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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Cause Glandular Fever?

Symptoms since surgery 12 weeks ago and been told I have had glandualr fever in the last six motnhs but I had no idea as I have not felt unwell.

•     Fatigue, impaired memory and concentration, jumbling up words, getting them in the wrong order or being unable to remember words.

•     Insomnia, frequent waking during the night and unable to go back to sleep for some hours, waking up more tired than before I slept, dizziness, imbalance, headaches and migraines.

•     Breathlessness with or without movement, which can be good one day and terrible the next. Pain when taking a deep breath.

•     Joint pain; feeling of tightness and stiffness, with or without swelling, mostly in my elbows, wrists, fingers, knees, hips and neck/shoulders. Pain is worse in the morning or after sitting for any period of time. Excruciating pains in my feet especially when I walk; leg and foot cramps.

•     Carpal Tunnel symptoms have increased in intensity and I find my arms are more painful during the day and going numb for longer periods and more frequently overnight.

•     Pains and pressure in chest, which radiates up to my left shoulder and left arm, sometimes my neck and in to my throat if I have a particularly painful episode or my heart skips heartbeats (palpitations). Waking from a deep sleep with a rapidly beating heart and a feeling like ‘something’ is going to happen.

•     Feeling of swollen lump in throat, which can be painful for a few days and then not. Hoarse, husky voice

•     Feeling the need to drink more water as my throat is quite dry

•     Raynauds symptoms have increased in intensity.

•     Feelings like all my nerve endings are tingling, shivering or someone has walked over my grave, in muscles in differing parts of my body at random times of the day and night, and general weakness especially in my lower back.

•     Tremors and shaking with or without exertion.

•     Numbness and tingling of left side of face.

•     Gastro-intestinal: Gas, bloating, occasionally nausea, reflux, indigestion

•     Urine: Has an odd almost sweet odour.

•     Hair, Skin:

•     Very dry skin with occasional intense itching in patches on arms and legs.

•     Alarming hair loss.

•     My temp has been quite low usually around 34-35, but I feel feverish when it gets up to 36 and above;

•     Heightened sensitivity to:

•     Lights which in bright light either artificial or outside trigger migraines;

•     sounds

•     odours or chemicals which trigger more frequent migraines;

•     Random symptoms:

•     increase in reactions to food, chemicals, pollens, dust;

•     weight gain;

•     eyes feel swollen and are dry with itching or burning and occasionally blurred vision;

•     sugar craving.



Mon, 29 Dec 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,

Glandular fever is caused by ebstein Barr virus. Your description fits into it. But it needs confirmation by blood tests.

Blood count and smear for atypical lymphocytes and serologt for EBV should help in clinching the diagnosis. Usual treatment is supportive with ibuprofen and paracetamol.

Antibiotics may be needed if there is a superadded bacterial infection ( get throat swab for strep ).
Thank you.
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What Cause Glandular Fever?

Hello, Welcome to HCM, Glandular fever is caused by ebstein Barr virus. Your description fits into it. But it needs confirmation by blood tests. Blood count and smear for atypical lymphocytes and serologt for EBV should help in clinching the diagnosis. Usual treatment is supportive with ibuprofen and paracetamol. Antibiotics may be needed if there is a superadded bacterial infection ( get throat swab for strep ). Thank you.