While : While it is not possible to give you a full answer without examining you, i would be concerned about an enlarged spleen. Patients with mononucleosis can have fatigue (being tired), decreased hunger and an enlarged spleen (under your left ribcage). I suggest that you contact your primary care doctor to examine you and do appropriate lab tests. Mononucleosis is contagious and an enlarged spleen can be injured or rupture.
Answered 10/3/2016
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