Medical Questions? Ask a Doctor Online!
Did you have this illness begin with a sore throat and flu-like illness?
Has your blood work come back normal or are there some abnormalities?
Sometimes the test for glandular fever (mononucleosis) is negative intitially then goes positive
HERE IS A GOOD REFERENCE ON GLANDULAR FEVER
If that IS your diagnosis your story is quite typical for this viral illness
And time is the only thing that will get you well
And it often takes many weeks to recover
So I think what your doctors have said so far is correct, however, it bothers me that they have not had a positive test for glandular fever.
It would be nice to know that this is THE diagnosis
So I think that question should be asked.... ie, 'can we say for sure that this is glandular fever, and, if not, what else do we need to be thinking of?'
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Blood work has come back satisfactory although consistent with having had a viral infection. I did have a sore throat weeks ago and the fatigue has been there for months although not at the level it is now. Is it worth another test for glandular fever as I believe it is an antibody search or what other tests in your opinion may be worthwhile? Also have muscle twitching in my calfs, this is only recent and possibly unrelated to the other symptoms.
I think it's time to get the antibody test done to clinch the diagnosis. As to the calf twitching it's hard to say what this might be but it is likely related to your illness. Various complications of dehydration that involve electrolytes like calcium and potassium can cause muscle twitching. This is almost always a benign symptom. The other lab test that your doctors will want to follow is your CBC (blood count) to make sure that your lymphocytes and other white blood cells are in the range we would expect from glandular fever.
To make sure you are well hydrated is relatively simple... just drink enough water so that your urine is a light yellow color... not clear and not dark yellow or orange.