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I am wondering how many mono sufferers have had a similar experience to mine. I first got sick in July of 2012 and recovered uneventfully in less than three weeks. I was completely fine for a full year and thought that I was out of the woods. Then in July of 2013 I had the EXACT same symptoms come back. Enlarged spleen, swollen lymph nodes, fatigue, aches, brain fog, headaches etc. However, it was with a negative monospot. For this reason, my doctors figured it could not be related to my mono. It's like I had all the symptoms, but the test would not cooperate. I was tested for everything under the sun by the doctors at my University's student wellness center: (Thyroid, EKG, blood sugar, West Nile, ANA, HIV) All have come back negative.
I had finally come home in September after school was just wearing me out and I needed time to recover when my GP recognized it immediately as a "Chronic Fatigue post state" and said it would be 1-2 years before I was completely back to normal. I'm not sure where he got that timetable from. 9 months into it I feel the worst of it is over but the one symptom that has not gone away is the tiredness. I will be heading back to school in June and know I can handle classes, just not any rigorous activity without being wiped out the next day. Even though I am much improved, it's just concerning me that this could last so long. Has anyone else gone through this?
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There are various support groups online for folks who get mono (and post-mono fatigue), too. They are varying degrees of crazy and sane (as all internet forums can be, including this one), but I suggest seeking those out. You are not alone.
Again, your best bet is sleeping well, eating well, and mild exercise (NOT HEAVY. Give up any sports you might have had- you could severely injure your spleen).
Maybe see if you can find a RL support group?
Super-strong antibiotics can wreck your immune system and leave you prone to illness too. My brother got blood poisoning, waited waaaay too long to tell my parents, and was four hours away from death when they took him to the ER. Thankfully he only needed the second strongest set of meds they stocked. But he was sick for two years afterwards, just from the lack of good bacteria in his gut.