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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Fatigue And Muscle Pain

Hi my name is Jennifer. I am 49 years old and was sick with the Epstein Barr virus in November of 2014.I am still suffering from extreme fatigue and muscle pain. I was looking for a doctor who specializes in this where I live in Toledo, Ohio. Can you please help me?
Fri, 11 Sep 2015
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General & Family Physician 's  Response
Dr. Hanif warmly welcomes you!

Thanks for consulting at my virtual clinic HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns.


Infectious mononucleosis patients feel body pains and fatigue and these are common to all the patients with EBV infection. This pain and fatigue may go long enough, sometimes becomes chronic pain and fatigue.

Rest is the key to early recovery in this case. Do as much rest as you can. No vigorous activities. Avoid strenuous exercises as they may lead to rupture of the inflamed/enlarged spleen that may be life threatening if not treated surgically. Viral infections get better with rest and also there is less fatigue and symptomatic relief from malaise. You may take Tylenol for mild fever and body-aches. Do gargles with Luke-warm saltwater to soothe the throat and get prompt relief. The throat vial load and shedding also decreases with it.


The long term treatment for the EBV Infectious mononucleosis is only FOLLOW UP AND CONSERVATIVE TREATMENT. We have to deal with the symptoms and diagnose the complications early and refer the patient to the specific specialist for the complication developed. There is not a single specialist for EBV IM disease. But You may definitely ask your primary care physician to refer you to an Infectious Disease Specialist in Toledo Ohio. Even this specialist will adopt a multidisciplinary approach and may need to involve different specialists if needed with time, e.g.:-

*Its a disease that may involve tonsils with severe infection and swelling and may even need intubation--A need for referral to an Ottorhinolaryngologist and Head and Neck Surgeon.

*If anemia or thrombocytopenia ensues--Hematologist involvement needed.

*If Central Nervous system involvement--A Neurologist jumps in.

*If infections of the heart (Myocarditis) ensues--A Cardiologist referral needed.

* If hepatitis or gallbladder infection comes as a complication of EBV chronic infection--A Gastroenterologist consultation is needed.


It is your primary care physician who will decide when you need referral and to whom should he refer you. I suggest you to keep proper follow-up with your treating physician.

Hope I answered all of your questions. Please don't forget to add your precious positive feedback to help me able to assist you better in future too. Have a wonderful time ahead. Keep in touch for a follow-up too to let me know if you have any doubts & need further assistance. I am available 24/7 for your help. Have a blessed time ahead.

Regards!
DR. MUHAMMAD HANIF
USA
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Suggest Treatment For Persistent Fatigue And Muscle Pain

Dr. Hanif warmly welcomes you! Thanks for consulting at my virtual clinic HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns. Infectious mononucleosis patients feel body pains and fatigue and these are common to all the patients with EBV infection. This pain and fatigue may go long enough, sometimes becomes chronic pain and fatigue. Rest is the key to early recovery in this case. Do as much rest as you can. No vigorous activities. Avoid strenuous exercises as they may lead to rupture of the inflamed/enlarged spleen that may be life threatening if not treated surgically. Viral infections get better with rest and also there is less fatigue and symptomatic relief from malaise. You may take Tylenol for mild fever and body-aches. Do gargles with Luke-warm saltwater to soothe the throat and get prompt relief. The throat vial load and shedding also decreases with it. The long term treatment for the EBV Infectious mononucleosis is only FOLLOW UP AND CONSERVATIVE TREATMENT. We have to deal with the symptoms and diagnose the complications early and refer the patient to the specific specialist for the complication developed. There is not a single specialist for EBV IM disease. But You may definitely ask your primary care physician to refer you to an Infectious Disease Specialist in Toledo Ohio. Even this specialist will adopt a multidisciplinary approach and may need to involve different specialists if needed with time, e.g.:- *Its a disease that may involve tonsils with severe infection and swelling and may even need intubation--A need for referral to an Ottorhinolaryngologist and Head and Neck Surgeon. *If anemia or thrombocytopenia ensues--Hematologist involvement needed. *If Central Nervous system involvement--A Neurologist jumps in. *If infections of the heart (Myocarditis) ensues--A Cardiologist referral needed. * If hepatitis or gallbladder infection comes as a complication of EBV chronic infection--A Gastroenterologist consultation is needed. It is your primary care physician who will decide when you need referral and to whom should he refer you. I suggest you to keep proper follow-up with your treating physician. Hope I answered all of your questions. Please don t forget to add your precious positive feedback to help me able to assist you better in future too. Have a wonderful time ahead. Keep in touch for a follow-up too to let me know if you have any doubts & need further assistance. I am available 24/7 for your help. Have a blessed time ahead. Regards! DR. MUHAMMAD HANIF USA