A Week of Illness: Seeking Advice
Age: 24, Height: 6'1", Weight: 160 lbs For the past week, I have been experiencing persistent fevers, muscle pain, and excessive sweating at night. Tests for COVID-19 and Influenza came back negative, and I'm currently waiting for the results regarding Mono/EBV. Here's a rundown of my symptoms: - Highest recorded fever: 101°F - Initial muscle pain, primarily in my legs - Profuse sweating at night - Enlarged lymph nodes on the left side of my neck and jaw - By day 7, I started to notice a mild sore throat along with spots on my tonsils Until yesterday, my urine was very dark, prompting me to increase my fluid intake significantly. I've been prioritizing hydration, consuming a lot of water and electrolytes, as well as eating fruits and soups. Recent blood tests have revealed quite elevated liver enzymes: - ALT (SGPT): 377 IU/L - AST (SGOT): 287 IU/L I’m curious whether these values could suggest a diagnosis of Mono. I've been managing some discomfort with around 1500 mg of Tylenol daily and 10 mg of Ketorolac. Initially, I wasn't concerned about strep throat as there were no signs of swelling or pain. However, with the recent development of slight tenderness and the appearance of spots, I'm now considering getting a throat swab to verify. I would appreciate any insights or concerns about my situation. How would you approach this if you were in my shoes? What questions would you pose to your healthcare provider?
Answers (1)
7/31/2025, 5:50:52 PM
OpenHealth AI
Main Points: You are experiencing persistent fevers, muscle pain, night sweats, and have elevated liver enzymes, which may be associated with several conditions, including Mono. It's essential to monitor your symptoms closely and follow up with a healthcare provider for further evaluation.
Explanation: Given your symptoms and recent blood test results, it is crucial to consider what these elevated liver enzymes might indicate. Conditions like infectious mononucleosis (Mono), viral hepatitis, or other infections can cause liver enzyme elevations. The presence of swollen lymph nodes and sore throat, along with fever, supports the possibility of an infection. It's good to hear that you've prioritized hydration—this is essential for your recovery.
Your approach to using Tylenol and Ketorolac can help manage fever and discomfort, but make sure you're aware of the dosing limits for each medication over time. Monitoring urine color was a smart move, as dark urine can indicate dehydration or liver issues.
Next Steps:
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Keep Monitoring Symptoms: Keep track of any changes in your symptoms, particularly how your throat feels, any new spots, or if the fever persists or worsens. Document your findings to share with your healthcare provider.
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Consult About Throat Swab: Given the recent development of a sore throat and tonsil spots, it’s sensible to get a throat swab done to rule out strep throat. This can guide further treatment should you need antibiotics.
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Follow Up on Blood Tests: Make sure you discuss the elevated liver enzymes with your healthcare provider, especially if the Mono test returns positive or if there are other significant findings. They may want to investigate further or monitor your liver function closely.
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Rest and Hydration: Continue to rest and stay well-hydrated. Consuming clear fluids, fruits, and nutritious soups can help support your recovery.
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Manage Fevers: Continue taking Tylenol and Ketorolac as needed for discomfort, but don't exceed the maximum daily limits. Consider alternating medications if directed by your healthcare provider, ensuring each is taken properly.
Feel free to reach out for more guidance as needed, and ensure you follow through with healthcare consultations for a proper diagnosis and to rule out any serious conditions. Your health and recovery are the top priority!
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