Mononucleosis may cause enlargement of the spleen. In extreme cases, your spleen may rupture, causing sharp, sudden pain in the left side of your upper abdomen. If such pain occurs, seek medical attention immediately — you may need surgery.
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Why does mono affect your spleen?

Enlarged Spleen Mononucleosis can cause swelling in the spleen, which can raise the risk of a rupture of the organ if too much pressure is applied (something that might happen in a fall or from someone bumping into you, which is why doctors recommend avoiding strenuous activity and contact sports while recovering and …

How does Mono affect the spleen and liver?

Enlarged spleen. Head and body aches. Liver involvement, such as mild liver damage that can cause temporary jaundice, a yellow discoloration of the skin and whites of the eyes due to abnormally high levels of bilirubin (bile pigmentation) in the bloodstream.

How long does your spleen stay enlarged with mono?

A fever and sore throat may last for about two weeks. Muscle aches and fatigue may last for two to four weeks. An enlarged spleen may take up to eight weeks to go back to normal.

How do you know if your spleen is enlarged with mono?

An enlarged spleen typically causes no signs or symptoms, but sometimes it causes: Pain or fullness in the left upper belly that can spread to the left shoulder. A feeling of fullness without eating or after eating a small amount because the spleen is pressing on your stomach. Low red blood cells (anemia)

How common is a ruptured spleen with mono?

Splenic rupture is a rare but serious complication affecting 0.1% to 0.5% of patients with mononucleosis. Current guidelines (based on published case reports) recommend complete activity restriction for 3 weeks after onset of mononucleosis symptoms to reduce rupture risk.

Do you always test positive for mono after having it?

A small number of people with mononucleosis may never have a positive test. The highest number of antibodies occurs 2 to 5 weeks after mono begins. They may be present for up to 1 year. In rare cases, the test is positive even though you do not have mono.

Does your spleen hurt when you have Mono?

Mononucleosis may cause enlargement of the spleen. In extreme cases, your spleen may rupture, causing sharp, sudden pain in the left side of your upper abdomen. If such pain occurs, seek medical attention immediately — you may need surgery.

What can Mono turn into?

Mononucleosis rarely leads to a serious condition called chronic EBV infection. In chronic EBV infection, you have long-lasting symptoms and a viral infection that lasts longer than usual after your original mononucleosis diagnosis.

What is chronic Mono?

Chronic Active Epstein-Barr virus is characterized by persistent inflammatory symptoms such as fever, lymphadenopathy, liver dysfunction, mononucleosis-like symptoms for more than 3 months, elevated EBV DNA PCR in peripheral blood, infiltration of tissues by EBV positive lymphocytes, and skin lesions hydroa …

How does it feel when your spleen ruptures?

The main symptom of a ruptured spleen is severe pain in the abdomen, especially on the left side. The pain may also be referred to (felt in) the left shoulder, and can make breathing painful. Other symptoms, which are associated with a decrease in blood pressure due to internal bleeding, include: Feeling lightheaded.

What should you not do when you have mono?

So doctors recommend that teens who have mono avoid contact sports for at least a month after symptoms are gone. Don’t do any strenuous activities until your doctor says it’s OK. In most cases, mono symptoms go away in a matter of weeks with plenty of rest and fluids.

How should I sleep with an enlarged spleen?

With the dominant lymphatic side, including the spleen, being on the left side of the body, sleeping on the left permits for the body to better filter through the lymph nodes lymph fluid and waste. Proteins, glucose, and various other metabolites are carried by the lymph fluid.

What does spleen pain feel like?

Spleen pain is usually felt as a pain behind your left ribs. It may be tender when you touch the area. This can be a sign of a damaged, ruptured or enlarged spleen.

What helps with mono spleen pain?

  1. Drink plenty of water and fruit juices. Fluids help relieve a fever and sore throat and prevent dehydration.
  2. Take an over-the-counter pain reliever. …
  3. Gargle with salt water.
How do you check your spleen at home?

  1. Start in RLQ (so you don’t miss a giant spleen).
  2. Get your fingers set then ask patient to take a deep breath. …
  3. When patient expires, take up new position.
  4. Note lowest point of spleen below costal margin, texture of splenic contour, and tenderness.
  5. If spleen is not felt, repeat with pt lying on right side.
Is it easy to rupture your spleen with mono?

However, spontaneous rupture or atraumatic rupture of spleen secondary to infectious mononucleosis is rare with an estimation of 0.06%2 to 0.5%3 and it is the most frequent cause of death in infectious mononucleosis.

How long do you have after your spleen ruptures?

Generally, recovery from a ruptured spleen can take anywhere from 3 to 12 weeks, depending on the severity and treatment.

Should you exercise with mono?

Typically, a mono patient should not return to strenuous exercise or contact sports for a minimum of one, and sometimes two, months. Regardless, sports should not be resumed until cleared by the medical provider.

Can you get mono from stress?

Chronic stress can weaken your immune system, so it’s possible that this could be one trigger leading to a bout of recurrent mono.

How do you know if you have chronic mono?

You may experience fatigue and swollen lymph nodes for a few more weeks. In some cases, fatigue can last for months. Persistent fatigue may be a sign of chronic EBV infection. See your doctor if your fatigue lasts for more than a month after mono has been diagnosed.

What kills Epstein-Barr virus?

Ascorbic Acid Kills Epstein-Barr Virus (EBV) Positive Burkitt Lymphoma Cells and EBV Transformed B-Cells in Vitro, but not in Vivo. Amber N.

What can you do for an enlarged spleen from mono?

If the infection that causes your enlarged spleen is caused by bacteria, antibiotics may help. If a virus caused your infection, as is the case with mononucleosis, antibiotics would be of no help. In serious cases, your doctor might suggest that you have your spleen removed, which is called a splenectomy.

Can I take ibuprofen with an enlarged spleen?

Then tiny bits of material are placed into the blood vessel to help form a clot. If we cannot stop the bleeding, we may need to remove the spleen. For 4 weeks, do not take aspirin, ibuprofen (Advil or Motrin) or naproxen (Aleve).

What does Mono feel like in adults?

You might feel more tired than usual and have a mild fever and sore throat. Your lymph nodes, tissue that normally acts as filters, may swell under your arms and in your neck and groin area. You also may have body aches and pains, swollen tonsils, headache, and even a skin rash.

Is mononucleosis an autoimmune disease?

Scientists have known for decades that EBV, which causes an infectious disease named mononucleosis or “kissing disease,” is also linked to several autoimmune disorders, including multiple sclerosis and rheumatoid arthritis.

Can mono turn into Guillain Barre Syndrome?

Neurologic complications of infectious mononucleosis, such as the development of Guillain-Barre syndrome, have been rarely reported and usually present late in the course of the disease.

Is there a virus that mimics mono?

Some otherwise healthy people with CMV infection develop a mononucleosis-like syndrome. CMV is a type of herpes virus. All herpes viruses remain in your body for the rest of your life after infection. If your immune system becomes weakened in the future, this virus may have the chance to reactivate, causing symptoms.

What vitamins are good for Epstein-Barr?

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

What can mimic mono symptoms?

  • Cytomegalovirus (CMV) mononucleosis.
  • Toxoplasma gondii infection.
  • Acute retroviral syndrome due to HIV infection.
  • HHV-6 (human herpes virus 6)
  • Adenovirus infection.
  • Primary infection with herpes simplex virus type 1.
  • Strep pyogenes pharyngitis (“strep throat”)
Is Epstein-Barr and mono the same thing?

Epstein-Barr virus, or EBV, is one of the most common human viruses in the world. It spreads primarily through saliva. EBV can cause infectious mononucleosis, also called mono, and other illnesses. Most people will get infected with EBV in their lifetime and will not have any symptoms.

How do you know if your spleen is bad?

Symptoms you may experience with an enlarged spleen include: pressure or pain in the left upper part of your abdomen (near the stomach), feeling full without eating a large meal, or pain your left shoulder blade or shoulder area when taking a deep breath.

What is the immediate danger of spleen rupture?

A ruptured spleen can cause life-threatening bleeding into your abdominal cavity.

What would cause a spleen to rupture without trauma?

Conversely, non-traumatic splenic rupture is common and often related to (also known as pathological rupture) a diseased spleen. Common causes of non traumatic splenic rupture include myeloproliferative diseases, vasculitis and infections (such as malaria or infectious mononucleosis).

Does mono get worse at night?

The throat may be very red, with white spots or pus on the tonsils. This can initially look similar to strep throat. Fever of 100-103° F (37.8-39.4° C), which is usually worst during the first week and may worsen at night.

Can you take steroids with mono?

If your sore throat is so severe that you have trouble breathing or eating, your doctor may give you prednisone, a steroid. Since your spleen, which is an organ in your abdomen, often becomes enlarged when you have mono, it’s more likely to rupture.

Is it OK to take ibuprofen with mono?

The most important thing you can do when you have mono is get plenty of rest and drink enough liquids. You may want to take a pain reliever such as acetaminophen (one brand name: Tylenol) or ibuprofen (some brand names: Advil, Motrin, Nuprin). Do not give aspirin to children with mono.

What foods irritate the spleen?

It is important to avoid foods that are “damp”: alcohol, fat, fast sugars and excessive quantities of dairy products — for example, “fromage blanc,” which has a moisture content of 80%. The spleen is sensitive to erratic eating habits and can be weakened by skipping breakfast, copious or late dinners, and snacking.

Can an enlarged spleen cause gas?

It’s situated next to your spleen. While gas is normal, splenic flexure syndrome can cause excessive gas and discomfort. This condition, considered a chronic digestive disorder, is thought to be a sub-type of irritable bowel syndrome.

Does enlarged spleen cause shortness of breath?

Symptoms of an Enlarged Spleen The symptoms typically involved in an enlarged spleen are usually related to the underlying cause, such as fatigue and shortness of breath in anemia, for example.

What can go wrong with your spleen?

An enlarged spleen is the result of damage or trauma to the spleen from any of several different medical conditions, diseases, or types of physical trauma. Infections, liver problems, blood cancers, and metabolic disorders can all cause your spleen to become enlarged, a condition called splenomegaly.