

The natural history of monoamniotic twin pregnancies: a case series and systematic review of the literature. It’s also important to avoid strenuous physical activity that may rupture an enlarged spleen.Prefumo F, Fichera A, Pagani G, Marella D, Valcamonico A, Frusca T.

Rest and over-the-counter medications are often the best ways to ease symptoms. Your healthcare provider can provide suggestions for finding relief. However, symptoms like extreme fatigue, sore throat and body aches can disrupt school, work and life. Most cases of mononucleosis (mono) don’t cause serious problems.

Internal bleeding from a ruptured spleen can be life-threatening and requires emergency surgery. If your spleen bursts, it can bleed into your abdomen. This gland in the upper left abdomen (belly) helps filter blood.

Some people miss some school or work as they recover.Īn enlarged spleen that ruptures (bursts) is the biggest concern with mono in previously healthy individuals. Feelings of fatigue can linger for months. Mono symptoms tend to gradually improve in about four weeks. What are the complications of mononucleosis (mono)? You should avoid contact sports and strenuous exercise while you’re sick and for up to four weeks afterward. Avoiding sports: Physical activity can put too much pressure on an enlarged spleen, increasing the risk of rupture.Sore throat soothers: You can gargle with salt water and use throat lozenges.These drugs include ibuprofen (Advil®) and naproxen (Aleve®). Pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) ease fever, inflammation, headaches and muscle aches.Hydration: Drink plenty of fluids to prevent dehydration.Instead, treatments focus on helping you feel better by relieving symptoms. Antibiotics to fight bacterial infection and antiviral medications to kill other viruses don’t work against mono. How is mononucleosis (mono) managed or treated? And people with weakened immune systems may develop mono symptoms more than once. However, you may unknowingly spread the reactivated virus to others. If EBV reactivates, it rarely causes symptoms. The Epstein-Barr virus stays in your body in an inactive form even after mono symptoms go away. Sharing food, drinks or eating utensils.Ĭan you get mononucleosis (mono) more than once?.You can pick them up through contact with an infected person’s bodily fluids, including saliva. Viruses that cause mono are very contagious. However, EBV is more likely to spread through other means like sharing drinks or kissing. Both viruses can be sexually transmitted. It’s different than the herpes simplex virus (HSV) that causes genital and oral herpes. Is mono a sexually transmitted infection?Įpstein-Barr is a type of herpes virus. About one in four people in this age group who get EBV come down with mono, but anyone can get it, no matter their age. Young children are often asymptomatic, whereas teenagers and people in their 20s are most likely to get mono. There are often two peaks when people acquire EBV: early school age children and again around adolescence/young adulthood. Not everyone who has the virus develops mono symptoms - some people only carry the virus. Around 90% of Americans are infected with it by age 35. The Epstein-Barr virus (EBV) that causes mono is extremely common. With mono, you might feel sick for about a month. Still, extreme fatigue, body aches and other symptoms can interfere with school, work and daily life. Mono is sometimes called “the kissing disease” because it spreads easily through bodily fluids like saliva.įor most people, mono isn’t serious, and it improves without treatment. Viruses, most commonly Epstein-Barr Virus (EBV), and certain infections cause the illness. Mononucleosis is an illness that commonly affects teenagers and young adults, but can affect children as well.
