There is currently no treatment to kill the virus that causes mononucleosis, therefore, treatment goals are focused on providing relief of mono symptoms as the body fights the virus.
Someone diagnosed with mono should also get plenty of rest, treat throat or headache pain, and avoid contact sports and heavy lifting for 4 months (or until a doctor tells them it is okay). Mono can cause the spleen to enlarge, and these activities can increase risk for injuring the spleen. If a person contracts mono they can also avoid passing the virus to others by not kissing anyone and by not sharing things like glasses, eating utensils, or toothbrushes. The following suggestions outline how a person with mono can treat related symptoms.
Fever and body aches
For fever and achiness, doctors recommend acetaminophen or ibuprofen. Children under 20 should not take aspirin unless approved by a doctor approves it because aspirin taken for viral illnesses has been associated with the potentially fatal disease known as Reye's syndrome.
If the liver is affected as a complication of mono, doctors recommend that people avoid consuming alcohol and fatty food, because these food require enzymes and/or bile in order to be digested.
Cold drinks and frozen desserts are both ways to relieve sore throat symptoms. Doctors also recommend gargling with salt water (about half a teaspoon of salt to 8 ounces of warm water), and sucking on throat lozenges, available over-the-counter in pharmacies and other stores.
About half of people with mono develop enlargement of the spleen, usually two to three weeks after they first become sick. Mild enlargement of the liver may also occur. Doctors suggest that you avoid lifting heavy objects or vigorous exercise - including participation in contact sports - for two months after diagnosis, because these activities increase the risk of rupturing the spleen, which can be life threatening.
Tonsillitis or trouble breathing
To control the swelling of the throat and tonsils, some physicians prescribe a 5-day course of steroids The use of steroids has also been reported to decrease the overall length and severity of the illness, but these reports have not been published.
Mononucleosis is an infectious disease, so sharing of utensils and close contact with a person infected by EBV should be avoided. Severe cases are rare as the timely treatment of mononucleosis can completely cure the patient. It is not an incurable disease and in most cases, there is no major cause of worry. The treatment of mononucleosis mainly includes adequate rest and sufficient fluid intake.
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