Hello Doctor, My daughter Rita, 8 y.o., has an...

Symptomes and manamgent of Chronic parotid swelling 
Chronic parotitis is a state of chronic inflammatory process that cause perisistant parotid gland swelling mainly due to salivary flow obestruction and parotid congestion, mostly its caused by stone formation in the flow of the salivary duct, it present as mildly tender swelling of the infra-auricular area that can got secandary bacterial infection and hotness with tenderness, most of time in children its precedded by mumps infection. other causes include lymphnode swelling and benign parotid gland tumors that should be investigated properly and treated according to ENT specialist advice by drainage of any obstruction or excision of the tumor .
Investigations 
After proper physical exam you should do cbc to detect any rise in WBC count, ultrasound to detect the character of the swelling and MRI to define the etiology of the swelling. Sialogram is a wise investigation to detect salivary flow obestuction. Excsional biobsy could be done to examine the tissue.
Causes 

• Chronic parotitis 
• Parotid gland tumors 
• Lymph node adentis 
• Lymphoma 

Our advice 
You are adviced to maintain well balanced diet of the child rich in minerals and vitamins from its natural sources.