Description

• Mumps is a contagious viral infection transmitted via airborne droplets, affecting salivary glands and it is easily preventable by a vaccine 
• The organism involved is a single-stranded RNA virus of the paramixovirus family, which has only one serotype. The infection or immunization provides lifelong immunity in the majority of people 

Types

• Prodromal symptoms: fever, headache, pain over-ear (occasionally)
• Classic course: Painful, nonsuppurative enlargement of one or in up to 70 percent of the time, both parotid gland occurs
• Redness in the area of the parotid duct
• Possible protruding ears (swollen parotid pushes the ipsilateral ear out and upward)
• Incubation period: 16-18 days 

Diagnostic features:

• The opening of Stenson’s duct on the inside may be red and swollen

Differential diagnosis

• Suppurative parotitis: generally unilateral, pus from the duct opening
• Recurrent parotitis: unknown etiology

Investigation

• Generally, clinical diagnosis is made
• Elevated serum amylase
• ↑CRP, ↑ESR
• Serum IgM - positive 
• Virus culture from saliva, urine, CSF
• RT- PCR on serum or buccal swab

Treatments

• Rest
• Take plenty of water 
• Good oral hygiene

Ayurvedic Treatment 

• Jwaraghna, Deepana, Pachana, Sophachikitsa

Kashayas

• Amrutothara kashaya, Pathyakusthumbarydi kashaya
  • Up to 1 year: for mother: 2 tsp sookshma choorna is boiled in 2 glass water, strained, and given to mother. If agni bala permits give 1 tsp thrice to the child
  • 1 year to 5 years: ½ tsp powder boiled in 1 glass of water and given as divided doses mixed with sugar or jaggery
  • 5 to 10 years: 1 tsp powder boiled in 1 glass of water and given as divided doses mixed with sugar or jaggery
  • 10-15 years: 1 ½ tsp powder boiled in 1 glass of water and given twice daily mixed with sugar or jaggery

 Gutikas

• Sudarshanam gutika, Vettumaran gutika , Mukkamukkadukadi gutika
• 1-6 Years: ½ tab tds
• 6-15 years: 1 tab tds

Choorna

• Guggulupanchapala choorna
• 3-6 years: ½ tsp tds
• 6-15 years: 1tsp tds

Arishtas 

• Amrutharishta, Punarnavasava, Saribadyasava ,Surasaasava
• Up to 2yrs- ½ tsp arishta diluted with 1 tsp water
• 2- 5years- 2.5ml-5ml diluted with 5 ml boiled water
• 5-10 years- 10ml
• 10-15 years- 15ml

Department

Kaumarabhrithya