Recommendations from the National Academy of Sciences say the same. And be sure to avoid caffeine, which can worsen dehydration. Over-the-counter OTC pain relievers, like acetaminophen Tylenol or ibuprofen Advil or Motrin , can help with pain or fever you experience because of mono.
Remember to avoid giving children and teens aspirin , which has been linked to Reye's syndrome, a rare but dangerous condition that can cause liver and brain damage.
Mono symptoms will likely clear up in a month or less. Getting the right support can help you cope as you heal. Ask your doctor for a note explaining that you have to recover from an illness that is temporarily debilitating.
As for when to go back into the office, if someone feels up to going back to work, they should do so if they feel well enough. Emailing might be a good way to stay in contact for some, Johannsen says. But the situation differs for everyone depending on how you feel and what type of work you do and the practicality of doing it remotely or not full-time. Doctors typically caution mono patients not to engage in any contact sports for up to four weeks after symptoms go away to reduce their risk of rupture of the spleen, but for a non-contact sport like running someone can typically return to training after taking it easy for about three weeks, Johannsen says.
Most people with normal immune systems usually recover completely from mono without any lingering effects, says Johannsen. In a small number of patients — such as those who get mono after an organ or bone marrow transplant, or those with genetic defects in their immune systems — complications from the illness can be more serious and potentially fatal.
But you can help protect yourself by avoiding close contact with anyone who has it. If you have mono, don't share the virus with your friends and family as you recover.
Wash your hands well and often, sneeze or cough into a tissue or your elbow not your hands , and keep your drinks and eating utensils to yourself. This is one time when your friends and family will thank you for being selfish. Mono can make the spleen swell for a few weeks or longer. An enlarged spleen can rupture, causing pain and bleeding inside the belly, and needs emergency surgery.
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. If they seem to linger or get worse, or if you have any other questions, call your doctor.
Larger text size Large text size Regular text size. What Is Mononucleosis? Enlarged spleen and a swollen liver are less common symptoms. 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. EBV is the most common cause of infectious mononucleosis, but other viruses can cause this disease.
Typically, these viruses spread most commonly through bodily fluids, especially saliva. However, these viruses can also spread through blood and semen during sexual contact, blood transfusions, and organ transplantations. There is no vaccine to protect against infectious mononucleosis. The virus that causes mono Epstein-Barr virus isn't spread as easily as most people think.
If you follow these tips, you can reduce the chance of spreading or catching mono. Self-care is usually all that is needed if you have mono. Unless you have a serious complication of mono which rarely occurs , no medicine or treatment will speed your recovery. Most people who have mono recover without problems. There are many steps you can take to ease the symptoms until you are back to normal. Your symptoms will gradually improve over 2 to 3 weeks. You should be able to return to your normal activities within about a month.
Let your symptoms be your guide. You may need to adjust your school and work schedule to take advantage of times when you feel more energetic. If you feel better, try to get back to your routine sooner.
But remember not to push yourself. There are no specific medicines used to treat mono. Over-the-counter medicines may be used to help treat the symptoms of mono. Over-the-counter pain relievers, including acetaminophen such as Tylenol and ibuprofen such as Advil , may be used to relieve headaches and a sore throat. Do not give aspirin to anyone under the age of 20, because its use has been linked with Reye syndrome , a serious illness.
Taking antibiotics such as amoxicillin or ampicillin may cause a rash in many people who have mono. A rash caused by antibiotics can often be a first sign that the person has mono.
Antiviral drugs do not improve the symptoms of mono or shorten the length of the illness. Nonprescription medicines are commonly used to relieve symptoms, but they do not shorten the duration of the illness. There is no surgical treatment for mono. Emergency surgery may be needed to remove a ruptured spleen if this complication occurs. Author: Healthwise Staff. Medical Review: E. Rhoads MD - Internal Medicine. This information does not replace the advice of a doctor.
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Get plenty of rest. You need bed rest until you feel well enough to be up. This could keep you away from school or work for a little while. Gargle with salt water or use throat lozenges to soothe your sore throat. This is okay for children as long as they are old enough. Take acetaminophen such as Tylenol or ibuprofen such as Advil to reduce fever and relieve a sore throat and headaches.
Never give aspirin to someone younger than age 20 years, because it can cause Reye syndrome , a serious illness. Be safe with medicines.
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