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Discomfort near spleen,stomach pain in night,fever,weakness,heart palpitations,mono test positive

my dr tested me for mono 2 times in the past week and both came back positive. Im having discomfort where my spleen is and pain at night in my stomach area as well slight fevers all day and weakness to the point where I can barely walk up stairs. Ive also been having heart palpitations all day long. Is this normal with mono? I am 36 yr old female
Asked On : Sun, 1 Apr 2012
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General & Family Physician 's  Response
Hello kelligcsc. Thank you for visiting Mononucleosis is a viral illness caused by the Epstein-Barr virus characterized by splenomegaly (spleen englargement), hepatomegaly (liver enlargement) ,fevers, severe weakness, sore throat, myalgia (muscle soreness), headache, nausea, and abdominal pain.

These are the most common signs and symptoms but there are others as well. The splenomegaly is severe enough that a patient can, if they have abdominal trauma while spleen is enlarged, have spleen rupture. This is why no one is allowed to play sports while they have mono.

Unfortunately there is no treatment to shorten the illness of mono and the mainstay of treatment is rest and to maintain hydration. Mononucleosis usually last greater than 6 weeks.

The heart palpitations, if they continue, need to be addressed by your doctor even though most heart palpitations are benign. In very rare cases, heart palpitations can signify myocarditis or pericarditis in patients with mono. If the palpitations become severe or more frequent, go to emergency room.

Be well, Dr. Kimberly

Answered: Sun, 1 Apr 2012
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