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How to manage neurological symptoms of CMV infection?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

When I try to go to sleep every night, this horrible gas has disturbed my immune system, and some solid-like comes up from my shoulder area to the right side of my head and attacks me all night long. I am exhausted from it all. I believe it is a virus. Lab work found I have an aggressive Epstein-Barr and aggressive CMV (cytomegalovirus). I am seeking inferon alpha low dose pills and Ganciclovir.
Answered by Dr. Sugreev Singh

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

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Hi,

Welcome to icliniq.com.

Such a weird sensation can be due to parasitic infection only, and as you mentioned, you have a previous history of insect bites. So, most probably it is due to that only. I would suggest you continue with the antiviral therapy you are currently taking.

And along with that, you can take tablet Paracetamol 500 mg once a day after a meal for three days, tablet Pantoprazole 40 mg once a day before a meal for three days. And please send me reports of lab tests you performed to go through and prescribe medicine accordingly.

What dosage of Gancyclovir are you taking currently? And how many times a day?

Please let me know.

I hope this helps.

Kindly follow up if you have more doubts.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At January 19, 2021
Reviewed At December 30, 2025

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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