The Epstein-Barr virus is present in human saliva and commonly spreads by sharing drinking glasses, toothbrushes, food, and drinks of an infected person or from a kiss of an infected person. Hence it is popularly known as kissing disease. Infection caused by the Epstein-Barr virus is known as infectious mononucleosis. It can also spread through sex, organ transplant, and blood transfusion as it is present in the blood. Symptoms include fatigue, sore throat, fever, rash, appetite loss, and sore muscles. These symptoms simulate flu, and in most cases, they go undetected and get transmitted. As there is no medicine to cure this infection, symptomatic relief like painkillers and medications for fever can be taken. Adequate rest and intake of plenty of fluids are advised. Within few weeks, the infection gets cleared on its own.
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Other than hepatitis, what can cause increased bilirubin levels?
Query: Hello doctor, I have jaundice. My biliurubin was 7.5 three weeks ago. I went to the doctor for jaundice. Weekly blood tests as of three weeks show bilirubin has been increasing. Hep test shows I do not have hepatitis. Ultrasound says no tumor bile duct coverage or stones. I took a CT scan and the r... Read Full »
Answer: Hello, Welcome to icliniq.com. Well, your US (ultrasound) and CT (computed tomography) scan are normal which is kind of satisfying to me. Of course you suppose to have more blood tests to confirm the origin of this jaundice. Hepatitis, although common, but they are not the only one to cause live... Read Full »
I have Epstein Barr virus and numerous enlarged lymph nodes. What are they?
Query: Hello doctor, Needle core biopsy of 1.5 cm lymph node in the abdomen at porta hepatis. Numerous small and large nodes are present. Flow cytometry shows peripheral blood contaminated specimen, lymphocytes population is 97 % of total leukocytes and consists of T-cells helper and suppressor immunoph an... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Hereby, I am giving my opinion for your case. You are having ebstein bar virus infection. This virus can lead to hepatitis development and enlarged lymph nodes. You are right on your suspicion that multiple enlarged lymph nodes raised suspicion towards malignancy esp... Read Full »
What does IgG positive and IgM negative mean in an EBV test?
Query: Hi doctor, I recently got an EBV test done. My result was IgG positive and IgM negative. What does this mean? Is it life-threatening, like HIV? Is it contagious? Please guide Read Full »
Answer: Hi, Welcome to icliniq.com. IgM (immunoglobulin M) negative and IgG (immunoglobulin G) positive means that you do not have an acute infection but may be a carrier of Epstein-Barr virus (EBV) which is not as dangerous as HIV (human immunodeficiency virus) and can be easily treated. You may develop ... Read Full »
I have low-grade fever, chills and fatigue for past six months. Kindly help.
Query: Hello doctor, I am feeling like I have flu for the past six months. I have low-grade fever, chills, and fatigue. I feel pain on one side of my throat while swallowing. I have done several blood tests. I did a throat swab last week for infection. But results were negative. Kindly help. Read Full »
Answer: Hi, Welcome to iclinq.com. Thanks for writing in, and I understand you. As per the reports attached (attachments removed to protect patient's identity), CRP (C-reactive protein) is above normal, and neutrophil, MCV (mean corpuscular volume), MCH (mean corpuscular hemoglobin) are below normal, and... Read Full »
Can CMV and Epstein-Barr virus cause genital ulcers?
Query: Hello doctor, I have three questions. 1) Can cytomegalovirus and Epstein Barr virus cause genital ulcers? 2) My immunoglobulins were low for IgM at 25 and high for IgE at 151. Could there be anything to worry? 3) I am sending a picture of something that appeared in my mouth. Could that be candidi... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachment removed to protect patient identity). With your descriptions and the picture attached, it seems you have candidiasis or oral lichen planus. The CMV (cytomegalovirus) and EBV (Epstein-Barr virus) both do not cau... Read Full »
Why do I get a fever, feel nauseous, and weakness after kissing someone?
Query: Hello doctor, I am a 20 year old woman. Every time I kiss someone, even just a peck or someone I have kissed before, I get a bad fever that sometimes lasts up to a week, nausea, and fatigue that makes me sleep almost all day and night. I have only kissed about three people. Will this go away eventua... Read Full »
Answer: Hello, Welcome to icliniq.com. It could be due to Epstein-Barr virus (EBV). It typically occurs in teenagers, but you can get it at any age. The virus is spread through saliva, which is why some people call it 'the kissing disease.' I would like to enlighten you about few other diseases you can get ... Read Full »
Are my symptoms of night sweats, fatigue, and recurrent tonsillitis due to EBV?
Query: Hi doctor, I am 20 years old and have been having night sweats, fatigue, and have been feeling a bit hot on and off for two months, and have lost 5% of my body weight. I had really bad tonsillitis last month and have got it again now. I tested positive for strep and EBV. I started taking antibiotic... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to ask you few questions. Are you taking any steroid drugs? Have any history of unprotected sexual activity? Anything that can cause your immunity to go down and factors like bad oral hygiene can lead to recurrent upper respiratory infections like ton... Read Full »
Can a history of EBV cause persistent lymphocytosis?
Query: Hi doctor, I have attached my reports. Please explain to me what it is? Do I have persistent lymphocytosis? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Following is my answer to your asked question. In the attached reports (attachment removed to protect patient identity), your lymphocytes count are repeatedly elevated. So it is suggestive of persistent lymphocytosis. You have EBV (Epstein- Barr virus) IgG (immunoglo... Read Full »
How to treat chronic fatigue and weakness due to positive EBV?
Query: Hello doctor, I have had problems with chronic fatigue for the past 10 years. I was reading about EBV and the test came back positive. Can you review the attached report and give me analysis and next steps as far as testing and treatment? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen the report (attachment removed to protect patient identity). The positive IgG report can be due to past infection as well. To rule out recent infection, you need to investigate with IgM antibody estimation against EBV (Epstein-Barr virus). ... Read Full »
Why did my friend fall sick after cocaine abuse?
Query: Hi doctor, My friend abused weed, alcohol and cocaine in a span of 20 days. Last two days he had cocaine twice, even though that was the first time and did not sleep. Then, he travelled and became sick with 104 degree fever, cough, swollen tonsils and right knee numbness. His blood test result showe... Read Full »
Answer: Hello, Welcome to icliniq.com. I am very much concerned about acquiring diseases that could be transmitted through contaminated needles namely HIV, hepatitis B and C. He may be exposed to EBV infection (Epstein-Barr virus) or just acute tonsillitis due to strep throat or other viral infection (Influ... Read Full »