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 Louise Sivak, M.D. Your Own Question

Louise Sivak, M.D.
Louise Sivak, M.D., Doctor
Category: Medical
Satisfied Customers: 3498
Experience:  Pediatrician, Board-certified in Hematology/Oncology
16877601
Type Your Medical Question Here...
Louise Sivak, M.D. is online now
A new question is answered every 9 seconds

I was just told I have cmv virus for swollen lymph nodes I

Customer Question

I was just told I have cmv virus for swollen lymph nodes I have had for about 2 months? Does this make sense? How does this virus work? Do you get a test of positive if you just got the virus? What if you have had it a long time wouldn't you get a positive test then and it's not the reason of the swollen nodes? Worried about these glands. Thanks so much for an answer.
Submitted: 5 years ago.
Category: Medical
Expert:  Louise Sivak, M.D. replied 5 years ago.

HelloCustomer

What type of test was done to diagnose the CMV?
When was the test done in relation to when you first noticed symptoms?
Thank you.

Louise Sivak, M.D.

Customer: replied 5 years ago.
I had swollen glands for about 2 weeks went to see doc, did mono test and he pretty much blew me off. Waited to see if got better for a few more weeks. Got nausa and fever a few days, went to ER. They did a CT scan and found I had swollen lymph nodes. That was all they said. Could be viral. I wasn't satisfied. Although nausea and fever went away lymph nodes still uncomfortable. Went back to doctor. He tested me for CMV. It came back positive. After about 2 weeks I feel better, but glands still swollen and very tired. Just thought it a strange thing to test for after reading about it?
Expert:  Louise Sivak, M.D. replied 5 years ago.

HelloCustomer

Thank you for the helpful additional information.

There are a number of viruses that cause "mononucleosis-like" syndromes: extreme fatigue, muscle aches, +/- sore throat, +/- fever, swollen glands mainly in neck and inside abdomen. The virus most easily tested for is Epstein-Barr (EBV) which causes "mono" but CMV is in the same virus family and causes the same pattern of symptoms. We test for CMV one or both of two ways: blood test for actual CMV titer (amount in the blood sample) or indirectly by blood test for antibodies from your normal immune system fighting CMV recently (IgM) or sometime in the past (IgG). Comparing the relative amounts can tell us approx when you got the virus; most people have been exposed to CMV (and so have anti-CMV IgG for their lifetime) after age 10-12.

Any of these viruses can pretty much take a person down! It is not atypical to feel very tired for weeks, so try to give yourself time to recuperate. Get plenty of sleep if you can and try to eat healthy. It takes weeks for the swollen glands to decrease to normal size also and they may be a bit tender.

There is no specific treatment for these viruses.

If you feel worse in any way or your symptoms have not improved in 3-4 weeks, then it is worth calling your doctor again, but it can take some time to feel back to normal.

I hope this is helpful and please tell me if you have additional questions.

Regards,

Louise Sivak, M.D.

Customer: replied 5 years ago.
I'm sorry I'm still confused. Do the results of positive mean that the virus is active now regardless of when I contracted it? Or just that I have it in my system? If I just have it in my system how would a doctor know it is this virus causing my symptoms? Why would they even test for it? Thank you so much for taking the time to answer my questions.
Expert:  Louise Sivak, M.D. replied 5 years ago.

Hello,

Great questions - sorry for the confusion.

Your doctor was smart to check for CMV when the EBV tests (I assume) came back showing no current or recent EBV. Your symptoms make total sense for "mono".

The "positive" result means (if i'm assuming right about what blood tests were done) that your blood shows recent CMV infection. Your swollen glands are your normal immune response fighting off the virus. Lymph nodes are collections of lymphocytes (infection fighting cells) so they swell with infections. The CMV is no longer active in your system, but evidence that it was there (your antibodies - like when you get a vaccine -) will be around for awhile.

Louise Sivak, M.D.

Louise Sivak, M.D., Doctor
Category: Medical
Satisfied Customers: 3498
Experience: Pediatrician, Board-certified in Hematology/Oncology
Louise Sivak, M.D. and 3 other Medical Specialists are ready to help you
Customer: replied 5 years ago.
This helps a lot. I understand now. Thanks again.
Expert:  Louise Sivak, M.D. replied 5 years ago.

You are most welcome!

Hope you feel better soon,

Louise Sivak, M.D.

 

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • 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
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    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

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions