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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

My 13 yr old son recently had was diagnosised with mono. On the follow up blood test the doctor said his red blood cells were 4.15 and hemoglobin was 12.4 and hematocrit was 36.9 his ferritin level was 36. He and i think he's feeling much better and wants to return to his activities.

Who is my son anemic. He is eating fine now.

Fri, 19 Aug 2016
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Internal Medicine Specialist,  's  Response
Unfortunately, there is no good treatment for mono. We management mono with rest and hydration usually. Symptoms usually resolve in 1-2 weeks though fatigue may last many months. The biggest concern for mono is splenic rupture and splenic enlargement which is usually not clinically apparent. The spleen is a delicate organ that is prone to rupture, especially when enlarged. Therefore, it is recommend to not return to physical activity for 6-12 months. Also, he is still anemic. Normal hemoglobin for his age should be above 13.8.
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Suggest Treatment For Infectious Mononucleosis

Unfortunately, there is no good treatment for mono. We management mono with rest and hydration usually. Symptoms usually resolve in 1-2 weeks though fatigue may last many months. The biggest concern for mono is splenic rupture and splenic enlargement which is usually not clinically apparent. The spleen is a delicate organ that is prone to rupture, especially when enlarged. Therefore, it is recommend to not return to physical activity for 6-12 months. Also, he is still anemic. Normal hemoglobin for his age should be above 13.8.