Treatment FAQ

what are the common treatment options of mononucleosis

by Lelah Koepp Published 2 years ago Updated 2 years ago
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There's no specific therapy available to treat infectious mononucleosis. Antibiotics don't work against viral infections such as mono. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids.Dec 22, 2020

Medication

Apr 06, 2021 · Mononucleosis treatment options. Supportive care—rest, fluids, and over-the-counter pain medications—is the standard treatment for mononucleosis. There are no drugs that fight off the virus itself. Complications such as airway obstruction or ruptured spleen may require hospitalization. Supportive care

Procedures

Nov 04, 2021 · In addition to rest, your doctor may prescribe ibuprofen or acetaminophen for the fever , sore throat, and other discomforts of the illness. In case mono has affected your liver, check with your ...

Self-care

Body aches. Weakness or tiredness. Headaches. Sore throat. Swollen glands in the neck and underarms. Spleen enlargement. Body rash. These symptoms usually resolve after 2-4 weeks, especially in young adults. However, feelings of tiredness may continue for months after other symptoms have subsided.

Nutrition

Your care might include: Rest: Mono makes you very tired. Sleep helps your body fight infection. Hydration: Drink plenty of fluids to prevent dehydration. Pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) ease fever, inflammation, headaches and muscle aches. Sore throat soothers: You can ...

How do I choose the best treatment for mononucleosis?

Feb 08, 2021 · 10 Treatments for Mononucleosis Steps to keep the virus from spreading. Infection easily spreads through contact with infected individuals and the... Get plenty of rest. One of the well-known mono symptoms is the way the virus drains infected people of energy. In many... Drink a healthy amount of ...

What medication can help with mononucleosis?

Mar 30, 2015 · Testing and Treating Mononucleosis. Unlike some other types of infections, mononucleosis is not treated with antibiotics. This is because mono is caused by a virus rather than a bacteria. The best medicine is generally plenty of rest and fluids. Medication to reduce a fever or soothe a sore throat may also be helpful.

How to get over mononucleosis?

Jan 10, 2022 · Mononucleosis symptoms. It can take 4 to 6 weeks after coming in contact with EBV to develop symptoms of mono. Classic symptoms of mono include: Extreme tiredness. Fever. Sore throat. Swollen lymph nodes. Other symptoms may include headaches, body aches, and a decreased appetite. You may experience these symptoms for about 2 to 4 weeks.

How to cure mononucleosis?

Aug 13, 2019 · There’s no specific treatment for mono, but you can help ease your symptoms. Taking care of yourself with rest and at-home remedies can …

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What is mono and is it treatable?

Mono is caused by a virus. Antibiotics don't work against viruses. If you have a bacterial infection (such as strep throat) in addition to mono, your doctor may give you an antibiotic to treat that infection.Apr 17, 2020

How do you treat mono symptoms?

So a common treatment plan for mono is rest with a gradual return to normal activity. The goal is to ease your symptoms and treat any complications that happen. In addition to rest, your doctor may prescribe ibuprofen or acetaminophen for the fever, sore throat, and other discomforts of the illness.Nov 4, 2021

How do you cure mono fast?

How to treat mono
  1. Hydrate. Drink plenty of fluids to keep yourself hydrated. ...
  2. Rest. Mono can make you feel weak and fatigued, so aim to get about eight to 10 hours of sleep a night and nap when you feel you need to. ...
  3. Gargle salt water. ...
  4. Take fever-reducing medication. ...
  5. Prescription medication.
Jul 9, 2020

How do you treat mono naturally?

Home remedies
  1. Stay hydrated. Drink plenty of water, fruit juice, herbal tea, soup, and broth. ...
  2. Over-the-counter (OTC) medications. Use OTC pain relievers to help bring down a fever and ease headaches and muscle aches. ...
  3. Throat gargles. ...
  4. Cool down a fever. ...
  5. Rest. ...
  6. Boost your immune system. ...
  7. Supplements.
Aug 13, 2019

How is mono treated in adults?

There's no specific therapy available to treat infectious mononucleosis. Antibiotics don't work against viral infections such as mono. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids.Dec 22, 2020

What are the stages of mono?

Mono is a contagious illness that is usually caused by the Epstein-Barr virus. Mono has three stages: a prodrome, an acute stage, and a convelescent (recovery) stage.Nov 16, 2021

Is vitamin C good for mono?

Most of these patients had a diagnosis of chronic fatigue syndrome, with the rest being diagnosed as having mononucleosis, fatigue, or EBV infection. Results Our data provide evidence that high dose intravenous vitamin C therapy has a positive effect on disease duration and reduction of viral antibody levels.May 3, 2014

Does amoxicillin treat mono?

While the mono itself is not affected by antibiotics, these secondary bacterial infections can be treated with them. Your doctor probably won't prescribe amoxicillin or penicillin-type medications when you have mono. They can cause a rash, a known side effect of these drugs.

What vitamins are good for Epstein Barr?

High-dose intravenous vitamin C is an effective treatment for infection with the Epstein-Barr virus.May 7, 2021

What causes mono to flare up?

Most people have mono only once. In rare cases, the symptoms can recur due to a reactivation of EBV. If mono returns, the virus is in your saliva, but you probably won't have any symptoms unless you have a weakened immune system. In rare instances, mono can lead to what's called chronic active EBV (CAEBV) disease .Apr 24, 2019

Can you recover from mono without medication?

Mono goes away on its own, but rest and good self-care can help you feel better.

Can you have caffeine with mono?

Drink Plenty of Fluids

(3) You'll need to up that quantity if you have a fever. And be sure to avoid caffeine, which can worsen dehydration.
Nov 6, 2018

How to treat mononucleosis?

Mononucleosis is treated with rest, fluids, and over-the-counter medications that provide symptom relief. Over-the-counter pain relievers can help reduce fever, sore throat, and body aches. Over-the-counter throat lozenges can help with the sore throat.

What is the best pain reliever for mononucleosis?

Acetaminophen is the most commonly advised pain reliever for mononucleosis, but (nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen, naproxen, or aspirin can also be used. Because of the risk of Reye’s syndrome, a potentially fatal drug reaction, aspirin should never be given to children or teenagers with a viral infection.

How to tell if you have monospot?

With a Monospot blood test, a general practitioner can arrive at a diagnosis in minutes. The common symptoms of infectious mononucleosis are fever, sore throat, swollen glands, and fatigue. Patients frequently describe the sore throat as the worst they’ve ever experienced. Other possible mono symptoms include:

What is the treatment for airway obstruction?

Airway obstruction is a potentially hazardous complication of infectious mononucleosis. A corticosteroid injection, usually dexamethasone, rapidly reduces the swelling blocking the throat.

Where does mononucleosis spread?

Also called glandular fever, infectious mononucleosis initially infects cells in the top of the mouth and throat and spreads to the salivary glands (tonsils). From there, the virus enters into B lymphocytes, a type of white blood cell responsible for fighting infections.

What is the cause of mononucleosis?

Several different viruses cause mononucleosis, but nine out of 10 cases are caused by the Epstein-Barr virus (EBV), a type of herpesvirus. Other cases are caused by cytomegalovirus (CMV), but rubella, adenovirus, hepatitis A, and others are also behind some infections. The virus is primarily spread through saliva.

Do people with mononucleosis reactivate?

Once infected, people carry the virus in a dormant stage for the remainder of their life and it usually does not reactivate. Infectious mononucleosis is most common among people never exposed to the virus, mainly teenagers, college students, and young adults.

How long does it take to recover from mononucleosis?

Most people start to recover from mononucleosis within 2 weeks, though some symptoms, such as fatigue, can take 3-4 weeks or even longer to go away. So a common treatment plan for mono is rest with a gradual return to normal activity. The goal is to ease your symptoms and treat any complications that happen.

How long does it take for a monospot test to show antibodies?

This test isn’t always accurate, especially in younger children, and it takes several days for it to show the presence of the antibodies after a child starts to feel ill. The “monospot” is one test that checks for heterophile antibodies. The results of these tests are not always clear, so you may need even more tests.

Can you get an EBV test for mono?

You may also get an EBV test if you don’t seem to have a typical case of mono. This blood test checks for Epstein Barr virus. Doctors usually don’ t need EBV test results to diagnose mono. But it can help them find out if the Epstein Barr virus is to blame.

Is mononucleosis hard to diagnose?

Mononucleosis, or "mono," has a wide range of symptoms, which can make it hard to diagnose. You’ll need to see your doctor to find out if you have it.

Can you take aspirin with mono?

In case mono has affected your liver, check with your doctor before you take acetaminophen. Don’t give aspirin to children or teens. It’s been linked to a disease called Reye's syndrome, a serious illness that can be life-threatening. Call 911 if you or your child is having any trouble breathing.

Can you take acetaminophen for mono?

In addition to rest, your doctor may prescribe ibuprofen or acetaminophen for the fever , sore throat, and other discomforts of the illness. In case mono has affected your liver, check with your doctor before you take acetaminophen.

What is the most common cause of mononucleosis?

Epstein-Barr virus (EBV) is the most common cause of infectious mononucleosis, but other viruses can also cause this disease. It is common among teenagers and young adults, especially college students. At least one out of four teenagers and young adults who get infected with EBV will develop infectious mononucleosis.

How long does it take for a person to get better from mononucleosis?

For some people, their liver or spleen or both may remain enlarged even after their fatigue ends. Most people get better in two to four weeks; however, some people may feel fatigued for several more weeks. Occasionally, the symptoms of infectious mononucleosis can last for six months or longer.

How long does it take for mononucleosis to show?

Typical symptoms of infectious mononucleosis usually appear four to six weeks after you get infected with EBV. Symptoms may develop slowly and may not all occur at the same time.

Can you take penicillin for mononucleosis?

If you have infectious mononucleosis, you should not take penicillin antibiotics like ampicillin or amoxicillin. Based on the severity of the symptoms, a healthcare provider may recommend treatment of specific organ systems affected by infectious mononucleosis.

Can you test for mononucleosis?

Laboratory tests are not usually needed to diagnose infectious mononucleosis. However, specific laboratory tests may be needed to identify the cause of illness in people who do not have a typical case of infectious mononucleosis. The blood work of patients who have infectious mononucleosis due to EBV infection may show—.

What causes mono?

Over 90% of mono cases are caused by the Epstein-Barr virus. Other viruses and certain infections may also bring on the illness. The symptoms can develop because of:

How common is mono?

The Epstein-Barr virus (EBV) that causes mono is extremely common. Around 90% of Americans are infected with it by age 35. Not everyone who has the virus develops mono symptoms — some people only carry the virus.

How long does mono last?

Symptoms of mono vary, and they can be mild or severe. They tend to come on gradually. If you get sick with mono, it will probably happen four to six weeks after you come in contact with EBV. These symptoms may last for four weeks or longer: Enlarged spleen or liver. Extreme fatigue.

Why is mono called the kissing disease?

Mono is sometimes called “the kissing disease” because it spreads easily through bodily fluids like saliva. For most people, mono isn’t serious, and it improves without treatment. Still, extreme fatigue, body aches and other symptoms can interfere with school, work and daily life.

How do mono viruses spread?

Viruses that cause mono are very contagious. You can pick them up through contact with an infected person’s bodily fluids, including saliva. These viruses spread through:

What is the best medicine for enlarged spleen?

These drugs include ibuprofen (Advil®) and naproxen (Aleve®). Acetaminophen (Tylenol®) also works. Sore throat soothers: You can gargle with salt water and use throat lozenges. Avoiding sports: Physical activity can put too much pressure on an enlarged spleen, increasing the risk of rupture.

Does mono work against other viruses?

Antibiotics to fight bacterial infection and antiviral medications to kill other viruses don’t work against mono. Instead, treatments focus on helping you feel better by relieving symptoms. Your care might include: Rest: Mono makes you very tired. Sleep helps your body fight infection.

How to treat mono?

So far, nobody has found a drug that cures mono, but various medicines help patients deal with some of its most severe symptoms. Doctors prescribe painkillers and drugs to reduce the fever. Sometimes they also give patients antibiotics. They know antibiotics are not effective treatments for a viral illness, but they do help treat the sore throat symptom. Adults also buy pain relievers from pharmacies without a prescription, but it is risky to give a child one of these tablets without first consulting a doctor.

How does mononucleosis spread?

The mononucleosis illness, or mono in popular terminology, is an infectious disease spread by physical contact. Some describe it as the "kissing disease" for this reason, but in addition to kissing, you catch it by using cutlery or cups and plates used previously by an infected individual. Although this virus causes fatigue, sore throat, rashes, and other significant discomforts, it usually does not continue for more than a maximum of six weeks. Medical research estimates show that the immune systems of 90% of individuals provide full protection against mononucleosis. Teenagers and young adults are most at risk.

How to improve mono resistance?

Changes in meal plans can help improve resistance to mono. It makes good sense to increase the number of green vegetables eaten, for example, spinach. These foodstuffs contain valuable antioxidants that help the body fight off the attacks of the free radical compounds that weaken it. Besides eating healthy foods, it pays to avoid fried foods, red meats, white bread, sugar and other foods that are much less healthy. It is also highly recommended to avoid alcohol, coffee, and tobacco.

Can you go to the hospital for mono?

Home treatment suffices for average cases of mono, but a doctor might send a patient to the hospital on rare occasions. For example, if the patient finds it hard to breathe, or they can no longer easily swallow liquids. They usually do not need to spend more than a few days in the hospital. Here the doctors put them on an intravenous drip. A few mono patients even experience a spleen rupture and to treat this requires surgery.

Can you take corticosteroid for mono?

Sometimes doctors prescribe corticosteroid medicines to a patient with mono. Although this is not one of the standard treatment approaches, they believe it is appropriate in very specific situations. For example, if the patient has very badly swollen tonsils or they experience problems breathing. A short course of corticosteroids might quickly resolve these health issues.

Does homeopathy work for mono?

The absence of conventional medical cures for mono encourages sufferers to explore homeopathic medications. No widely accepted medical studies testify that any of these homeopathic treatments work, but there is anecdotal evidence. The homeopath aims to give each patient a customized healing approach that takes into consideration his or her age, state of health, and emotional state. For example, if the patient just started to experience mono symptoms and has developed a fever, they often give them a herb called Belladonna.

How long does it take to recover from mono?

When you have mono, it may be several weeks or even months before you’re recovered.

Can you take antibiotics for mononucleosis?

Unlike some other types of infections, mononucleosis is not treated with antibiotics. This is because mono is caused by a virus rather than a bacteria. The best medicine is generally plenty of rest and fluids. Medication to reduce a fever or soothe a sore throat may also be helpful.

Can you have mono if you have no heterophile antibodies?

Typically, if there are no heterophile antibodies, it is likely that you do not have mono. However, a negative test may be returned if the test was administered too soon (1-2 weeks after beginning of illness). In these cases, your healthcare professional may have to repeat the test.

What causes mononucleosis?

Mononucleosis can actually be caused by a few different viruses. But most commonly it’s caused by EBV, which we’ll be referring to for the rest of this article. Other viruses that can cause mono include cytomegalovirus (CMV), HIV, and adenovirus.

Who gets mono?

Are you feeling sick but unsure if it’s mono? One clue is based on your age. Most cases of mono occur before the age of 30, and children as young as 5 years old can get it. But most often mono occurs in healthy individuals between the ages of 15 and 25.

Mononucleosis symptoms

It can take 4 to 6 weeks after coming in contact with EBV to develop symptoms of mono. Classic symptoms of mono include:

How is mononucleosis diagnosed?

Most of the time your healthcare provider can make the diagnosis of mononucleosis based on your symptoms and a physical exam. But in certain cases, to confirm the diagnosis your provider may order blood tests, including:

How long am I contagious, and how can I prevent spreading mono?

Even after you feel better, EBV can linger in your saliva for months. And this can make you contagious long after your symptoms have gone away — up to 6 months or more in some cases.

The bottom line

It turns out that many of us get the “kissing disease” by early adulthood. But some people get it through non-kissing methods of sharing saliva (like sharing drinks) — or possibly even from sexual fluids. With mono you may feel under the weather for a few weeks, and you can still be contagious even when you feel better.

How to help mono?

There’s no specific treatment for mono, but you can help ease your symptoms. Taking care of yourself with rest and at-home remedies can help make you more comfortable.

How to avoid mono?

Once you have symptoms, help your recovery and avoid transmitting mono to others by staying home. Rest and avoid strenuous activity to prevent spleen injuries and combat fatigue. Ask your doctor when it’s safe to get back to your normal activities.

How long does it take for a spleen to heal from mono?

An enlarged spleen may take up to eight weeks to go back to normal. Mono may make you feel unwell for up to two months. However, it’s considered rare for symptoms to last longer than six weeks. Rare complications of mono, like an injured or ruptured spleen, can take up to three months to heal.

What are the symptoms of mono?

Treating symptoms. Treatment usually involves treating symptoms like fever or a sore throat. Mono can cause a person to be prone to secondary bacterial infections. In this case, antibiotics can treat a bacterial: sinus infection. strep infection. tonsil infection.

What does mono cause?

Mono usually causes swollen lymph nodes in the neck, underarm, and groin areas. You may also have other common symptoms, like:

How to fight mono?

Eat healthy whole foods to help your immune system fight the mono virus.

Can mono be transmitted through blood?

Some kinds of mono are also transmitted through blood and other bodily fluids. Mono usually affects teenagers and young adults, but anyone can get it. Like the common cold, a virus causes mono. Similarly, there’s no specific treatment for mono. This infection is usually less contagious than a cold.

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Symptoms

Transmission

Prevention & Treatment

Diagnosing Infectious Mononucleosis

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The infection generally clears without any treatment within a few weeks. Self care measures and medications are prescribed to ease the symptoms.
Medication

Antibiotics: Are not used to treat viral infections, but are prescribed to treat accompanying infections of the throat, sinuses, and tonsils.

Penicillin


Analgesics: For mild to moderate pain.

Ibuprofen


Antipyretics: Used to bring down the temperature and treat fever.

Acetaminophen

Procedures

Splenectomy: It is performed in case of a ruptured spleen.

Self-care

Always talk to your provider before starting anything.

  • Rest and fluid diet are recommended
  • Take some time before you get back to your strenuous routine
  • Avoid lifting weights or sports for a few months or until spleen returns to normal
  • Stay at home until the doctor advices to gradually return to the routine
  • Seek help from family and friends during recovery

Nutrition

Foods to eat:

  • Drink plenty of water and fruit juices. Fluids help to relieve fever and sore throat; and prevent dehydration.

Foods to avoid:

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Specialist to consult

Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

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