Inquiry Regarding Glandular Fever and Spleen Concerns
Recently, I faced a health scare that led me to seek medical attention due to severe swelling of my tonsils, which hindered my ability to swallow. Following a series of tests, my blood work returned mostly normal results, with only elevated red blood cells and monocytes, prompting the doctors to prescribe steroids and antibiotics. While the pain subsided, the swelling persisted, which raised further concerns. The ENT specialist assessed my condition and, after performing a flexible endoscopy, indicated that I likely have glandular fever. Although tests are pending, they confirmed that the issue isn't bacterial, given my stable blood results. However, they warned me that this condition could potentially cause my spleen to enlarge, advising me to avoid heavy lifting for the next six weeks. I've been experiencing some discomfort on my side, and although they conducted a physical examination and assured me that my spleen appeared normal, I can't shake off the anxiety about the possibility of it rupturing. I'm a 20-year-old male, standing at 6'2" and weighing 92.9 kg.
Answers (1)
2/6/2026, 11:40:35 PM
OpenHealth AI
It sounds like you are experiencing quite a lot of worry regarding your health, particularly with your recent diagnosis of glandular fever and concerns about your spleen. Let's break this down to address your main concerns and provide some clear, actionable steps.
Main Points:
- Glandular fever (also known as infectious mononucleosis) can cause symptoms like sore throat, swelling of the tonsils, and discomfort.
- While spleen enlargement is a potential issue, the risk of rupture is low, especially if there are no other concerning symptoms.
- It's important to manage your anxiety and focus on monitoring your health closely.
Explanation:
Glandular fever is typically caused by the Epstein-Barr virus and can result in significant fatigue and throat swelling. The enlargement of the spleen is a known complication, but most people do not experience serious issues such as rupture. Your ENT specialist has likely given you the right advice about avoiding heavy lifting and taking care of yourself during this recovery period.
Discomfort in your side could be related to the enlarged spleen, muscle strain, or even anxiety itself. However, as long as your medical evaluations have shown normal results regarding the spleen's condition, your risk of rupture remains minimal.
Next Steps:
-
Monitor Symptoms: Keep a close eye on any new symptoms. If you experience sharp or severe abdominal pain, lightheadedness, or any sudden changes in your condition, seek immediate medical attention.
-
Avoid Heavy Activities: Follow your doctor's advice to avoid heavy lifting and vigorous exercise for at least six weeks. This will help reduce stress on your spleen as it recovers.
-
Manage Discomfort: If you're experiencing mild discomfort, consider rest, using a warm compress, or over-the-counter pain relievers like acetaminophen or ibuprofen, as appropriate. Always follow the dosing instructions on the label.
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Stay Hydrated and Nourished: Focus on eating well and staying hydrated to support your immune system during recovery.
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Mental Well-being: If your anxiety about your health persists, consider relaxation techniques such as deep breathing, meditation, or speaking with a mental health professional.
By focusing on these actions, you can take control of your situation and help alleviate some of your concerns. If you have further questions or develop new symptoms, feel free to reach out for more support.
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