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I am a Family Medicine doctor, board certified with active licenses and certification in Internal Medicine, Pediatrics, Obstetrics and Gynecology, as well as Integrative Medicine & Naturopathy, with advanced training in Neurology, Cardiovascular Medicine, Gastroenterology, Endocrinology, and Psychiatry. I am also well-trained in Functional Medicine. Perhaps most importantly, I consider myself a patient listener.
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ok - The fatigue and sore throat are, statistically speaking signs of viral and allergic illnesses. Bacterial infections typically come with fevers in the 101-102 range, chills, sweats, signs that your body is fighting a bacteria, which would have the potential for terrible effects, different from most viruses and allergies. The nausea could be related to the sore throat, but given your ALT elevation, which really relates more to the liver than the kidneys, more information would be required to help identify a specific explanation in your case. Can you provide more information about what you've experienced?
I see. mononucleosis is quite a common illness, and is high on the list of possibilities. If the fatigue is great enough, if he has lymph nodes that are enlarged, if he has red spots on the roof of his mouth, that would be more likely.