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Lyme Disease Symptoms Without Rash

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What Should I Do If I Am Bitten By A Tick

Think the Lyme Disease Rash is Always a Bull’s-eye? Think Again! | Johns Hopkins Rheumatology

If you experience a tick bite, the best way to remove it is by taking the following steps:

  • Tug gently but firmly with blunt tweezers near the “head” of the tick at the level of your skin until it releases its hold on the skin.
  • Avoid crushing the tick’s body or handling the tick with bare fingers as you could exposure yourself to the bacteria in the tick.
  • Wash the bite area thoroughly with soap and water.
  • DO NOT use kerosene, petroleum jelly , or hot cigarette butts to remove the tick.
  • DO NOT squeeze the tick’s body with your fingers or tweezers.

Could You Have Lyme Disease And Not Even Know It

The scary truth about this sneaky illness.

After you get home from a glorious summer hike, you probably do a few things: post photos of the great outdoors to Instagram, take a quick shower, and chow down on some post-workout snacks. But if checking yourself for ticks isn’t a part of that routine, you might be leaving yourself open to Lyme disease. “It happens frequently that people have Lyme disease and don’t know it,” says Andrea Gaito, M.D., a rheumatologist with a private practice in Basking Ridge, New Jersey.

Lyme disease is a bacterial infection transmitted by tick bites, especially those from deer ticks. Approximately 70 percent of deer ticks are infected, says Gaito. And those of you in New York, New Jersey, and Pennsylvania should be on high-alert: Your states have the highest rates of Lyme disease, which is much more manageable when caught early on, says Gaito.

It sounds pretty scary, but there are ways to figure out if you’ve got Lyme disease before it really has its hooks in youor even prevent it in the first place. Here’s what to look out for.

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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.

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When Should I Call The Doctor

If a tick bites you, call your doctor. Other conditions can cause similar symptoms, so it’s always a good idea to discuss them with your doctor. That way you can get checked and treated, if needed. Call right away if you get a red-ringed rash, lasting flu-like symptoms, joint pain or a swollen joint, or facial paralysis.

Stage : Later Symptoms

Lyme Disease
  • shooting pains, numbness or tingling in the hands or feet
  • heart palpitations

These symptoms may go away without treatment within a few weeks or months. However, some people develop chronic Lyme disease and have lasting symptoms.

Around of people who do not receive treatment for the disease develop recurrent episodes of arthritis with severe swelling, especially in the large joints.

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When Should I Go See My Doctor

Anyone who has been bitten by a black-legged deer tick is at risk for Lyme disease. The highest risk groups include those living in or visiting endemic areas, especially people who spend significant time outdoors such as gardeners, hikers, or outdoor workers.

Patients should seek advice from their doctor if they have a suspicious round expanding red skin lesion, and/or show signs of summer-flu, particularly during Lyme disease season, which is highest-risk late spring through July/August. If those circumstances apply or symptoms persist it is very important to go to a physician.

For the west coast and other more temperate regions Lyme disease can be a year-round concern.

In the later disseminated stages, Lyme disease can be a much more insidious and complex illness. An individual should seek medical care if experiencing symptoms such as prolonged fevers, unexplained fatigue, painful joints, new or unusual headache, or heart or neurologic symptoms. If unexplained viral-like symptoms last for more than 1-2 weeks, please seek the advice of a physician.

Signs And Symptoms Of Lyme Disease

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Overview

Lyme disease is an underreported, under-researched, and often debilitating disease transmitted by spirochete bacteria. The spiral-shaped bacteria, Borrelia burgdorferi, are transmitted by blacklegged deer ticks. Lymes wide range of symptoms mimic those of many other ailments, making it difficult to diagnose .

The blacklegged ticks can also transmit other disease-causing bacteria, viruses, and parasites. These are known as coinfections . These ticks that transmit Lyme are increasing their geographical spread. As of 2016, they were found in about half the counties in 43 of 50 states in the United States .

Lyme is the fifth most reported of notifiable diseases in the United States, with an estimated 329,000 new cases found annually . Some studies estimate that there are as many as 1 million cases of Lyme in the United States every year .

Most people with Lyme who are treated right away with three weeks of antibiotics have a good prognosis.

But if youre not treated for weeks, months, or even years after infection, Lyme becomes more difficult to treat. Within days of the bite, the bacteria can move to your central nervous system, muscles and joints, eyes, and heart .

Here is a list of 13 common signs and symptoms of Lyme disease.

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Importance Of Physical Exam

On physical exam the first observation a physician makes is whether the child appears sick. Is there the appearance of dark circles under the eyes? Is the child less animated than one would expect for his age? A lot of children will say they feel fine.

But if you re-ask the question: do you wish you felt better? they say yes. Check their balance. Is it impaired when standing on one foot with the eyes closed? Perform tandem gait tests with eyes open and closed, and then have the child walk on their toes and heels. Look for decreased strength in either one limb or the whole body. Evaluate grip strength. How well does the child perform, hopping on one foot?

Observe whether the child has a limp or is favoring a particular limb. Certainly, a swollen joint is an important finding, and its seen in about 5 percent of patients. This is a contradiction to the prevailing belief, but nevertheless it is important to note.

Some clinicians have stated that a child cannot have small joint involvement that is associated with Lyme disease. However, almost all of them do, and therefore examine the child for joint sensitivity. This exam is elicited by gently touching every joint in the body, and the examiner does not need to put a lot of pressure on the joints.

Conventional Testing For Lyme Disease

Understanding the Persistent Symptoms in Lyme Disease | Johns Hopkins Medicine

Standard testing for Lyme disease is the above-mentioned 2-step tier system consisting of the ELISA test and, if that is positive, the Western blot. These tests can be challenging to detect early disease because Lyme disease antibodies can take up to 12 weeks to develop.

Due to the low sensitivity rating in ELISA and Western Blot tests, the U.S. Food and Drug Administration was cleared to market four other tests with new indications to diagnose Lyme disease.

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Who Gets Lyme Disease

Anyone bitten by an infected deer tick can get Lyme disease. Most U.S. cases of Lyme disease happen in Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Wisconsin. But Lyme disease is found in other parts of the U.S., Europe, Asia, and Australia too.

Chronic Lyme: What Happens When Lyme Goes Untreated

The Lyme community typically uses the term chronic Lyme disease to describe a range of physical, cognitive, and emotional symptoms that crop up after getting Lyme disease and persist for months to years after infection.

The risk of chronic Lyme increases the longer a Lyme infection goes untreated or undertreated. In other words, patients are more likely to recover fully if their Lyme infection is detected and treated as early as possible after the discovery of a tick bite. This stage is usually marked by symptoms such as fevers, chills, muscle aches, and sometimes rashes.

When left untreated or undertreated, however, Lyme disease can spread throughout the body and affect:

  • The central nervous system
  • Muscles and joints

As Lymedisease.org points out, these symptoms can evolve, disappear, and reappear at different times.

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What Are Signs And Symptoms Of The Third Stage Of Lyme Disease

Late stage Lyme disease can result when treatment is unsuccessful or started too late due to unrecognized symptoms or misdiagnosis. The late disseminated stage occurs months or years after initial infection and can have a major impact on a patients health and quality of life. Late Lyme arthritis is a third stage Lyme disease manifestation that involves fluid accumulation and pain in joints, particularly in the knee joints. Late neurologic disease is a 3rd stage condition that can also be debilitating and difficult to diagnose. Late disseminated Lyme disease symptoms include a variety of symptoms that are often neurologic in origin including: numbness in extremities, mental fogginess and concentration problems, and difficulty following conversations or processing information.

Fda Cleared Lyme Disease Test

11 Home Treatments for Lyme Disease &  Rash (Backed by Research)
  • ZEUS ELISA Borrelia VlsE1/pepC10 IgG/IgM Test System
  • ZEUS ELISA Borrelia burgdorferi IgG/IgM Test System
  • ZEUS ELISA Borrelia burgdorferi IgM Test System
  • ZEUS ELISA Borrelia burgdorferi IgG Test System

According to the CDC, these 4 Lyme disease test performances were “substantially equivalent to or better than” the current standard Lyme disease testing.

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What Are The First Signs And Symptoms Of Lyme Disease

In the first early localized stage of Lyme disease the skin at the site of the tick bite becomes infected with Borrelia burgdorferi bacteria which can cause an expanding round or oval red skin lesion called erythema migrans. This may or may not be associated with flu-like symptoms within days to a month after the tick bite such as achiness, chills, fever, sweats, fatigue, malaise, headache, stiff neck, muscle soreness, joint pain, swollen lymph nodes, and sore throat. The combination of the skin lesion and flu-like symptoms are the primary manifestations of acute stage Lyme disease. Acute Lyme disease is not associated with typical cold-like symptoms of runny nose, prominent cough, or prominent diarrhea.

What If A Tick Bites My Dog

The more ticks in your region, the likelier it is that your furry pal will bring them home.

Your dog is much more likely to be bitten by a tick than you are. And where Lyme disease is common, up to 25% of dogs have had it at some point.

About 10% of dogs with Lyme disease will get sick. 7-21 days after a tick bite, your dog might seem like theyâre walking on eggshells. They also might have a fever and enlarged lymph nodes. Plus, they might seem tired. Dogs also get antibiotics for Lyme.

What if my dog brings ticks into my home?

Use a tick control product on your pet to prevent Lyme disease. Also, have your dog vaccinated against Lyme.

Check your dogâs whole body each day for bumps. If you notice a swollen area, see if thereâs a tick there. If you find a tick, wear gloves while you use tweezers to separate it from your dog. Then, put it in soapy water or alcohol, or flush it down the toilet.

Use alcohol to clean the spot on your dog where the tick was attached. Keep an eye on that spot, and also on your dog to make sure theyâre behaving normally. If you notice any changes, check with your vet.

Show Sources

John Aucott, MD, assistant professor of medicine, Johns Hopkins University School of Medicine director, Johns Hopkins Lyme Disease Clinical Research Center.

CDC.

Morbidity and Mortality Weekly Report: âVital Signs: Trends in Reported Vectorborne Disease Cases — United States and Territories, 2004-2016.â

American College of Rheumatology.

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How To Remove Ticks

Tick bites aren’t always painful. You may not notice a tick unless you see it on your skin. Check your skin and your children’s or pets’ skin after being outdoors.

To remove a tick:

  • Use fine-tipped tweezers or a tick-removal tool. You can buy these from some pharmacies, vets and pet shops.
  • Grasp the tick as close to the skin as possible.
  • Slowly pull upwards, taking care not to squeeze or crush the tick. Dispose of it when you’ve removed it.
  • Clean the bite with antiseptic or soap and water.
  • The risk of getting ill is low. You don’t need to do anything else unless you become unwell.

    The Numbers On Chronic Lyme

    Lyme Disease | Chrisâs Story

    Because Lyme disease is commonly missed or misdiagnosed, statistics vary on how many Lyme patients go on to experience chronic symptoms. The following research nonetheless paints a basic picture of the problem.

    • An estimated 5-20% of patients may have chronic symptoms after getting Lyme disease, according to the Columbia University Irving Medical Center.
    • The treatment failure rate for chronic Lyme disease patients was estimated at 26-50% in 2004, compared to 16-39% for early Lyme patients, according to Lymedisease.org.
    • Up to 15-40% of late-stage Lyme patients develop neurological disorders, which are responsible for many common symptoms of chronic Lyme disease.

    Experts dont know for sure why some people experience persistent symptoms, even with treatment. However, some believe the Lyme infection may trigger an auto-immune response that manifests in the chronic symptoms detailed below.

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    What Ticks Carry Lyme Disease

    The primary tick vector for Lyme disease in the United States is Ixodes scapularis, otherwise known as a deer tick . This tick is found in the northeastern, mid-Atlantic, and North-Central U.S. There is another tick called Ixodes pacificus, otherwise known as the western black-legged tick, which is located in the Pacific coastal U.S.

    Unexplained Pain And Other Sensations

    Some people with Lyme may have sharp rib and chest pains that send them to the emergency room, suspecting a heart problem 00090-7/abstract%20″ rel=”nofollow”> 27).

    When no problem is found, after the usual testing, the ER diagnosis is noted as an unidentified musculoskeletal cause.

    You can also have strange sensations like skin tingling or crawling, or numbness or itchiness 00090-7/abstract%20″ rel=”nofollow”> 27).

    Other symptoms have to do with cranial nerves.

    • Ear-ringing . Tinnitus can be a nuisance, especially at bedtime when it seems to get louder as youre trying to fall asleep. About 10 percent of people with Lyme experience this (
    • Hearing loss. One study reported that 15 percent of Lyme patients experienced loss of hearing .
    • Jaw pain or toothaches that are not related to actual tooth decay or infection.

    Summary:

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    Treatments Your Physician May Prescribe

    Lyme disease can be treated and cured with one of several oral antibiotics for 34 weeks. The skin rash will go away within a few days of beginning treatment, but other symptoms may persist for up to a few weeks. In severe cases of Lyme disease where the nervous system is involved, the antibiotic may need to be given intravenously. In late stage Lyme disease, symptoms may not go away completely, but should improve.

    What To Do If You Find A Tick

    The Aftermath of Lyme Disease

    Depending on the area, anywhere from less than 1% to more than 50% of ticks carry Lyme disease, according to Johns Hopkins Medicine. If you find a tick on your body, you should remove it. ILADS recommends contacting your doctor immediately if you’ve been bitten by a black-legged tick, before symptoms of Lyme disease appear .

    According to Bran, Lyme infection may be prevented if the tick bite happened within 72 hours of you starting treatment.

    Not all ticks carry Lyme disease.

    ILADS recommends saving the tick in a container with a lid or a ziplock bag. This allows you to send it in for testing or to get confirmation by your doctor.

    How long does an infected tick need to be attached to pass on Lyme disease? Expert advice varies

    But the sooner you spot and remove the tick, the better.

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    When To See A Healthcare Provider

    Since Lyme disease can take different forms, and since its often confused with other conditions, its important to be proactive if you suspect the condition. What signs prompt medical help? Call the healthcare provider if:

    • You have a bullseye rashor any kind of rashfollowing a tick bite.
    • You experience flu-like symptoms after a tick bite.
    • You experience symptoms of more advanced Lyme disease: arthritis, heart palpitations, facial paralysis, dizziness, and others.

    What Are The Symptoms Of Lyme Disease

    Symptoms can start anywhere from 3 to 30 days after the bite. They may look different depending on the stage of your infection. In some cases, you wonât notice any symptoms until months after the bite.

    Early symptoms include:

    All of those symptoms are also common in the flu. In most Lyme infections, one of the first symptoms youâll notice is a rash.

    Without treatment, symptoms can get worse. They might include:

    • Severe headache or neck stiffness
    • Rashes on other areas of your body
    • Arthritis with joint pain and swelling, particularly in your knees
    • âDroopingâ on one or both sides of your face
    • Inflammation in your brain and spinal cord
    • Shooting pains, numbness, or tingling in your hands or feet

    What does the rash look like?

    Some Lyme rashes look like a bull’s-eye with circles around the middle. But most are round, red, and at least 2 inches across.

    The rash slowly gets bigger over several days. It can grow to about 12 inches across. It may feel warm to the touch, but itâs usually not itchy or painful. It can show up on any part of your body.

    How small are ticks?

    Ticks come in three sizes, depending on their life stage. They can be the size of a grain of sand, a poppy seed, or an apple seed.

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