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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infectious Mononucleosis

Hi, My college age son was just diagnosed with Mono. He was sick a month ago while home on break. The doctors gave him antibiotics, steroid, and Flonase. He also was very sick the month before that. So, he was sick three months in a row. Could each of these illnesses have been mono and he has never gotten rid of it? Is there something I should be concerned about?
Fri, 1 Apr 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern
Infectious mononucleosis is infectious widespread viral disease most commonly caused by the Epstein–Barr virus.
It causes fever, sore throat, headache and lymphadenopathy

It is is generally self-limiting,
only symptomatic and/or supportive treatments are used
1. avoid heavy physical activity/ weight lifting, that increased abdominal pressure first 3–4 weeks of Medications
2. Paracetamol/ ibuprofen for fever and pain.
3. Prednisone:it is anti inflammatory to reduce symptoms of pharyngeal pain, odynophagia, or enlarged tonsils
4. Antiviral drug valacyclovir: reduce viral sheddingsand leading to a significant decrease in the severity of symptoms
5. Antibiotics, Cefixime: to prevent secondary bacterial infection

You should regularly do USG to know the status of spleen.

Hope this may help you.
Best regards
Dr. Sagar
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Suggest Treatment For Infectious Mononucleosis

Hello dear Understand your concern Infectious mononucleosis is infectious widespread viral disease most commonly caused by the Epstein–Barr virus. It causes fever, sore throat, headache and lymphadenopathy It is is generally self-limiting, only symptomatic and/or supportive treatments are used 1. avoid heavy physical activity/ weight lifting, that increased abdominal pressure first 3–4 weeks of Medications 2. Paracetamol/ ibuprofen for fever and pain. 3. Prednisone:it is anti inflammatory to reduce symptoms of pharyngeal pain, odynophagia, or enlarged tonsils 4. Antiviral drug valacyclovir: reduce viral sheddingsand leading to a significant decrease in the severity of symptoms 5. Antibiotics, Cefixime: to prevent secondary bacterial infection You should regularly do USG to know the status of spleen. Hope this may help you. Best regards Dr. Sagar