Glandular fever mainly affects young adults. The virus that causes glandular fever is known as Epstein-Barr virus. In the past, it was commonly known as kissing disease or mono. Most people with mono don't experience dangerous complications, Blank says, but the risk is increased for those with weakened immune systems, such as people with HIV, or anyone taking immunity suppressing drugs, like after an organ transplant.Glandular fever is the common term used to describe an acute viral infection called infectious mononucleosis. In most cases, your liver function will improve as your body fights off mono, but you should still seek medical attention if you experience symptoms of jaundice. Jaundice is caused by a buildup of bilirubin, or a waste material cleared by the liver, in your blood. Mono can also cause hepatitis, or liver inflammation, which may lead to jaundice or yellowing of the skin. Tenderness when you touch the area under your rib cage on the left side.Sharp pain in the upper left abdomen where your spleen is located.A ruptured spleen is a medical emergency and you should seek immediate medical attention if you experience signs of a ruptured spleen, including: Splenic rupture is the leading cause of death in people with mono, but it is very rare, occurring in 0.5% of cases. Your spleen can remain enlarged for weeks after other symptoms subside, and because a swollen spleen increases the risk of rupture, most doctors will advise you not to engage in physical activity or contact sports for at least three to six weeks from the onset of mono symptoms, Blank says. The risk of complications from mono, like an enlarged spleen, is higher for people who are immunocompromised, Blank says. This is due to an increase in white blood cells called lymphocytes that infiltrate and enlarge the spleen. The two most notable complications are an enlarged spleen and swollen liver.Īn enlarged spleen occurs in about 50% of mono cases. Health complications from mono are rare, but they can be serious. #Mono mouth how toHow to recognize mono complications and get further treatment Sleep can also boost your immune system and help your body fight off infection. It's important to rest when you feel you need to, as strenuous physical activity can aggravate an enlarged spleen. You should start to feel better in about four weeks, but some symptoms from mono, especially fatigue, can persist for several months. In rare cases, your doctor may prescribe a corticosteroid medication to help decrease swelling, if it's bad enough to affect your airway. Some people with mono experience swelling in their tonsils and throat that can make it difficult to eat or swallow. An over-the-counter pain reliever, like Tylenol (acetaminophen) can help break a fever and relieve other symptoms like chills. You can do this several times a day to get rid of a sore throat and soothe inflammation. Gargle for a few seconds and then spit it out. Add about ¼ to ½ teaspoon of table salt to warm water and stir to dissolve. Talk with your doctor about when you should resume your normal activities. But once the fever subsides, light physical activity, like short walks, may help you recover faster, if you feel up to it. You should stay in bed while running a fever. Mono can make you feel weak and fatigued, so aim to get about eight to 10 hours of sleep a night and nap when you feel you need to. Warm drinks can also help soothe a sore throat. This can come from water, herbal teas, soup or broth. You should aim to drink about half your body weight in ounces a day. It's more difficult for your organs to receive adequate nutrients and fight off infection if you're dehydrated. Drink plenty of fluids to keep yourself hydrated. Instead, if you have mono, your doctor will recommend that you: In fact, common antibiotics, such as amoxicillin or penicillin, can cause a rash for people with mono and should be avoided, says Julia Blank, MD, family medicine physician at Providence Saint John's Health Center. Because mono is a viral infection, it can't be treated by antibiotics.
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