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28   COMMON CONDITIONS: INFECTIOUS DISEASES

         Mononucleosis





              Mononucleosis is a viral illness that most commonly affects teenagers and young adults. Mainly spread by
              kissing, sneezing, coughing, and by sharing cups and glasses, it takes 3–7 weeks to incubate. The symptoms
              are a sore throat, fever, and loss of appetite and energy that persist for more than a week or two. You may
              also have swollen glands in your neck and sometimes in your groin and under your arms, and a headache.
              Mononucleosis is not usually serious, and there is no specific medical treatment for it. Recovery can take
              4–6 weeks, but you may feel tired for several months.


              See your doctor first
                                                                    DRUG REMEDIES
              Arrange to see your doctor to confirm the
              diagnosis and check for complications.        Analgesics relieve fever and pain. Take
                                                            acetaminophen (see p.177) or ibuprofen (see p.185).
                                                            Mouth and throat treatments
         What you can do yourself                           (see p.187) can provide temporary relief from a sore
                                                            throat. Dissolve a teaspoon of salt in a glass of warm
              Get plenty of rest while your immune system is  water to make a soothing gargle. Lozenges containing
              fighting the virus, and use these simple measures  benzocaine help numb a sore throat. Some mouth and
              to make yourself more comfortable.            throat treatments are not suitable for children; ask
                                                            your pharmacist for advice.
              ● If you are feeling tired, rest. You may need to
              stay in bed for the first few days of the illness.
              ● Take an analgesic (see DRUG REMEDIES, right)
              to reduce fever and discomfort. If you have a high  NATURAL REMEDIES
              temperature, wear lightweight clothes and put
              a fan in your room.                           Healthy diet Eaten as part of a balanced diet,
                                                            certain nutrients are believed to help support the
              ● Drink plenty of water and fruit juices to avoid  immune system. Boost your diet with lean meat; oily
              becoming dehydrated. Warm drinks will help    fish such as salmon, sardines, and herring; fresh
              soothe a painful throat.                      fruit; leafy and dark green vegetables; wheat germ;
                                                            walnuts; sunflower seeds;
              ● Try gargling with warm salt water or you could
                                                            and flaxseed.
              use an analgesic gargle or spray (see DRUG
              REMEDIES, right).
                                                            Benefits of fruit
              ● Eating healthy foods may help support your
                                                            Fresh fruit is a good
              immune system (see NATURAL REMEDIES, right).  source of many of the
                                                            vitamins that are needed
              ● Take steps to reduce stress while you are ill
                                                            to fight infection.
              and during your recovery (see pp.20–21).
              ● Mononucleosis can affect your liver, so don’t
              drink alcohol until you have fully recovered.
              ● Don’t take part in contact sports or other  Seek further medical advice
              strenuous activities while you are ill and for   Arrange to see your doctor urgently if you
              about 2–3 weeks after recovery.               begin to develop:
              ● Stay away from school or work until your
                                                            ● Difficulty breathing or swallowing
              fever has gone and your strength and appetite   ● Severe headache and a stiff neck
              are back to normal.                           ● Chest or abdominal pain
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