrenocortical hormones can be used for a short period of time. For example, hydrocortisone, 200-300 mg/day for adults, or prednisone 40-60 mg/day, for 3-5 consecutive days, and the dosage can be reduced for children. Patients with complicated myocarditis are treated with large amounts of vitamin C and myocardial nutritional drugs.

(2) Treatment of orchitis: Antiviral treatment is combined with the use of hormones, local cold compresses and immobilization of the testicles, and symptomatic treatment such as magnesium sulfate wet compresses on the swollen scrotum. Adult patients can use ethinyl estradiol in the early stage of the disease, 1 mg each time, three times a day, which can reduce swelling and pain.

(3) Treatment of meningoencephalitis can be based on the treatment of Japanese encephalitis. In case of high fever, headache, or vomiting, give appropriate amounts of diuretics to relieve dehydration.

(4) Treatment of pancreatitis: no food intake, no infusion, repeated injection of atropine or behenyl alcohol, and early application of corticosteroids.

Disease Prognosis

The prognosis of mumps is generally good after systematic and standardized treatment.