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Mononucleosis or just a long cold?
Infectious Diseases
Question #6647
35 days ago
51

Mononucleosis or just a long cold? - #6647

Anonymously

Two weeks ago, I started feeling super tired, like the kind of exhaustion where you sleep 10 hours but still feel like you got hit by a truck. At first, I thought it was just a cold cause my throat was killing me, and I had a slight fever (around 38°C). But the weird part is, it’s been days, and my throat is somehow getting worse instead of better. My tonsils are HUGE, almost touching, with white patches on them. I don’t usually get tonsillitis, so this freaked me out a little. Then my friend mentioned mononucleosis. I didn’t even think about that at first, but now I’m worried. My lymph nodes in my neck are super swollen, almost like marbles under the skin, and I feel like I have no energy to do anything. Plus, my spleen area feels kinda weird? Not exactly painful, but I can feel a discomfort when I press on my left side. Is that a sign of mononucleosis too?? I never got tested for mononucleosis before, but I read it’s sometimes called the “kissing disease.” Thing is, I haven’t kissed anyone recently, so how would I even get it? Can you catch mononucleosis from just sharing a drink or using the same fork as someone?? I do work in an office where people are always sick, and I’m not gonna lie, I sometimes sip from my friend’s water bottle without thinking. Could that be enough?? Another thing—I tried taking antibiotics (leftover amoxicillin from an old prescription, I know, bad idea), and I noticed a rash on my arms a day later. Then I read that people with mononucleosis can get a rash from antibiotics. Does that mean I definitely have mononucleosis, or could it still be strep throat or something else?? I haven’t gone to the doctor yet cause I figured it was just a virus, but now I’m not so sure. If it is mononucleosis, how long does it last? And do I really need to avoid sports and workouts for months? I read somewhere that mononucleosis can cause spleen rupture if you exercise too soon—how do I know if mine is at risk??

Mononucleosis
Epstein-barr virus
Kissing disease
Sore throat
Swollen lymph nodes
Viral infection
Chronic fatigue
500 INR (~5.88 USD)
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Doctors’ responses

Dr. Evgeny Arsentev
I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.
34 days ago
Based on what you've described—severe fatigue, swollen tonsils with white patches, enlarged lymph nodes, and spleen discomfort—it’s definitely possible that you could have mononucleosis (mono). It’s a viral infection caused by the Epstein-Barr virus, and it can present with similar symptoms to a bad cold or strep throat, but it typically lasts longer and causes more intense fatigue. You can catch mono through close contact with saliva, but sharing drinks or utensils can also be a way the virus spreads. The rash you developed after taking amoxicillin is common in people with mononucleosis, as the antibiotic can cause a reaction when given to someone with the virus. This doesn’t necessarily confirm mono, but it does increase suspicion. I strongly recommend seeing a doctor for a blood test to confirm whether you have mono or another condition. Your doctor can also check your spleen and lymph nodes to assess if there’s any risk of complications. As for exercise, it’s important to avoid strenuous physical activity until your doctor gives you the go-ahead. Mono can increase the risk of spleen rupture, which is a serious complication.
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