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Infectious mononucleosis, or mono, is often called "the kissing disease" because that’s one of the ways you can get it. It’s caused by a virus spread through saliva. Symptoms include fever, sore throat, and swollen glands. Mono can also be spread by sharing eating utensils or glasses. A person is contagious several days before symptoms appear and for some time after.
Signs and Symptoms
Symptoms may not show up until 4 - 7 weeks after you’ve been exposed to the virus. Symptoms may last only a few days or as long as several months. In most cases, they go away in 2 - 6 weeks.
What Causes It?
The Epstein-Barr virus (EBV) causes mono. Direct contact with saliva that’s infected with the virus, mainly through kissing, can pass the virus on. You can also get mono through transfusions with infected blood products.
Mono affects about 45 of 100,000 people, mostly teens and young adults. It usually isn’t a serious disease, although it can cause fatigue and weakness that interfere with daily life.
About 90% of adults have been exposed to EBV and have antibodies, meaning they are immune to the virus.
Who's Most At Risk?
The following factors can raise your risk for developing mono:
What to Expect at Your Provider's Office
Your health care provider will do a physical examination, checking for fever, sore throat, swollen glands, and swelling of your spleen or liver. Your doctor may also do a blood test to confirm the diagnosis.
Someone who has mono doesn't need to be isolated because the virus isn't usually spread through the air. Family members or college roommates have only a slight risk of being infected, unless they kiss the person. It's best not to share eating utensils or toothbrushes.
Treatment for mono includes bed rest and plenty of fluids. You may feel so tired and weak that you can hardly get out of bed for about a week, but symptoms generally begin to get better after about 2 weeks. People with mono should avoid contact sports and heavy lifting for 2 months due to the risk of rupturing the spleen.
There is no cure for mono, but your health care provider may prescribe the following medications to treat some symptoms:
Surgical and Other Procedures
In the case of a ruptured spleen, you may need surgery to remove it.
Complementary and Alternative Therapies
Several studies report that stress and relaxation affect our immune systems. Stress can make your body more vulnerable to infection. So reducing stress may help prevent infection with viruses such as EBV.
While no herbs or supplements treat mono specifically, some may help reduce the long-term effects of EBV infection and complications linked to EBV.
Always tell your doctor about any herbs and supplements you are using or considering using.
Nutrition and Supplements
These nutritional tips may help reduce symptoms and strengthen your immune system:
These supplements may also help:
Herbs are a way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider before starting treatment.
The following herbs have not been studied for treating mono, but they are sometimes suggested because they strengthen the immune system:
Few studies have examined the effectiveness of specific homeopathic remedies. A professional homeopath, however, may recommend one or more of the following treatments for mono based on his or her knowledge and clinical experience. Before prescribing a remedy, homeopaths take into account a person’s constitutional type -- your physical, emotional, and intellectual makeup. An experienced homeopath assesses all of these factors when determining the most appropriate remedy for a particular individual.
The following remedies may be effective for fever related to EBV:
Professional homeopaths may also recommend the following remedies:
Other helpful remedies include Lachesis, Conium, Hepar sulphuricum, and Baryta carbonica.
Research also suggests that a combination of homeopathy and traditional Chinese medicine (TCM) may effectively improve symptoms of mononucleosis. The most common homeopathic remedies used with TCM include Lycopodium, Silicea, Phosphorous, Sulphur, Mercurius, Nux vomica, Sepia, and Pulsatilla.
Although no scientific studies have reviewed the use of acupuncture for mono, it may help to reduce symptoms, to improve immune function, and to relieve congestion (blockage of qi, or energy flow) of the liver, spleen, and lymph.
Traditional Chinese Medicine
Studies have reported that people with Epstein-Barr virus have fewer symptoms when given a combination of homeopathic remedies noted in the section on homeopathy and TCM remedies including Atractylodes alba, Glycyrrhiza recens, Rehmannia preparata, Bupleurum, Cortex magnolia, Phragmites, Belamcanda, Sophora, subprostrata, Siler, Angelica dahurica, Paeonia alba, Dendrobium, Polygonatum officinal, and Cnidium. Chinese herbs are prescribed on an individual basis. They may have side effects and can interact with many medications and with other herbs and supplements. You should not take these herbs without the supervision of a practitioner trained in traditional Chinese medicine.
Prognosis and Possible Complications
Most people with mono recover fully and can return to school or work in a few weeks. A small number of people may experience fatigue for several months. Severe complications are uncommon. They may include anemia, problems with the central nervous system or liver, rupture of the spleen, or inflammation of the heart.
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Review Date: 6/22/2012
Reviewed By: Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
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