The first sign of mumps is swelling and pain. The pain is first felt under one ear with stiffness of the neck and jaw. There is a slight fever which subsides in three or four days. The swelling appears first under one jaw and then extends under the other jaw. The gland becomes tender on pressure. On account of the pressure of the swelling, mastication and swallowing becomes difficult.

If the disease occurs after puberty, the testicles may be affected. The ovary may be infected in females. IN males, the gonads are usually swollen. If the disease spreads to the testicles, the swelling and pain are very considerable, there is a high fever, and the patient may become depressed and even a little confused. Mumps can also lead to meningitis ( inflammation of the soft membranes of the brain ) and encephalitis (inflammation of the brain ) with delirium, severe headache and other signs of irritation of the meninges, or it may spread to the pancreas, when the symptoms include pain in the abdomen and loss of appetite. The patient may vomit.

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