Can Lyme Disease Be Prevented
Most people with Lyme disease become infected during the late spring, summer, and early fall when immature ticks are out feeding. Except in warm climates, few tick bites take place during winter months.
Deer ticks are most often found in wooded areas and nearby grasslands. They are especially common where the two areas merge, including neighborhood yards where deer occasionally roam. Ticks do not survive long on sunny lawns they dry out quickly and die. Although only about 1% of all deer ticks are infected, there are areas in which over 50% of the ticks carry the bacterium. The diseased ticks are often found in the U.S. Northeast and upper Midwest areas.
The following tips can help you avoid tick bites:
How You Get Lyme Disease
If a tick bites an animal carrying the bacteria that cause Lyme disease, the tick can become infected. The tick can then transfer the bacteria to a human by biting them.
Ticks can be found in any areas with deep or overgrown plants where they have access to animals to feed on.
They’re common in woodland and moorland areas, but can also be found in gardens or parks.
Ticks don’t jump or fly. They climb on to your clothes or skin if you brush against something they’re on. They then bite into the skin and start to feed on your blood.
Generally, you’re more likely to become infected if the tick is attached to your skin for more than 24 hours. Ticks are very small and their bites are not painful, so you may not realise you have one attached to your skin.
Can Lyme Disease Be Cured
Most Lyme disease cases can be cured with a two- to four-week course of antibiotics, says Dr. Kaufman. This is especially true if youre treated in the early stages of infection, which is why its so important to be aware of any potential exposure and symptoms.
In rare cases, however, some patients will continue experiencing symptoms such as pain, fatigue and numbness, and will be diagnosed with post-treatment Lyme disease syndrome.
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Setting The Stage For Chronic Inflammation
Though the immune system plays a key role in protecting cells of the body from microbe invasion, the health of cells is also a major player. When cells become chronically stressed, they are more susceptible to being invaded by intracellular bacteria and other microbes. There are five primary categories of factors that weaken cells and set the stage for the chronic inflammation associated with Lyme disease.
#1. Poor diet
When cells arent fed properly, they cant function properly. Processed foods sourced from grains, beans, and grain-fed meat are overloaded with raw carbohydrates and refined fats that disrupt cellular functions. On the other hand, theyre deficient in the nutrients that cells need to function properly. Poorly nourished cells cant properly defend themselves against microbes.
#2. A toxic environment
In the modern world, chronic exposure to low levels of toxic substances and free radicals in food, water, and air is hard to avoid. The list includes man-made toxins associated with petroleum products, free-radicals in processed food, and natural toxins such as mold. In addition, the acid and free radicals associated with inflammation are highly toxic to cells. Toxic substances disrupt cellular processes, damage internal working parts of the cells, and weaken cell membranes. Weakened cells are more vulnerable to microbe invasion.
#3. Chronic stress
#4. Physical stress
What Are The Stages Of Lyme Infection
There are three stages:
- Early localized Lyme: Flu-like symptoms like fever, chills, headache, swollen lymph nodes, sore throat, and a rash that looks like a bull’s-eye or is round and red and at least 2 inches long
- Early disseminated Lyme: Flu-like symptoms like pain, weakness, or numbness in your arms and legs, changes in your vision, heart palpitations and chest pain, a rash , and a type of facial paralysis known as Bellâs palsy
- Late disseminated Lyme: This can happen weeks, months, or years after the tick bite. Symptoms might include arthritis, severe fatigue and headaches, dizziness, trouble sleeping, and confusion.
About 10% of people treated for Lyme infection donât shake the disease. They may go on to have three core symptoms: joint or muscle pain, fatigue, and short-term memory loss or confusion. This is called post-treatment Lyme disease syndrome. It can be hard to diagnose because it has the same symptoms as other diseases. Plus, there isn’t a blood test to confirm it.
Experts arenât sure why Lyme symptoms donât always go away. One theory is that your body keeps fighting the infection even after the bacteria are gone, like an autoimmune disorder.
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How Is Lyme Disease Treated In A Child
Lyme disease is usually treated with antibiotic medicine. Early stage Lyme disease is more easily cured with antibiotics than late-stage disease. Your childs healthcare provider will discuss the best treatment plan with you based on:
- Your childs symptoms and test results
- If your child had a recent tick bite
- If the tick tests positive for bacteria that cause Lyme
- If your child lives in an area where the ticks are known to be infected
Talk with your childs healthcare providers about the risks, benefits, and possible side effects of all medicines.
Diagnosis Testing And Treatment
You may have heard that the blood test for Lyme disease is correctly positive only 65% of the time or less. This is misleading information. As with serologic tests for other infectious diseases, the accuracy of the test depends upon how long youve been infected. During the first few weeks of infection, such as when a patient has an erythema migrans rash, the test is expected to be negative.
Several weeks after infection, FDA cleared tests have very good sensitivity.
It is possible for someone who was infected with Lyme disease to test negative because:
If you are pregnant and suspect you have contracted Lyme disease, contact your physician immediately.
* Silver HM. Lyme disease during pregnancy. Infect Dis Clin North Am. 1997 Mar 11:93-7.
The most common co-infections that occur with Lyme disease are anaplasmosis and babesiosis. In general:
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How Is Lyme Disease Treated
With early-stage Lyme disease, youâll take antibiotics for about 10 days to 3 weeks. The most common ones are amoxicillin, cefuroxime, and doxycycline. The antibiotics will almost always cure your infection. If they donât, you might get other antibiotics either by mouth or as a shot.
If you donât treat your Lyme infection, you might need oral antibiotics for symptoms like weakened face muscles and irregular heartbeat. You may need antibiotics if you have meningitis, inflammation in your brain and spinal cord, or more severe heart problems.
If your Lyme is late stage, the doctor might give you antibiotics either by mouth or as a shot. If it causes arthritis, youâll get arthritis treatment.
Thereâs no therapy for post-treatment Lyme disease syndrome.
Stage : Early Localized Disease
Symptoms of Lyme disease usually start 3 to 30 days after the tick bite. One of the earliest signs of the disease is a bulls-eye rash.
The rash occurs at the site of the tick bite, usually, but not always, as a central red spot surrounded by a clear spot with an area of redness at the edge. It may be warm to the touch, but its not painful and doesnt itch. This rash will gradually fade in most people.
The formal name for this rash is erythema migrans.
Some people with lighter skin have a rash thats solid red. Some people with darker skin may have a rash that resembles a bruise.
The rash can occur with or without systemic viral or flu-like symptoms.
Other symptoms commonly seen in this stage of Lyme disease include:
Youll have a general feeling of being unwell. A rash may appear in areas other than the tick bite.
This stage of the disease is primarily characterized by evidence of systemic infection, which means infection has spread throughout the body, including to other organs.
Symptoms can include:
- disturbances in heart rhythm, which can be caused by Lyme carditis
- neurologic conditions, such as numbness, tingling, facial and cranial nerve palsies, and meningitis
The symptoms of stages 1 and 2 can overlap.
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What To Expect At The Vets Office
If your pet has been diagnosed with uncomplicated Lyme disease, this is what you can expect to happen at your veterinarians office.
- Depending on the type of test used to screen for Lyme disease, a confirmatory test may be necessary.
- Urine protein screening — In general, only dogs who have symptoms of Lyme disease or protein in their urine should be treated with antibiotics.
- Dogs with protein in their urine should have regularly scheduled rechecks to monitor their condition.
How Is Lyme Disease Diagnosed In A Child
The healthcare provider will ask about your childs symptoms and health history. He or she will ask about recent tick bites. He or she will give your child a physical exam.
Lyme is usually not hard to diagnose. OBut other conditions may cause similar symptoms. The main symptom is often a rash, but more than 1 in 5 people infected with Lyme dont have the rash. In the earliest stage, diagnosis is usually based on symptoms and a history of a tick bite. In later stages, blood testing is very important to make a diagnosis of Lyme disease.
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How Can I Prevent My Dog From Getting Lyme Disease
The key to prevention is keeping your dog from being exposed to ticks. Ticks are found in grassy, wooded, and sandy areas. They find their way onto an animal by climbing to the top of a leaf, blade of grass, or short trees, especially cedar trees. Here they wait until their sensors detect an approaching animal on which to crawl or drop. Keeping animals from thick underbrush reduces their exposure to ticks. Dogs should be kept on trails when walked near wooded or tall grass areas. Vaccination against Lyme disease is recommended for pets that live in endemic areas or that travel to areas where Lyme disease is prevalent.
“Vaccination against Lyme disease is recommended for pets that live in endemic areas or that travel to areas where Lyme disease is prevalent.”
How Can I Help Prevent Lyme Disease In A Child
There is no vaccine for Lyme disease. A child who has had the disease doesnt build up immunity and can get it again. But you can help prevent Lyme disease by protecting your child from tick bites.
Ticks cant bite through clothing, so dress your child and family in:
- Long-sleeved shirts tucked into pants
- Socks and closed-toe shoes
- Long pants with legs tucked into socks
Choose light-colored clothing so that ticks can be easily seen. Check your child often for ticks, including:
- Behind the knees, between fingers and toes, in underarms, and in the groin
- In the belly button
- In and behind the ears, on the neck, in the hairline, and on top of the head
- Where underwear elastic touches the skin
- Where bands from pants or skirts touch the skin
- Anywhere else clothing presses on the skin
- All other areas of the body and hair
Run fingers gently over the skin. Run a fine-toothed comb through your child’s hair to check for ticks.
Other helpful tips include:
- When possible, use cleared or paved paths when walking through wooded areas and fields.
- Shower after outdoor activities are done for the day. It may take up to 4 to 6 hours for ticks to attach firmly to skin. Showering may help remove any loose ticks.
Use insect repellents safely. The most common used against ticks are:
Check your pets for ticks. Talk with your pets veterinarian about tick repellent medicine.
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What Causes Lyme Disease
People get Lyme disease when they are bitten by an infected tick. Ticks live in areas with a lot of plant life, such as wooded areas or fields. They sit near the top of grassy plants and low bushes. They wait there for people or animals to brush up against them. Ticks can crawl on your clothes or body for up to several hours or more before attaching to the skin.
Ticks can attach to any part of your body. They are usually found in hard-to-see areas, including the armpits, groin, or scalp. An infected tick needs to be attached to your skin for 36 to 48 hours before it passes the bacteria on to you.
People who spend time in outdoor areas where ticks are common are at higher risk of getting tick-borne diseases.
Can You Have Lyme Meningitis Without Knowing
If a person does not know that they received a tick bite and does not develop symptoms at an early stage, they may not realize that they have Lyme meningitis. It is also possible that a person may not test positive for the condition despite having it. However, in time, symptoms are likely to develop. As soon as a person notices symptoms, they should speak with a doctor.
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Symptoms Of Late Stage Lyme Disease
Your suffering has moved from an occasional inflammation flare-up to chronic pain in your muscles, tendons, and joints. You may have been diagnosed with some form of arthritis. Your headaches have become severe. You may even experience dizziness or vertigo.
Additional symptoms include a stiff neck, sleep disorders like insomnia, and numbness in your outer extremities. You may also lack the ability to focus, and paying attention when having conversations has become difficult. Your fatigue is so bad you sometimes do not want to attempt getting out of bed.
The worse symptom may be that you have tried to get the right help, but doctors have failed to give you an accurate diagnosis. Because of this, you may feel like you are crazy, or your friends and family may not believe you are in pain.
You may be wondering how you were able to reach late stage Lyme disease without proper treatment.
The Truth About Antibiotic Treatments
Until recently, many doctors in Canada tended to prescribe only one round of antibiotics, irrespective of the stage of infection. However, current research suggests that a single course of antibiotics is often insufficient for treating Lyme disease, especially if the infection has been untreated for several months.
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For Depression And Anxiety
Both psychotherapy and pharmacotherapy have proven benefits for improving mood. Psychotherapy has many different types such as supportive, dynamic, cognitive behavioral, dialectical behavior therapy, transference focused psychotherapy each of which offers benefit. Pharmacotherapy also has many different types. For depression the first-line options usually are SSRIs, SNRIs, Tricyclics or other agents with more unique modes of action.
A few noteworthy tips on anti-depressant agents:
- Most anti-depressant agents also help in reducing anxiety. However the opposite isn’t necessarily true. Specific anti-anxiety agents such as clonazepam or diazepam may not necessarily help fight depression.
- Most anti-depressants take three to eight weeks before an effect is seen. Therefore, it is unwise to stop an anti-depressant after only three or four weeks, as staying on it another two to three weeks may lead to a good response.
- Dosage makes a difference. Some anti-depressants work fine at low doses some medications however are effective only at higher doses. Some medications are more effective as the dose is increased. Other antidepressants may have a therapeutic range one has to achieve at least a certain dosage .
What If I Dont Feel Better After Treatment
If youre treated for Lyme disease and dont feel better after youve finished your treatment, talk to your doctor. He or she may recommend a longer course of antibiotics or may be able to prescribe another medication to help with symptoms like joint or muscle pain.
You might also want to seek a second opinion, especially if your Lyme disease diagnosis was not initially confirmed via a two-step blood test. If your body has not responded to antibiotics, its possible that something else besides the bacteria that causes Lyme disease is making you sick. In 2017, for example, the CDC reported on a woman who was given antibiotics and herbal remedies to treat her chronic Lyme disease, when she actually hadand eventually died fromamyotrophic lateral sclerosis .
Even if you do recover completely from a Lyme disease diagnosis, your immune system may continue making antibodies to fight Lyme disease bacteria for months or even years after the infection is gone. Those antibodies wont protect you from getting a second Lyme disease infection, however, so be sure to take steps to protect yourself from ticks in the future.
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Lyme Disease Antibiotic Treatment Research
For early Lyme disease, a short course of oral antibiotics, such as doxycycline or amoxicillin, cures the majority of cases. In more complicated cases, Lyme disease can usually be successfully treated with three to four weeks of antibiotic therapy.
After being treated for Lyme disease, a minority of patients may still report non-specific symptoms, including persistent pain, joint and muscle aches, fatigue, impaired cognitive function, or unexplained numbness. These patients often show no evidence of active infection and may be diagnosed with post-treatment Lyme disease syndrome .
Multiple clinical trials, funded by NIH and others, have shown no benefit to additional IV antibiotic treatment in patients with Lyme disease, although the interpretation of those results have been challenged by some.