What should be done about a swollen parotid gland?

Patient's question:

[Condition Description: The symptoms started a week ago, initially with pain. I went to the hospital for three days of treatment, and the pain stopped, but the swelling hasn't gone down. Now I don't have money for further treatment. Will it get better if I continue like this? I rinse it with warm water every day and take anti-inflammatory medication. Will this help it heal?
History of Treatment and Effects: I've never had this before. It's my first time.
What kind of help I want: It costs over three hundred dollars every day, and I don't have money to go to the hospital anymore. Is there any other method that could work?]

Doctor's answer:

Hello. This disease generally occurs in women of childbearing age, with the main pathogens including Staphylococcus, Escherichia coli, Streptococcus, Enterococcus, Neisseria gonorrhoeae, and anaerobic bacteria, etc. In recent years, there has been a significant increase in the incidence of vestibular glanditis caused by Neisseria gonorrhoeae.
For the treatment of vestibular gland enlargement, there are two methods. One is cystectomy, which involves the complete removal of the cyst. However, due to its high trauma, it is now rarely used and has been replaced by cystostomy. The incision for cystostomy is made below the cyst to allow the cyst fluid to drain completely, while a drainage tube is used to prevent stenosis of the stoma. Additionally, a 1/5000 potassium permanganate solution is used for sitz baths.
The prognosis is generally favorable, and the function of the vestibular glands can be well preserved. Wishing you a speedy recovery!

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