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how long after mono is your spleen enlarged

by Ressie Torp Published 2 years ago Updated 2 years ago
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The doctor will assess the progress of mono often times by examining the spleen. As the mono resolves, so will the size of the spleen. This takes between two weeks and two months or more.

Peak splenic enlargement was typically seen within 2 weeks but, in some, extended to 3.5 weeks. For the majority, splenomegaly resolved in 4 to 6 weeks. The long incubation period and variable nature of the disease can make the task of identifying onset of illness a challenge.

Full Answer

What are signs that you have mono?

You should call your healthcare provider if you have mono and you experience:

  • Difficulty breathing or swallowing.
  • Dizziness or fainting.
  • Extreme muscle weakness in arms or legs.
  • Intense body aches.
  • Persistent high fever.
  • Severe headaches.
  • Sharp pain in the upper left abdomen.

When does mono go away?

Mononucleosis is usually not a serious illness and it typically goes away on its own with home care within one to four weeks without complications. In some cases, symptoms such as fatigue may persist for several weeks. Rarely, symptoms of mono last six months or more. The goal of treatment for mono is relief of symptoms.

Can mono go away untreated?

Mono symptoms eventually go away, but in some cases it can be contagious for up to 6 months or more. The virus that commonly causes it — Epstein-Barr virus — remains in the body forever without causing symptoms. For most people, mono eventually resolves without any issues. But for some, it can cause serious complications.

How long for mono symptoms to go away?

Symptoms like high fever go away within 10 days while the enlarged liver or spleen usually normalise in 4-6 weeks. However, even after most of these symptoms of mono get resolved, one many continue to feel severely debilitated and fatigued for 3 to 6 months or even longer.

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How long can your spleen be enlarged from mono?

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.

How long after mono can your spleen rupture?

The average time between onset of IM symptoms and splenic rupture was 14 days, with a range up to 8 weeks. There was a preceding history of trauma reported in only 14%.

How do you know if you have an enlarged spleen from mono?

An MRI can detect splenomegaly (enlarged spleen) by assessing the blood flow through the spleen. An enlarged spleen (splenomegaly) occurs when you have an underlying disease, such as infectious mononucleosis (mono).

How do you reduce spleen swelling in mono?

Lifestyle and home remediesDrink plenty of water and fruit juices. Fluids help relieve a fever and sore throat and prevent dehydration.Take an over-the-counter pain reliever. Use pain relievers such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others) as needed. ... Gargle with salt water.

How do you feel if your spleen is enlarged?

SymptomsPain or fullness in the left upper belly that can spread to the left shoulder.A feeling of fullness without eating or after eating a small amount because the spleen is pressing on your stomach.Low red blood cells (anemia)Frequent infections.Bleeding easily.

What are the first signs of internal bleeding?

The signs and symptoms that suggest concealed internal bleeding depend on where the bleeding is inside the body, but may include:pain at the injured site.swollen, tight abdomen.nausea and vomiting.pale, clammy, sweaty skin.breathlessness.extreme thirst.unconsciousness.

What are the chances of your spleen rupture with mono?

Splenic rupture is a rare but serious complication affecting 0.1% to 0.5% of patients with mononucleosis. Current guidelines (based on published case reports) recommend complete activity restriction for 3 weeks after onset of mononucleosis symptoms to reduce rupture risk.

Can a enlarged spleen go back to normal?

How do you treat an enlarged spleen? In many cases, the spleen will return to normal size as the underlying condition improves. Some conditions, such as transient infections, may go away by themselves. Your provider may treat other conditions with medication, blood treatments or surgery.

What does a spleen infection feel like?

Spleen pain is usually felt as a pain behind your left ribs. It may be tender when you touch the area. This can be a sign of a damaged, ruptured or enlarged spleen.

Should I be worried about enlarged spleen?

It's important to seek treatment for the cause of your enlarged spleen. Left untreated, an enlarged spleen can lead to serious complications. In most cases, treatment of the underlying cause of the enlarged spleen can prevent removal of the spleen.

How would I know if I ruptured my spleen?

Signs and symptoms of a ruptured spleen include:Pain in the upper left abdomen.Tenderness when you touch the upper left abdomen.Left shoulder pain.Confusion, lightheadedness or dizziness.

How do you know if your spleen ruptures?

Symptoms of a ruptured spleen can include left-side abdominal pain, referred left shoulder pain, lightheadedness, confusion, dizziness, and blurred vision. Some individuals may also experience hemorrhagic shock as a result of massive blood loss. A ruptured spleen can be life-threatening if not treated promptly.

Will I know if my spleen ruptures?

Symptoms of a ruptured spleen can include left-side abdominal pain, referred left shoulder pain, lightheadedness, confusion, dizziness, and blurred vision. Some individuals may also experience hemorrhagic shock as a result of massive blood loss. A ruptured spleen can be life-threatening if not treated promptly.

Does spleen hurt with mono?

Mononucleosis may cause enlargement of the spleen. In extreme cases, your spleen may rupture, causing sharp, sudden pain in the left side of your upper abdomen. If such pain occurs, seek medical attention immediately — you may need surgery.

How does a spleen rupture without trauma?

Common causes of non traumatic splenic rupture include myeloproliferative diseases, vasculitis and infections (such as malaria or infectious mononucleosis). However, diffuse large B-cell lymphoma (DLBCL) remains an obscure cause of splenic rupture that requires unique attention [4, 5].

How long does a ruptured spleen take to heal?

Get plenty of rest for 2 to 3 months while your spleen heals. Avoid strenuous activities that could re-injure your spleen. These include lifting, jogging, aerobic exercise, and contact sports. Ask your doctor when you can go back to work, school, or your regular activities.

How long does it take to get over mono?

Weeks to months: Depending on the severity of the illness and the age of the patient it can take several weeks to a few months for compete recovery.

Is mononucleosis a serious infection?

Not exactly harmless: Mononucleosis is a viral infection and generally not considered a serious infection. However, mononucleosis can cause an enlarged spleen, which is at greater risk for rupture and hemorrhage. Thus we recommend avoiding all contact sports when one has been diagnosed with mononucleosis.

Can you get mono after you have EBV?

Yes , sort of: After getting mono, due to ebv virus, a person will have ebv virus in his saliva sometimes. If he does heavy kissing with people who did not get ebv as a child, then those people can catch ebv from him and get mono. However, if he raises his kids in a way where they share foods, drinks, spoons, straws, normal kisses, etc..., his young kids can get ebv from him and have only mild symptoms, not mono.

How long does mono last?

Teens and young adults are likely to show all the symptoms of mono. Within a few weeks, the fever and sore throat will improve. However, enlarged lymph nodes, a swollen spleen, and fatigue may linger after other symptoms clear.

How to tell if you have mono?

These symptoms may include fatigue, fever, and swollen lymph nodes in your armpits and neck — especially if you have mono. Other symptoms of conditions that cause an enlarged spleen could include: If you experience intense pain, seek emergency medical attention immediately by dialing 911.

What happens when you have splenomegaly?

When it’s enlarged, your spleen starts to filter normal blood cells as well as abnormal blood cells. That means you have fewer healthy blood cells circulating in your bloodstream. This could result in a diminished oxygen supply to your body’s tissues and organs.

How to tell if your spleen is swollen?

However, a swollen spleen can also cause some symptoms: 1 You may have indigestion or feel full because your spleen is compressing your stomach. 2 If your diaphragm is irritated, you may develop hiccups. 3 Pain in your upper abdomen may radiate to the back or shoulder blade.

How to detect splenomegaly?

An MRI can detect splenomegaly (enlarged spleen) by assessing the blood flow through the spleen. An enlarged spleen (splenomegaly) occurs when you have an underlying disease, such as infectious mononucleosis (mono). Other causes include liver and autoimmune diseases and some kinds of cancer such as leukemia and lymphoma.

Why does my spleen feel full?

However, a swollen spleen can also cause some symptoms: You may have indigestion or feel full because your spleen is compressing your stomach. If your diaphragm is irritated, you may develop hiccups. Pain in your upper abdomen may radiate to the back or shoulder blade. That said, considering the causes of an enlarged spleen ...

What is the function of the spleen?

The spleen filters blood to maintain a healthy balance of red and white blood cells and platelets. When reviewing causes of an enlarged spleen, mononucleosis is one to note. Mononucleosis is identified by fatigue, fever, an enlarged spleen, and other symptoms. A splenic rupture can be a life-threatening condition.

How Quickly Does Mono Progress?

The timeline from the initial onset of mono to a full recovery can differ from person to person. In the first four to six weeks after a person gets mono, they may not even know they have it. This is because mono has a long incubation period.

What Are the Long-Term Effects of Mono?

Mono has also been associated with an increased risk of developing autoimmune diseases like multiple sclerosis. 8

How Is Mono Treated?

Currently, there is no medication or vaccine that can prevent or cure mono. This illness is fought off by the immune system. To help with recovery:

What is mono in 2021?

Anju Goel, MD, MPH. Published on May 19, 2021. Mononucleosis, or mono for short, is not simply a viral infection with the Epstein-Barr virus (EBV). It means someone is infected with EBV or another virus and actually has symptoms.

What are the symptoms of stage 2 mono?

Symptoms become more pronounced. They consist of fever, inflammation or swelling in the lymph nodes, and sore throat. 2 Severe fatigue is also present at this phase. Other symptoms that could be present in those with a mono infection include: 4.

How long do symptoms of a prodrome last?

During the prodrome stage, symptoms begin to develop. They could include fatigue and malaise. These symptoms last three to five days on average. 2. In most cases, symptoms do not appear at all.

How many stages of mono?

Over the course of a mono infection, a person will experience three different stages of the disease. In each stage, the infection will present with different symptoms and health complications. chee gin tan / Getty Images.

What are the clinical features of infectious mononucleosis?

Diagnosing infectious mononucleosis requires an understanding of the clinical features such as fever, lymphadenopathy, pharyngitis, and splenomegaly, as well as laboratory findings . The time at which these clinical features and laboratory abnormalities develop is also important to understand. Splenomegaly is common, but splenic rupture is very rare.

Is infectious mononucleosis a common problem in college students?

Infectious mononucleosis and the spleen. Infectious mononucleosis is an extremely common problem in the athletic population. "Mono" occurs in 3% of college students. Diagnosing infectious mononucleosis requires an understanding of the clinical features such as fever, lymphadenopathy, pharyngitis, and splenomegaly, as well as laboratory fin ….

Is splenomegaly rare?

Splenomegaly is common, but splenic rupture is very rare. Whether an athlete may return to activity usually relates to the presence of splenomegaly and the duration of the illness. Splenic rupture has not been reported after an individual has been ill for more than 3 weeks.

Why is it important to have a thorough examination when you start developing mono symptoms?

As a result, your spleen is at risk of rupturing if trauma occurs to your abdomen. This is why it is important to have a thorough examination when you start developing mono symptoms.

What does it feel like to have mononucleosis?

Feeling full despite eating very little or nothing. Abdominal or back pain around the spleen. Radiating pain from abdomen to left shoulder. Even if you don’t notice these signs, your doctor will likely check your spleen when you are diagnosed with mononucleosis.

What is the procedure to remove a ruptured spleen?

This surgery is known as a splenectomy and results in the complete removal of your spleen.

How to tell if your spleen is ruptured?

Symptoms of Ruptured Spleen. If the unthinkable happens and your spleen does rupture, here are the signs to watch out for: Pain on left side of upper abdomen. Pain radiating to left shoulder. Pain worsens when you breath.

Why does blood spill into the abdomen?

Because the spleen is filled with blood, if it is torn, blood will begin spilling into the abdominal cavity. Only with medical intervention can this bleeding be stopped. While it is possible for a spleen to rupture spontaneously, the majority of the time it occurs as a result of trauma to the stomach, such as a punch to the abdomen.

How long after a spleen infection can you exercise?

Any other activity that could potentially cause a direct blow to the stomach. These activities should be avoided until your spleen returns to its normal size, about four weeks after infection. Your doctor will advise you as to when it is safe to resume these activities.

Where is the spleen located?

Anatomy of the Spleen. Your spleen is located under your ribcage, on the upper left side of your abdomen. It is filled with blood and works to filter out old, damaged red blood cells as well as produce lymphocytes, white blood cells that make antibodies.

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1.Spleen enlarged years after mono | Answers from …

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6.Infectious mononucleosis and the spleen - PubMed

Url:https://pubmed.ncbi.nlm.nih.gov/12831720/

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7.How long is it concerning to have your spleen enlarged?

Url:https://www.reddit.com/r/Mononucleosis/comments/y5bu0o/how_long_is_it_concerning_to_have_your_spleen/

18 hours ago  · How long does Mono affect your spleen? 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 …

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29 hours ago Splenomegaly is common, but splenic rupture is very rare. Whether an athlete may return to activity usually relates to the presence of splenomegaly and the duration of the illness. Splenic …

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