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Doctor insights on: I Have Mono And My Spleen Is Enlarged Can It Get Larger Overtime

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Can a strep test also determine mono? Can someone have mono and only have fever and red throat without it being sore? He's on 2 antibiotics for a wound he had a week ago (been on them for 6 days) and has had a negative strep test, but has ran a fever fro

Can a strep test also determine mono? Can someone have mono and only have fever and red throat  without it being sore? He's on 2 antibiotics for a wound he had a week ago (been on them for 6 days) and has had a negative strep test, but has ran a fever fro

Infectious : Infectious mononucleosis is caused by the epstein barr virus (ebv) and acute infection usually involves sore throat, fever, enlarged lymph nodes (including the spleen), and tiredness. Different people will have a different severity of mono symptoms - some get very ill, some do not get sick at all. It is spread through saliva and close contact which is why it's been known as the "kissing disease". Since it is a virus, it is not treated with antibiotics. There is a blood test available that can test for mono infection and antibodies. The test will tell you if he has ever had it, if he has it now, or if he had it in the past and is now immune to it - all helpful information. A strep test does not give information about any other infections - just strep. I attached a link for more in-depth information on infectious mono below. ...Read more

Dr. Heidi Fowler
391 doctors shared insights

Infectious Mononucleosis (Definition)

Mononucleosis is a viral disease caused by EB Epstein Barr virus. It can last 10-14 days even up to weeks and become chronic on occasion. A mono assay test can reveal if present and on an CBC can see nucleated or atypical lymphocytes. Sore throat, fatigue, fevers are the main symptoms. Treatment remains bedrest, fluids and Advil 400 mg po q 6 hrs until no symptoms occur. Reg ...Read more


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I have mono and my spleen is enlarged. Can it get larger overtime?

I have mono and my spleen is enlarged. Can it get larger overtime?

Not likely: The splenic enlargement due to mono should subside in a matter of weeks. In the meantime avoid activities that may risk trauma to the abdomen in general and spleen in particular. If the enlargement has not subsided in three months, consult your doctor. ...Read more

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I have mono and my spleen is enlarged but not my liver. Can my liver it get larger overtime?

I have mono and my spleen is enlarged but not my liver. Can my liver it get larger overtime?

Not usually: Occasionally you can get hepatitis in association with epstein barr virus infection (infectious mononucleosis) but the liver is seldom enlarged even with this. ...Read more

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If I have mono and my spleen is enlarged will it burst if I have sex?

If I have mono and my spleen is enlarged will it burst if I have sex?

Depends: Certain positions may produce pressure on the area of the spleen and if greatly enlarged and inflamed this can create a risk, although very very tiny. Just be very careful not to place pressure on the left side of the abdomen. ...Read more

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I have mono and my spleen is ridiculously enlarged and I'm afraid it is going to rupture. How can I decrease the inflammation?

I have mono and my spleen is ridiculously enlarged and I'm afraid it is going to rupture. How can I decrease the inflammation?

Wait safely: Mono spleens can get quite large but rarely rupture without severe trauma, take things easy for a few weeks . no heavy lifting, no trauma, no fighting with your parents ...Read more

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I have mono and my spleen has enlarged about 30% more than earlier and was already visible through clothing then. How can I reduce inflammation?

I have mono and my spleen has enlarged about 30% more than earlier and was already visible through clothing then. How can I reduce inflammation?

Limit activities: aLimit activities that are strenuous or involve contact as in sports for at least a month and get adequate rest. Treatment with prednisone or other anti-inflammatory drugs may cause further complications. You don`t want rupture because it will cause loss of spleen and require careful infection precautions in the future. ...Read more

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What causes an enlarged spleen? Do not have mono.

What causes an enlarged spleen? Do not have mono.

SPLENOMEGALY: CAUSES: Many: though not that common. Typhoid, septicemia, abscess/cyst in spleen, some viral infection, malaria, toxoplasma infection; hemolytic anemias- e.g. Thalassemia, sickle cell anemia, hereditary spherocytosis; lymphoma, leukemia; some metabolic diseases; liver cirrhosis with portal vein hypertension; sarcoidosis; rheumatoid arthritis. Sound scary, if feeling too sick, check with your doctor. ...Read more

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Should u go skiing if ur spleen is inlarged and u have mono?

Not a good idea: When you have an enlarged spleen, it is possible for it to rupture (break open) if you hit something. That can be dangerous and make you need emergency surgery. Spleens can be different sizes, but generally the bigger, the worse the risk from being hit. Also, people with mono are often too tired to enjoy or do well with skiing. Put off your skiing several weeks. ...Read more

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I have mono but doctors say my spleen is NOT enlarged. Can I still do light activity such as light work on elliptical?

I have mono but doctors say my spleen is NOT enlarged. Can I still do light activity such as light work on elliptical?

You should ask your: own doctor,since she/he knows you best.The answer also depends on when you were diagnosed.The biggest risk in mono is injury to the spleen,which is more likely when it is enlarged,and most commonly occurs earlier in the illness. So, just being on the ellyptical is not a problem.However, if you fell and injured your abdomen, your spleen could be injured,especially if your spleen becomes enlarged. ...Read more

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I have mono and mild pain under my ribs on the left side. Does this mean my spleen is ruptured, or could it just be enlarged?

I have mono and mild pain under my ribs on the left side. Does this mean my spleen is ruptured, or could it just be enlarged?

Mono/spleen: You are likely having your spleen monitored. Unless it was large and traumatized; it is not ruptured. Continue to be assessed as required. All the best for a good recovery. ...Read more

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Dr. Michael Ein
760 doctors shared insights

Mono (Definition)

Infectious mononucleosis, also known as mono, is a contagious illness caused by the Epstein-Barr virus. Symptoms include fever, fatigue, sore throat, enlarged lymph nodes, and enlarged spleen. It is spread via saliva, hence its ...Read more


Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more