Wednesday, October 5, 2022

Treatment For Lyme Disease Years Later

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When To See A Doctor

Lyme Disease: Three Years Later

A person should see a doctor if they have recently received a tick bite. It is not possible to know whether a tick is carrying Lyme disease, and the symptoms may take weeks to appear.

The earlier a person receives a diagnosis and treatment, the higher the likelihood of a quick and complete recovery.

It is not always possible for a person to tell if a tick has bitten them. As such, people should also see a doctor if they experience any Lyme disease symptoms. A doctor will ask about the persons symptoms and duration and whether the person has spent time in tick-infested areas.

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The disease can be debilitating if not diagnosed early on. The first sign of a Lyme disease infection is usually a bullseye-shaped skin rash. Early signs and symptoms may include fever, headache, fatigue, depression, and a characteristic skin rash called erythema migrans. The rash occurs in approximately 75% of infected people. Approximately 20 to 30% of people develop joint pains or neurological problems.

What Are The Risk Factors For Post Treatment Lyme Disease

Risk factors for Post Treatment Lyme Disease include:

  • Delay in diagnosis
  • Increased severity of initial illness
  • Presence of neurologic symptoms

Increased severity of initial illness, the presence of neurologic symptoms, and initial misdiagnosis increase the risk of Post Treatment Lyme Disease. PTLD is especially common in people that have had neurologic involvement. The rates of Post Treatment Lyme Disease after neurologic involvement may be as high as 20% or even higher. Other risk factors being investigated are genetic predispositions and immunologic variables.

In addition to Borrelia burgdorferi, the bacteria that causes Lyme disease, there are several other tick-borne co-infections that may also contribute to more prolonged and complicated illness.

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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:

  • Some people who receive antibiotics early in disease may not have a fully developed antibody response or may only develop an antibody response at levels too low to be detected by the test.
  • Antibodies against Lyme disease bacteria usually take a few weeks to develop, so tests performed before this time may be negative even if the person is infected. In this case, if the person is retested a few weeks later, they should have a positive test if they have Lyme disease. It is not until 4 to 6 weeks have passed that the test is likely to be positive. This does not mean that the test is bad, only that it needs to be used correctly.
  • If you are pregnant and suspect you have contracted Lyme disease, contact your physician immediately.

  • Telford SR, Wormser GP. Bartonella transmission by ticks not established.Emerg Infect Dis. 2010 Mar 16 379-84.
    • Report being bitten by a tick, or
    • Live in, or have recently visited, a tick-infested area.

    Risk Factors For Post

    CNB MEDICAL: Lyme Disease on My Mind

    Youre at a greater risk for post-treatment Lyme disease syndrome if youre infected by the bite of a diseased tick. If the infection progresses to the chronic stage, your symptoms might continue for weeks, months, or even years after the initial tick bite.

    You may also be at a higher risk for these long-term symptoms if youre not treated with the recommended antibiotics. However, even people who receive antibiotic therapy are at risk. Because the cause of post-treatment Lyme disease syndrome is unknown, theres no way to determine whether it will progress to the chronic stage.

    Typically, the symptoms of post-treatment Lyme disease syndrome resemble those that occur in earlier stages. People with persistent symptoms often experience lingering episodes of:

    • fatigue

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    A Long Journey Of Pain And Misdiagnosis

    Tait estimates that she had Lyme for about 15 years before she was diagnosed. She thinks she was bitten by a tick as a teen in Californias Bay Area, where she grew up. In high school, she was a dancer. Suddenly she was getting injured more than usual joints coming out of their sockets and ligaments tearing after doing normal routines. During class, she was exhausted and having trouble concentrating. Her grades started to slip.

    Looking back, its now clear I was neurologically starting to not be myself, she said. But when youre a teenager, a lot of it is just attributed to, Youre a teenager!

    Tait, who was thin with a bubbly personality, recalled one doctor telling her she was too pretty to be sick.

    Eventually she was diagnosed with depression and prescribed an antidepressant.

    In college, Tait started to experience seizures and was diagnosed with epilepsy.

    My fatigue was getting worse, she said. I was dropping out of classes left and right and I would get sick constantly. Thats where this weird sort of self-fulfilling prophecy came in: I was depressed. But I wasnt sick because I was depressed. I was depressed because I was sick.

    But once they put epilepsy down , at least I had turned a corner where they had a label on something, Tait continued. Then would just add things You have fibromyalgia and you probably also have chronic fatigue syndrome. But they didnt tell me how to fix it. Everything was, Try antidepressants because we dont really know.

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    In this blog, you will learn:

    • What the signs and symptoms of Lyme Disease are
    • How Lyme Disease is diagnosed
    • Why it is important to get a correct diagnosis so that treatment can be targeted and effective

    Do your clients suffer from fatigue, headaches or muscle or joint pain? Do they have Lyme Disease and do you know how to treat it? Then this blog on Lyme Disease is for you. Please read on for the details!

    Do you get stuck clinically with symptoms of Lyme with your patients? Would you like to have a larger impact on improving pain or fatigue issues? The key to the treatment of many diseases may just be an individual approach using nutrition, lifestyle and exercise. If you want to improve your patients quality of life, you need a customized approach to address each patients root causes. Our functional medicine course will teach you how to do this. Look into our functional medicine school : we will educate you to have a greater impact on improving your clients lives.

    ** Please note: If you want the short summary version of this article, then please click here **

    What is Lyme Disease ?

    Lyme Disease is a bacterial infection, caused by Borrelia burgdorferi. Borrelia is a bacterium that is transmitted by an infected black-legged tick. It is most commonly spread by a tick bite. The disease is named after Lyme, Connecticut, where it was first identified in 1975 in the US.

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    Where Is Lyme Disease Prevalent

    LD is spreading slowly along and inland from the upper east coast, as well as in the upper midwest. The mode of spread is not entirely clear and is probably due to a number of factors such as bird migration, mobility of deer and other large mammals, and infected ticks dropping off of pets as people travel around the country. It is also prevalent in northern California and Oregon coast, but there is little evidence of spread.

    In order to assess LD risk you should know whether infected deer ticks are active in your area or in places you may visit. The population density and percentage of infected ticks that may transmit LD vary markedly from one region of the country to another. There is even great variation from county to county within a state and from area to area within a county. For example, less than 5% of adult ticks south of Maryland are infected with B. burgdorferi, while up to 50% are infected in hyperendemic areas of the northeast. The tick infection rate in Pacific coastal states is between 2% and 4%.

    How Can Lyme Disease Last For Years

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    If treated, Lyme disease does not last for years. However, for some people, the after-effects of the disease can linger for months and sometimes even years. Alternative medicine providers call this condition “Chronic Lyme disease,” but this title is simply wrong. For a person who has been infected with Lyme disease and then treated, the bacteria that causes Lyme disease is measurably no longer present in his body, even though he may still feel some symptoms. The correct title for this condition is therefore “Post-treatment Lyme Disease Syndrome.”

    Lyme disease is an infection caused by a bacteria known as Borrelia burgdorferi. This bacteria is delivered to humans through tick bites. From the bite site, the bacteria can enter the bloodstream and spread throughout the body. Usually, but not always, an infectious tick bite causes a characteristic red rash at the site of the bite. Other symptoms include fever, muscle soreness, headache, fatigue, and dizziness. In a few cases, symptoms can also include mood swings, memory loss, and sleep disturbance. If left untreated for too long, Lyme disease can lead to nerve damage, thereby causing shooting pain, numbness, and even paralysis.

    The CDC states,

    Also Check: What Does A Lyme Tick Look Like

    Lyme Disease Frequently Asked Questions

    If you have not done so already, remove the tick with fine-tipped tweezers.

    The chances that you might get Lyme disease from a single tick bite depend on the type of tick, where you acquired it, and how long it was attached to you. Many types of ticks bite people in the U.S., but only blacklegged ticks transmit the bacteria that cause Lyme disease. Furthermore, only blacklegged ticks in the highly endemic areas of the northeastern and north central U.S. are commonly infected. Finally, blacklegged ticks need to be attached for at least 24 hours before they can transmit Lyme disease. This is why its so important to remove them promptly and to check your body daily for ticks if you live in an endemic area.

    If you develop illness within a few weeks of a tick bite, see your health care provider right away. Common symptoms of Lyme disease include a rash, fever, body aches, facial paralysis, and arthritis. Ticks can also transmit other diseases, so its important to be alert for any illness that follows a tick bite.

    References:

    Moody KD, Barthold SW, 1991. Relative infectivity of Borrelia burgdorferi in Lewis rats by various routes of inoculation.external iconAm J Trop Med Hyg 44: 135-9.

    There are no reports of Lyme disease being spread to infants through breast milk. If you are diagnosed with Lyme disease and are also breastfeeding, make sure that your doctor knows this so that he or she can prescribe an antibiotic thats safe for use when breastfeeding.

    Less Common Signs And Symptoms

    Some patients experience no early signs or symptoms of Lyme disease. Others dont notice any rashes until they start developing later signs and symptoms. In rare cases, some people who contract Lyme disease never show any sign of having had the disease.

    If youve been bitten by a tick and have symptoms

    • Muscle soreness
    • Fluid buildup under the skin
    • Skin rashes
    • Treatment

    Antibiotics treat early Lyme disease effectively. If left alone, however, the infection will progress into late-stage Lyme disease. Left untreated, late-stage Lyme disease can lead to serious complications including arthritis, heart damage and neurological disorders.

    To prevent progression to later stages of Lyme disease, antibiotics must be taken promptly when you first notice any sign or symptom of the disease.

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    Chronic Lyme Dos And Donts

    Chronic Lyme disease is an ongoing Borrelia burgdorferi infection that can involve any body system or tissue. The infection produces a wide range of symptoms and signs, which can be debilitating for some patients. Common symptoms include severe fatigue, migratory musculoskeletal pain, headaches, and impaired memory. Unfortunately, chronic Lyme disease is complex and often misunderstood, which means that many patients will struggle to obtain the care they need to regain their health. Every patient concerned about Lyme disease and tick-borne illness should know the following.

    How Many Years Can Lyme Disease Lay Dormant

    10 Signs You May Have Chronic Lyme Diseaseâ¦And Not Even ...

    Lyme disease can remain dormant for weeks, months or even years. When symptoms do eventually develop, they can be severe and patients often need aggressive treatment. Intravenous treatment is often required to treat late-stage infection. Late-stage treatment can last many months as seen in other infections as well.

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    Considerations While On Lyme Treatment

    Antibiotics can wipe out beneficial intestinal flora, leading to a wide variety of additional health problems. It is important to take probiotics while on antibiotics to maintain a healthy balance of gut bacteria. Furthermore, antibiotics may interact with other drugs, supplements or food. The National Institutes of Healths MedLinePlus website gives information about drug interactions.

    Symptoms Of Untreated Lyme Disease

    Most patients experience flu-like symptoms of untreated Lyme disease. Other common symptoms of Lyme disease include:

  • Bullseye pattern rash that slowly expands

  • Fever

  • Memory or concentration problems

  • Sleeping issues

  • Most of the time, your symptoms occur a few days or weeks after being bitten by an infected tick. Dr. Kotsanis uses the western blot test and other specialty tests to detect the presence of Lyme disease. However, this can take several weeks to detect after your initial bite in Grapevine, TX.

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    Warning Signs Of Untreated Lyme Disease In Dogs

    Both humans and dogs are susceptible to a bacterial illness known as Lyme disease. The illness, which is transmitted by certain species of ticks, can create a number of health complications throughout the body, especially when left undiagnosed and untreated.

    Identifying the symptoms of Lyme disease in dogs can be more complicated than with humans, though, due to the different ways the illness may affect your pets health and produce symptoms. But identifying Lyme disease is crucial to getting your dog effective treatment for this condition. Avoiding doing so may lead to rare but serious health complications that may affect your dogs quality of life or even put their life at risk. Take a few minutes to educate yourself on the common Lyme symptoms in dogs, and what you can do to treat and prevent this condition.

    The Truth About Antibiotic Treatments

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    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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    Defining Patient Subgroups: Post

    Patients with persistent symptoms related to Lyme disease likely represent a heterogeneous population, which includes previously untreated patients, as well as those treated patients who remain symptomatic. As a result, some will manifest primarily patient-reported symptoms while others will present with symptoms in conjunction with objective, physical findings. This heterogeneity is further complicated by variation in terminology and the definitions used by different groups in the field.

    A schematic of clinical- and research-defined patient subgroups among those with persistent symptoms associated with Lyme disease . The size of each patient subgroup is not meant to represent actual population frequency, as prevalence data is extremely limited. IDSA, Infectious Diseases Society of America ILADS, International Lyme and Associated Diseases Society CLD-PT, Chronic Lyme Disease-Previously Treated CLD-U, Chronic Lyme Disease-Untreated IgG, Immunoglobulin G CFS, Chronic Fatigue Syndrome FM, Fibromyalgia.

    What Foods Should Be Avoided With Lyme Disease

    There are a lot of foods that should be avoided if you have Lyme disease. Any food that cant be cooked or eaten raw should be avoided because it could make the symptoms worse and might not be properly cooked. One example is sushi.

    Ingredients like raw seafood, unpasteurized dairy and raw eggs increase the risk for getting sick with Lyme disease, so those foods should also be avoided.

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    The Main Controversies Surrounding Lyme Disease

    The blood test the CDC recommends to diagnose Lyme checks for an immune response to the bacteria, not for the Borrelia itself. Thats why the test can be negative if the disease is present for less than a month. It takes at least a couple of weeks to mount an immune response that would turn the test positive. It is easier to diagnose Lyme if you have the classic bulls-eye rash that shows up a few days after the tick bite. In these cases, testing is not even necessary. But the rash only shows up in 80% of cases.

    If making a diagnosis can be complex, the controversy about the treatment is so intense that some have even coined the dispute Lyme wars. The clash emerged from doctors offices, and spread to public hearings in statehouses around the country. One of the main points of contention is the duration of antibiotic treatment not only for acute Lyme but also for PTLD. The evidence to recommend a specific length of antibiotics treatment is scarce. Most physicians follow the two- to-four-week treatment the CDC recommends. Some studies funded by the National Institutes of Health did not show any benefit when patients used several months of antibiotics. However, there is anecdotal evidence from a few patients who improved after months of antibiotic treatment. The naysayers believe this is probably due to a placebo effect.

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