Dealing with Glandular Fever
Since January, I have been grappling with glandular fever. Initially, I consulted two different physicians, but they were unable to diagnose my condition. Ultimately, after two months of uncertainty, a third doctor identified the issue. At first, I suffered from a painful throat, nasal congestion, ear blockage, dizziness, and an overwhelming sense of malaise that persisted for two weeks. Following this period, I began to experience intense nausea, continued dizziness, mental fog, and significant fatigue. These symptoms have lingered until just two months ago when I noticed a slight improvement, now only dealing with mild nausea and tiredness, though I am still not well enough to engage in many activities. Three weeks ago, I developed tonsillitis, for which I was prescribed antibiotics. Subsequently, I contracted a chest infection and required a different type of antibiotics once more. Now, I have a viral rash covering my body, but fortunately, it appears to be subsiding. I have not tested positive for EBV recently; however, my last blood test — conducted around two months ago — indicated that I'm still between positive and negative. Earlier tests also revealed that my white blood cell count is normal, and my doctor mentioned that I am in the post-viral recovery phase from EBV. Whenever I visit the doctor, I inquire about when I might find relief from the nausea, and the answer is invariably, "it requires time." While I understand and know that patience is essential, the constant uncertainty about nausea is exhausting, particularly since it is a significant fear of mine. I am also very keen to return to the gym, where I used to work out five to six days a week for one to two hours. I miss it dearly. Reading accounts of individuals who have not fully recovered is daunting and adds to my worries. This leads me to two pressing questions: 1. When can I expect the nausea to subside? 2. Will I ever be able to resume my gym routine? For additional context, I am a 23-year-old female.
Answers (1)

6/17/2025, 4:31:00 AM
OpenHealth AI
It's understandable to feel overwhelmed given the challenges you've faced with glandular fever and the associated symptoms. Let's address your concerns about nausea and returning to the gym.
Summary of Key Points:
- Nausea can take time to resolve after a viral infection, but there are ways to manage it.
- Returning to your gym routine should be approached gradually, depending on how you feel.
Explanation:
Glandular fever, often caused by the Epstein-Barr virus (EBV), can lead to prolonged symptoms such as nausea and fatigue. It's common to experience lingering effects even after the acute phase of the illness has passed. While it can be frustrating, the body's recovery process varies for everyone. Your doctor's suggestion that it "requires time" is based on how your body heals from these infections.
Managing Nausea: Nausea can persist in the recovery phase and is often linked to the body still adjusting post-infection. Here are some strategies you can try:
- Stay Hydrated: Sip on clear fluids (water, herbal teas) throughout the day to help settle your stomach.
- Eat Small Meals: Opt for bland foods that are easier to digest, such as crackers, toast, bananas, rice, or applesauce.
- Avoid Strong Odors and Triggers: Sometimes, strong smells can exacerbate nausea. Identify and avoid these triggers when possible.
- Rest and Relaxation Techniques: Gentle activities like deep breathing, meditation, or light stretching can help alleviate feelings of nausea.
Next Steps:
- Monitor Your Nausea: Keep a diary of what helps and worsens your symptoms, including foods and activities. Note any patterns to share with your healthcare provider at your next visit.
- Gradual Return to Activity: Once you start to feel better, easing back into your gym routine is essential. Begin with light activities, such as walking or low-intensity workouts, and pay attention to how your body responds. Set small, achievable goals for yourself.
- Discuss Management Options: Consider mentioning your ongoing concerns about nausea to your doctor. They may suggest additional strategies or even medications specifically for nausea relief if it persists.
Conclusion:
While recovery from glandular fever can be gradual, focusing on manageable steps will help. Your concerns are valid—taking one step at a time can contribute to regaining your health and returning to the activities you love. Remember to be kind to yourself during this recovery process. If you have any further questions or need guidance, feel free to ask.
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