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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sore Throat And Fatigue When Diagnosed With Infectious Mononucleosis

I was diagnosed with a recurrent mono virus in June. Sore throat turned into strep and now I still have sore throat, extreme and debilitating fatigue that makes me feel as if I am getting the flu, and no longer able to function for more than about 3 hours a day. Test results all negative except low b12 now. Dr suggested ent visit. More than a sore throat. Could it be CFS?
Mon, 9 Jan 2017
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General & Family Physician,  's  Response
Hi,

Mono is a viral infection that may manifest with the symptoms you describe. It may not have any specific treatment but for symptomatic management. However, persistent sore throat may be due to a bacteria super infection and will need antibiotics.

I will suggest you to see the ENT for examination and a throat swap culture. As for your intense fatigue, it may be chronic fatigue syndrome (CFS) commonly caused by viral infections (like mono), immune system problems, hormonal imbalances or metabolic disorders like B12 deficiency. I will suggest you try the following:

- Eat well and healthy
- Rest well
- Get some B complex vitamins
- As for sore throat, gargle with warm salt water many time per day, pain drug like Tylenol and if throat pain too intense, a local throat spray like Anginovag may be used

From the findings from the ENT exam, your doctor may judge the need for antibiotics like Amoxicillin-Clavulanic acid. Your ENT will also have to exclude chronic tonsilitis.

Hope this will help. Let me know if I can assist you further.

Wish you a speedy recovery!

Regards,
Dr. Mbuomboh Veranso
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Suggest Treatment For Sore Throat And Fatigue When Diagnosed With Infectious Mononucleosis

Hi, Mono is a viral infection that may manifest with the symptoms you describe. It may not have any specific treatment but for symptomatic management. However, persistent sore throat may be due to a bacteria super infection and will need antibiotics. I will suggest you to see the ENT for examination and a throat swap culture. As for your intense fatigue, it may be chronic fatigue syndrome (CFS) commonly caused by viral infections (like mono), immune system problems, hormonal imbalances or metabolic disorders like B12 deficiency. I will suggest you try the following: - Eat well and healthy - Rest well - Get some B complex vitamins - As for sore throat, gargle with warm salt water many time per day, pain drug like Tylenol and if throat pain too intense, a local throat spray like Anginovag may be used From the findings from the ENT exam, your doctor may judge the need for antibiotics like Amoxicillin-Clavulanic acid. Your ENT will also have to exclude chronic tonsilitis. Hope this will help. Let me know if I can assist you further. Wish you a speedy recovery! Regards, Dr. Mbuomboh Veranso