What is the treatment for parotitis (inflammation of the parotid gland)?

Treatment for parotitis typically involves managing symptoms while addressing the underlying cause. For viral parotitis (like mumps), treatment includes rest, adequate hydration, soft foods, warm or cold compresses to reduce swelling, and pain relievers such as acetaminophen (500-1000mg every 6 hours) or ibuprofen (400-600mg every 6-8 hours). Bacterial parotitis requires antibiotics, commonly amoxicillin-clavulanate (875/125mg twice daily for 7-10 days) or clindamycin (300-450mg four times daily for 7-10 days) if penicillin-allergic. Severe cases may need IV antibiotics and hospitalization. Gentle massage of the gland and sucking on sour candies can stimulate saliva flow to help clear blockages. Good oral hygiene is essential, including regular brushing, flossing, and using alcohol-free mouthwash. For chronic or recurrent parotitis, addressing underlying conditions like Sjögren's syndrome, dehydration, or medication side effects is crucial. Surgical intervention is rarely needed but may be considered for persistent stones or abscesses. Most cases of parotitis resolve within 1-2 weeks with appropriate treatment.