How to treat suppurative mumps?

To treat suppurative mumps, we must first understand the cause of the disease and use medication scientifically to correct the body's dehydration and electrolyte imbalance. For early onset of inflammation, we can use hot compresses or physical therapy, as well as external application of drugs such as Ruyi Jinhuang San.

1. Correct dehydration and electrolyte imbalance according to the cause of the disease and maintain fluid balance. If necessary, compound amino acids can be injected to enhance the body's resistance.

2. Choose effective antibiotics. Use large doses of penicillin or appropriate amounts of cephalosporin and other antibiotics against Gram-positive cocci. Take purulent secretions from the parotid duct for bacterial culture and drug sensitivity testing, and choose the most sensitive antibiotic.

3. Other conservative treatments for inflammation in the early stages include hot compresses, physical therapy, external application of Ruyi Jinhuang Powder, drinking acidic beverages, or holding vitamin C tablets orally, or taking 3-5 drops (2-3 mg) of 1% pilocarpine orally, 2-3 times a day, to increase saliva secretion. Antiseptic mouthwashes such as warm boric acid or sodium bicarbonate solution can also help control inflammation.

4. Incision and drainage are necessary when the skin develops into suppuration. Its characteristics are: obvious local pitting edema, local throbbing pain and localized tenderness, hesitation in puncture and pus; pus discharge from the parotid duct orifice, and obvious symptoms of systemic infection and poisoning. Method of incision and drainage: local infiltration anesthesia. An incision is made in front of the ear and at the posterior edge of the mandibular ramus from the tragus down to the mandibular angle. The skin, subcutaneous tissue and parotid-masseter fascial fluid accumulated under the fascia can be drained. If there is no pus overflow, a curved vascular forceps can be inserted into the abscess cavity of the parotid gland to drain the pus. Because there are often multiple abscesses, attention should be paid to separating them in different directions to separate the abscess cavities of each glandular lobule. After flushing, install a rubber drainage strip, flush with saline every day and replace the drainage strip.

5. In the early stage of inflammation, namely the serous inflammation stage, antibiotic treatment can be used, such as combined treatment with penicillin and streptomycin or other broad-spectrum antibiotics. Local physical therapy can be used, such as ultrashort wave, infrared, or external application of Chinese medicine. Rinse locally to clean the mouth. And drink acidic food to promote secretion. If the inflammation cannot be controlled after conservative treatment, the patient will experience throbbing pain, local pitting edema, or compression of the parotid tissue, with pus flowing out of the parotid duct. On the one hand, the pus should be cultured for drug sensitivity, and on the other hand, incision and drainage should be performed. Because the parotid fascia is dense, it is difficult to palpate fluctuations when an abscess forms.