{"id":14397,"date":"2018-02-01T13:56:13","date_gmt":"2018-02-01T13:56:13","guid":{"rendered":"http:\/\/i-base.info\/qa\/?p=14397"},"modified":"2018-02-01T14:07:24","modified_gmt":"2018-02-01T14:07:24","slug":"is-radiation-or-surgery-is-better-enlarged-parotid-glands-parotitis","status":"publish","type":"post","link":"https:\/\/i-base.info\/qa\/14397","title":{"rendered":"Is radiation or surgery is better enlarged parotid glands (parotitis)?"},"content":{"rendered":"<p>Hi<\/p>\n<p>Thanks for your question.<\/p>\n<p>Before talking about options for treatment I\u2019d be interested in what might be the cause for the enlarged parotid glands?<\/p>\n<p>When looking for research articles, most cases (irrespective of HIV) refer to very different causes, for example, bacterial infections or to cancers or to HIV\/treatment. This is a subject that I know little about, but the cause is nearly always important in deciding the course of treatment.<\/p>\n<p>Although I couldn\u2019t find medical journal articles about HIV and parotitis, I do remember discussions on a community discussion forum called pozhealth@yahoogroups.com. This was in the context of lipodystrophy, but also was several years ago.<\/p>\n<p>One option would be to join this forum and then search for those discussions. This might also be a good place to post your question about treatment as Nelson Vergel (who wrote one of the articles I link to below), personally has this experience. You could also try contacting the doctor referred to in the article. Although this was written more than ten years ago, I think they are still in practice).<\/p>\n<p>Perhaps asking both your doctors why they have a preference for one treatment over the other.\u00a0Sometimes doctors just have more experience than one than another, or they might say either is likely to be good.<\/p>\n<p><b>Links<\/b>\u00a0<i>(please note the date for each as some are quite old)<\/i>.<\/p>\n<p><a href=\"http:\/\/www.thebody.com\/Forums\/AIDS\/Nutrition\/Q244096.html\">http:\/\/www.thebody.com\/Forums\/AIDS\/Nutrition\/Q244096.html<\/a><\/p>\n<p><a href=\"http:\/\/survivinghiv.blogspot.co.uk\/2006\/04\/chipmunk-look-that-noone-talks-about.html\">http:\/\/survivinghiv.blogspot.co.uk\/2006\/04\/chipmunk-look-that-noone-talks-about.html<\/a><\/p>\n<p><a href=\"https:\/\/health.usnews.com\/doctors\/patricia-gordon-585907\">https:\/\/health.usnews.com\/doctors\/patricia-gordon-585907<\/a><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4368956\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4368956<\/a><\/p>\n<p><a href=\"http:\/\/www.japi.org\/july_2009\/article_06.pdf\" target=\"_blank\">http:\/\/www.japi.org\/july_2009\/article_06.pdf<\/a> \u00a0(PDF)<\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20097488\u00a0\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20097488\u00a0<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I have been healthy and HIV positive for 27 years. Over the last several years, I have developed parotitis. My parotid gland\/cheek is swollen and red. No other symptoms, just the swelling. It is starting to feel disfiguring. I&#8217;ve talked to my primary care doc and he suggested low dose radiation treatment. My ENT is saying surgery. I&#8217;m not sure which course of action to follow. Do you have any links to studies that have been done on this? I can&#8217;t find any to help me make a decision. Thanks!<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,29,53],"tags":[],"class_list":["post-14397","post","type-post","status-publish","format-standard","hentry","category-all-topics","category-opportunistic-infections","category-research"],"_links":{"self":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/14397","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/comments?post=14397"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/14397\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/media?parent=14397"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/categories?post=14397"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/tags?post=14397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}