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Mono, the "Kissing Disease" Discharge Instructions


About this topic


Mononucleosis, or mono, is an infection that causes flu-like signs. These include fever, feeling tired, and swollen glands on the neck. It is caused by a germ called the Epstein-Barr virus. ‚  
The infection may go away on its own. You will start to feel better in 1 to 2 weeks. Full recovery may happen after 2 to 3 months. Younger children are often less sick than older children. Adults often get sicker than children. You may treat this illness at home with rest, drinking lots of fluids, and taking over-the-counter (OTC) drugs. ‚  


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What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
  • Take all drugs as ordered by your doctor.
  • Drink lots of fluids to keep your urine light yellow. Do not to share drinking containers with anyone.
  • Do not share toothbrushes, facecloths, lip gloss, lip balm, lipstick, or moisturizers with anyone.
  • Put a cool mist humidifier in your room to keep your throat moist.
  • Gargle with warm salt water every after meal. Mix 1/2 teaspoon salt with a cup of warm water.
  • You may suck on lozenges, popsicles, or candies to ease throat pain.

What follow-up care is needed?


  • Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits.
  • If the infection is very bad, your doctor may order other tests or blood work.

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain
  • Lower fever

Will physical activity be limited?


  • You may need to limit your activity until your health problem is better. Talk to your doctor about the right amount of activity for you.
  • If you have sharp belly pain, avoid strenuous activities.
  • You may need bedrest for a few days to let your body recover from the infection. Slowly add to your activity over a few weeks to months until you get to your former level.

What changes to diet are needed?


  • Eat soft foods like soup and pureed fruit and veggies if swallowing is painful.
  • Do not drink sports drinks, soft drinks, or undiluted fruit juice. They have too much sugar and may cause fluid loss and throat pain. Instead try herbal teas, diluted fruit juice, and water.
  • Avoid caffeine, smoking, and beer, wine, and mixed drinks (alcohol). These can make your signs worse.

What problems could happen?


  • Liver damage
  • Spleen breaks open. This is a rupture.

What can be done to prevent this health problem?


  • Avoid kissing others who have the signs of mono.
  • Do not drink from the glasses or water bottles of others.
  • Keep eating utensils and glasses away from the rest of your family. This will help prevent the spread of infection.
  • Cover your nose and mouth when you sneeze or cough.

When do I need to call the doctor?


  • Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills.
  • Very bad belly pain
  • Yellow color of your eyes and skin
  • Health problem is not better or you are feeling worse

Helpful tips


When you start to feel better, take it slow and dont overdo things. ‚  

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my condition.
  • I can tell you what may help ease my sore throat.
  • I can tell you what I will do to keep others from getting sick.
  • I can tell you what I will do if I have very bad belly pain or a yellow color of my eyes and skin.

Where can I learn more?


Centers for Disease Control and Prevention ¢ ˆ ’ National Center for Infectious Diseases ‚  
http://www.cdc.gov/ncidod/diseases/ebv.htm ‚  
KidsHealth ‚  
http://kidshealth.org/teen/infections/common/mononucleosis.html ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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