Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Therapy

General measures

  • Commercially available mild throat lozenges or lozenges (preferably sugar-free) can help provide relief.
  • Observance of general hygiene measures!
  • In the occurrence of fever:
    • Bed rest and physical rest (even if fever is only mild; if limb pain and lassitude occur without fever, bed rest and physical rest is also required, because myocarditis/heart muscle inflammation could occur as a result of the infection).
    • Fever below 38.5 °C does not necessarily need to be treated! (Exceptions: Children prone to febrile convulsions; elderly, debilitated people; patients with a weakened immune system).
    • In case of fever from 39 ° C calf compresses can help to reduce the temperature, which often leads to an improvement in the condition.
    • After the fever still a fever-free day of rest, if necessary longer (mainly bed rest and stay indoors).
  • Nicotine restriction (refrain from tobacco use).
  • Alcohol restriction (abstaining from alcohol)
  • Limited caffeine consumption (max. 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green / black tea).

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • Adherence to the following specific nutritional recommendations during illness:
    • Do not eat hard foods, but rather soft foods such as soups and tea, such as chamomile tea.
    • Sufficient fluid intake! Since it comes in the course of a febrile illness to strong fluid losses, the fluid intake should be in kidney and heart healthy adults according to the following rule of thumb: for each degree of body temperature above 37 ° C, an additional 0.5-1 liters per °C. Teas are best suited.
    • In febrile illnesses, a light full diet is recommended. Within the framework of this diet, the following foods and preparation methods should be avoided, as experience has shown that they often cause discomfort:
      • Voluminous and fatty meals
      • Legumes and vegetables such as white cabbage, kale, peppers, sauerkraut, leeks, onions, savoy cabbage, mushrooms.
      • Raw stone and pome fruit
      • Fresh bread, wholemeal bread
      • Hard boiled eggs
      • Carbonated drinks
      • Fried, breaded, smoked, very spicy or very sweet foods.
      • Too cold or too hot food
    • Diet rich in:
      • Vitamins (vitamin C) – Due to the fever, there may be a deficiency of vitamin C. In addition, vitamin C is important for the immune system. Foods rich in vitamin C are vegetables such as spinach and fruits (oranges, strawberries, kiwis, currants), which are also well tolerated during an infection.
  • After recovery, if necessary, nutritional counseling based on nutritional analysis.
    • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.