100273 Health Library | Health and Wellness | Wellmont Health System
  • Parotitis

    (Sialadenitis; Salivary Gland Infection)


    Parotitis causes swelling in one or both of the parotid glands. These are two large salivary glands that sit inside each cheek over the jaw in front of each ear. Usually, the problem goes away by itself, but some cases require treatment. See your doctor if you have swelling or other symptoms in this part of your face.
    Parotid Gland
    Nucleus factsheet image
    Copyright © Nucleus Medical Media, Inc.


    A variety of factors can lead to an inflamed parotid gland. They include:
      Viral infection
      • Mumps is the main virus causing parotitis, but this virus is rare today because of vaccines .
      • AIDS can cause swelling and enlarged parotid glands
      A blockage may block saliva flow and lead to a bacterial infection; causes include:
      • Salivary stone in the parotid gland
      • Mucus plug in a salivary duct
      • Tumor (usually benign)
    • Sjogren’s syndrome —an autoimmune disease
    • Sarcoidosis
    • Malnutrition
    • Radiation treatment of head and neck cancer can lead to parotid gland inflammation
    • Other conditions can cause the parotid glands to become enlarged, but not infected, including:

    Risk Factors

    A risk factor is something that increases your chance of getting a disease or condition.
    Discuss these risk factors with your doctor:
      • Poor oral hygiene
      • Not vaccinated against mumps
    • Age: older than age 65
    • Medical conditions:
      • HIV-positive or AIDS
      • Sjogren’s syndrome
      • Diabetes
      • Malnutrition
      • Alcoholism
      • Bulimia


    If you have any of these symptoms, do not assume it is due to parotitis. These symptoms may be caused by other health conditions. To determine the cause of your symptoms, see your doctor.
    • Swelling in front of your ears, below your jaw, or on the floor of your mouth
    • Dry mouth
    • Strange or foul taste in your mouth
    • Pus draining into the mouth
    • Mouth or facial pain, especially when you are eating or opening your mouth
    • Fever, chills, and other signs of infection
    If parotitis recurs, it can cause severe swelling into the neck and can destroy the salivary glands.


    Your doctor will ask about your symptoms and medical history, and perform a physical exam. This may be enough to make a diagnosis. Tests may include:
    • Removing fluid from the gland and checking it for signs of infection
    • X-rays —a test that uses radiation to take a picture of structures inside the body; used to see salivary stones
    • Ultrasound —a test that uses sound waves to take pictures of the structures inside the body
    • CT scan —a type of x-ray that uses a computer to make pictures of structures inside the body


    Talk with your doctor about the best treatment plan for you. Treatment options include:

    Good Oral Hygiene

    Flossing and thorough tooth brushing at least twice a day may help with healing. Warm salt water rinses can help keep the mouth moist. It may also help if you quit smoking.


    • Antibiotics—to control bacterial infections only; not effective for viral infections
    • Medications—to treat underlying conditions, such as Sjogren’s syndrome or AIDS
    • Anti-inflammatories—to manage swelling and pain

    Blockage Removal

    Your doctor may need to remove a stone, tumor, or other blockage. Increasing saliva flow may be all that is needed to remove a mucus plug.


    To help reduce your chances of getting parotitis, take the following steps:
    • Get treatment for infections.
    • Get regular dental care.
    • Drink plenty of fluids.
    • Suck on sugarless candy or chew sugarless gum to increase the flow of saliva.


    Centers for Disease Control and Prevention http://www.cdc.gov/

    National Library of Medicine http://www.nlm.nih.gov/


    Health Canada http://www.hc-sc.gc.ca/index-eng.php/

    Public Health Agency of Canada http://www.phac-aspc.gc.ca/chn-rcs/index-eng.php/


    Cain A. Parotitis. Net Doctor website. Available at: http://www.netdoctor.co.uk/diseases/facts/parotitis.htm . Updated April 10, 2005. Accessed November 10, 2010.

    Chitre VV, Premchandra DJ. Review: recurrent parotitis. Arch Dis Child . 1997;77:359-363.

    DynaMed Editorial Team. Acute suppurative parotitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated June 21, 2010. Accessed November 10, 2010.

    Revision Information

  • Join WellZones today.

    Make a Change For LifeLearn more

    Wellmont LiveWell is creating a new tradition of wellness in the mountains by providing individuals with tools and encouragement to live healthier lifestyles.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease early and prevent heart attacks with HeartSHAPE® - a painless, non-invasive test that takes pictures of your heart to scan for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.

  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.