From the Research
Viral sialadenitis should be managed with a supportive treatment approach, focusing on symptom management, as the condition is typically self-limiting and resolves within 7-10 days without specific antiviral therapy. The most common cause of viral sialadenitis is the mumps virus, though other viruses like cytomegalovirus, Epstein-Barr virus, and parainfluenza can also be responsible 1. Patients should increase fluid intake, apply warm compresses to the affected area, take over-the-counter pain relievers like acetaminophen (500-1000mg every 6 hours) or ibuprofen (400-600mg every 6-8 hours), and maintain good oral hygiene 2. Sucking on sour candies or lemon drops can stimulate saliva flow and provide relief.
Key considerations in the management of viral sialadenitis include:
- Increasing fluid intake to prevent dehydration
- Applying warm compresses to the affected area to reduce pain and swelling
- Taking over-the-counter pain relievers to manage pain and discomfort
- Maintaining good oral hygiene to prevent secondary infections
- Monitoring for signs of complications, such as high fever, severe pain, difficulty swallowing, or breathing problems, which may indicate the need for medical attention 2.
It is essential to note that viral sialadenitis is typically self-limiting, and the body's immune system eventually clears the viral infection. However, adequate hydration and pain control are crucial for patient comfort during recovery. If symptoms worsen, persist beyond two weeks, or if the patient develops signs of complications, medical attention should be sought immediately, as these may indicate complications or bacterial superinfection requiring antibiotics 2.