How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Singh Your Own Question

Dr. Singh
Dr. Singh, Doctor
Category: Health
Satisfied Customers: 6496
Experience:  MBBS. General Practitioner, experienced in hospital care and primary care.
10798432
Type Your Health Question Here...
Dr. Singh is online now
A new question is answered every 9 seconds

am trying to understand mono test done on 23 year old male

Resolved Question:

am trying to understand mono test done on 23 year old male - EBV Ab VCA, 1gM is 0.2, EBV Early Antigen Ab, IgG is 8.0 H - was told had previously had mono but did not have it now - is that what this means? Can it show how recently mono was active? Would appreciate any help you could give in understanding this
Submitted: 2 years ago.
Category: Health
Expert:  Dr. Singh replied 2 years ago.

Dr. Singh :

Hi,

Customer:

Hello

Dr. Singh :

The fact that your IgG is elevated but your IgM is not, means that you do not have a current Mono infection, but that you did have one in the past. The IgG becomes positive about a week after infection and remains positive for life. So there is no way of knowing exactly when you first were infected with that result. The IgM becomes positive with active infection but then decreases 4-6 weeks after.

Customer:

Can you give me any time frame of when he may have had mono?

Dr. Singh :

There is no way of knowing the exact time, for as stated, the result (IgG) once positive remains positive for life. It can be safely said that he was not infected in the last 6 weeks for otherwise the IgM would also be positive. Other than that there is no way of knowing.

Customer:

He has also been tested for strep (negative) and still has sore throat and fatigue, has been on antibiotics twice and a z pack - still complaining, did throat culture today, any suggestions or thoughts, this has been going on about 6 weeks.

Dr. Singh :

I agree with the throat culture and awaiting to see if any bacteria grow and if treatment is needed. His symptoms do sound consistent with a viral infection. CMV another virus may be the potential cause. In the meantime rest, salt water gargles, and pain medications are recommended.

Customer:

what is cmv?

Dr. Singh :

Its a virus. It stands for Cytomegalovirus

Customer:

they gave him another antibiotic today (3rd one) does he need it if it is viral?

Dr. Singh :

If it is viral, no he does not. Viral infections take time but resolve on their own.

Dr. Singh :

Do you have any further questions?

Customer:

will the culture show if it is cmv?

Dr. Singh :

No, there is another test for CMV, a blood test. Viruses dont grown on those mediums they use for culture.

Customer:

is there anything else you would recommend we do?

Dr. Singh :

With viruses it usually takes a while for the symptoms to entirely resolve. Sometimes fatigue can linger for months. Therefore rest, drinking plenty of fluids, salt-water gargles and pain control is the recommended treatment.

Customer:

thank you

Dr. Singh :

You are very welcome. If no further questions, please click accept

Dr. Singh :

Regards

Dr. Singh, Doctor
Category: Health
Satisfied Customers: 6496
Experience: MBBS. General Practitioner, experienced in hospital care and primary care.
Dr. Singh and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery