Infectious Mononucleosis (Mono) is often called the kissing disease because it’s spread by contact with viral-infected saliva. You can get it from kissing, but it’s also spread through coughing, sneezing, or the sharing of items such as drinking glasses, eating utensils, straws, toothbrushes, or lip gloss. Mono is contagious, but it’s not as contagious as other viruses such as the common cold.

Adolescents and young adults catch mononucleosis with all its signs and symptoms most often. Young children may also get mono, but often only few of the symptoms manifest and the infection often goes unrecognized.

What causes it?

The Epstein-Barr virus (EBV), also known as human herpesvirus 4, causes Mono. It’s one of eight known human herpesvirus types in the herpes family, and is one of the most common viruses in humans. This virus usually doesn’t cause any serious problems in older adults. In fact, by age 35–40, approximately 95% of the population has been infected with EBV and has built up antibodies to become immune to it.

What are the symptoms?

Mono runs its course in 10–30 days. People with weakened or suppressed immune systems, such as AIDS or organ-transplant patients, are especially vulnerable to serious complications from mononucleosis.

The first symptoms of Mono include general weakness and extreme fatigue. An infected person may need 12–16 hours of sleep daily prior to the development of other symptoms. Early symptoms of Mono mimic cold or flu symptoms. They can include:

• Fever and chills. (EBV is most contagious during this stage of the illness)
• An enlarged spleen, causing pain in the upper left of the abdomen
• Sore throat and/or swollen tonsils
• Swollen lymph glands (nodes) in the neck, armpits, and/or groin
• Jaundice (yellowing of the skin and eyes) indicates an inflamed or enlarged liver
• A red skin rash, particularly on the chest
• Loss of appetite
• Stomach pain and/or nausea
• Muscle soreness and/or joint pain
• Headache
• Chest pain
• Coughing
• Rapid or irregular heartbeat

If you think you may have Mono and your severe sore throat has lasted longer than 2 to 3 days after trying home treatment, call your doctor in 1 to 2 days.

Possible Complications

With mono, often the complications are more serious than the disease itself. Mono often causes an enlarged spleen which in extreme cases can rupture causing a sharp sudden pain in the left side of the abdomen. If you have been diagnosed with mono and such pain occurs, seek medical attention immediately. You may need surgery.

MRHC is dedicated to providing our patients with the highest level of compassionate, personal and trustworthy medical care in a warm and welcoming environment. If you’re feeling under the weather, call 662-282-4226 to schedule an appointment.

Sources:

https://www.cdc.gov/epstein-barr/about-ebv.html

http://www.encyclopedia.com/medicine/diseases-and-conditions/pathology/infectious-mononucleosis

https://www.mayoclinic.org/diseases-conditions/mononucleosis/symptoms-causes/syc-20350328

https://www.webmd.com/a-to-z-guides/tc/infectious-mononucleosis-when-to-call-a-doctor

We finally have some good news in Mississippi’s childhood obesity crisis! Childhood obesity in our state has stopped rising. According to new government data, 37% of children in Mississippi age 10-17 were either overweight to obese in 2016. This is down from a rate of 39.7% in 2011 and 44.4% in 2007.

Survey methods have changed recently which means earlier results about obesity rates may not be comparable with the newest survey results. Still, Mississippi is now ranked the third state with the most obese children behind Tennessee with 37.7% and North Dakota at 37.1 %. We celebrate this improvement, but recognize we still have a long way to go.

Childhood obesity is a complex health issue. It occurs when a child is well above the normal or healthy weight for his/her age or height. Childhood obesity usually results due to poor behaviors and habits. Eating  low nutrient food and not getting enough physical activity are the two most contributing factors.

Health risks associated with childhood obesity include:

• High cholesterol
• High blood pressure
• Early heart disease
• Diabetes
• Bone problems
• Skin conditions such as heat rash, fungal infections, and acne

What can parents do?

If your child is overweight, you must show him or her your full support. Children’s feelings about themselves are often based on their parent’s attitudes. It’s important to talk to your children about their weight. Families who communicate about food were less likely to have overweight or obese children.

It’s not recommended that parents set children apart because of their weight. Instead parents should focus on gradually changing the family’s physical activity and eating habits. Involving everyone in the family will prevent the overweight child from feeling singled out.

Find fun ways to involve the entire family and teach new healthy habits.

Need a place to start? Try these ideas:

• Lead by example. If your children see you physically active and having fun, they are more likely to be active and stay active.
• Plan fun family activities where everyone is up and moving. Think activities such as walking, biking, or swimming.
• Move your meals from the living room to the kitchen table where they are supposed to be. Having a family dinner at least three times a week has been linked to a lower risk of obesity.
• Remember restrictive feeding may influence weight gain. Foods that are withheld might become more desired or sought after. When children do get access to these food, they might chose to overeat because they have the chance. Instead of saying, “No more potatoes ever!” say “We are not having potato chips now because lunch is a half hour away. We’ll have some one day this week with dinner.”
• Make an effort to reduce the amount of time you and your family spend in front of the TV.
• Be sensitive to your child’s needs. Overweight children may feel uncomfortable participating in certain activities. Help your child find an activity he/she will enjoy.

For more information about childhood obesity click here:

https://www.cdc.gov/obesity/data/childhood.html

https://www.cdc.gov/obesity/childhood/

https://www.usnews.com/news/best-states/mississippi/articles/2017-09-19/survey-shows-childhood-obesity-may-be-falling-in-mississippi