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What Are The Signs And Symptoms Of Lyme Disease

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What Are The Stages Of Lyme Infection

Lyme Disease Signs and Symptoms (2 of 5) | Johns Hopkins Medicine

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.

Natural Treatments For Lyme Disease

While conventional medical treatment focuses on antibiotic drugs, complementary approaches are also useful.

Minerals, vitamins, and specialized supplements can be safely and effectively used to support the process of healing, to offset unwanted effects of antibiotic treatment, and to tackle the ongoing, sometimes lingering symptoms and effects of chronic Lyme disease, Gormley says.

When Should You See A Doctor If You Think You Have Lyme

The rash is a pretty good indication that you may have been bitten. Take a photo of the rash and see your doctor. At this stage, treatment with antibiotics will probably work.

If you don’t have the rash but have symptoms like fatigue, fever, and headache but no respiratory symptoms like a cough, you may want to talk to your doctor.

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Transmission And Incubation Period

In Québec, only a bite from an infected blacklegged tick can transmit Lyme disease. The risk is low if the tick is attached to the skin for less than 24 hours. If the tick is attached for longer than that, the risk increases.

Ticks do not jump or fly. Generally, they wait in leaf litter on the ground, in tall grasses or in bushes until an animal or human goes by. Before a tick feeds, it can vary in size between 1 and 3 millimetres. It can triple in size when filled with blood. It needs to feed on animal or human blood at each stage of development, from larva to nymph to adult.

The disease does not spread from an infected animal to humans or by contact between people. If a blacklegged tick is found on an animal, that can indicate that there are other ticks in the immediate environment or in an area where the animal was found recently. Pet and other animal owners would therefore be at risk of coming into contact with ticks that transmit the disease.

Treatment Of Lyme Disease

Lyme Disease. Woman with Erythema, Signs and Symptoms Lyme Borreliosis ...

Early diagnosis and proper antibiotic treatment of Lyme disease is important and can help prevent late Lyme disease. The following treatment regimens reflect CDCs interpretation of the most current data for four important manifestations of Lyme disease. These regimens are consistent with guidanceexternal icon published by the by the Infectious Disease Society of America, American Academy of Neurology, and American College of Rheumatology.

Some patients report persistent symptoms of pain, fatigue, or difficulty thinking even after treatment for Lyme disease. The state of the science relating to persistent symptoms associated with Lyme disease is limited, emerging, and unsettled.

Additional researchexternal icon is needed to better understand how to treat, manage, and support people with persistent symptoms associated with Lyme disease. In light of these research gaps, recommendations for treatment of persistent symptoms in people previously treated for Lyme disease are not provided here.

If you are interested in information on chronic Lyme diseaseexternal icon, see NIHs website.

Links with this icon indicate that you are leaving the CDC website.

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Other Causes Of Lyme Disease Symptoms

Sometimes people think they have the symptoms of Lyme disease, but it is a different disease caused by ticks. Diseases caused by tick bites that are known in Australia are:

  • Queensland tick typhus
  • mammalian meat allergy

Sometimes there is no known diagnosis for symptoms such as fatigue, disordered thinking, disturbances of the senses, joint pain and headaches. These symptoms are real and can be very debilitating. In this case, you doctor will work with you to manage the symptoms and improve your quality of life.

Lyme Disease Symptoms Are Wide

Lyme disease can mimic hundreds of other conditions since its symptoms mirror many medical problems such as multiple sclerosis, arthritis, chronic fatigue syndrome or lupus, and is sometimes known as The Great Imitator because of this. for a more complete list of possible symptoms.

Symptoms can play a key role in diagnosing Lyme disease. Due to the lack of an accurate diagnostic test, many patients are diagnosed based on a combination symptoms and diagnostic testing. This makes it extremely important for patients to keep track of all the symptoms they experience, to share with their healthcare provider.

When do Lyme disease symptoms appear? Learn about the Stages of Lyme disease:

Lyme disease symptoms can vary based on stage of the disease and if other tick-borne infections are present and can change over time.

Symptoms in acute Lyme disease

Acute Lyme disease occurs days to weeks after the initial tick bite and infection, in which the bacteria have not yet spread from the site of infection in the skin.

The most common symptoms in acute Lyme disease are the ones people are most familiar with, because they are symptoms often shared with other illnesses however, its important to recognize that they could indicate Lyme, and you should see a Lyme-treating physician right away.

Symptoms in early disseminated Lyme disease
Symptoms in late stage Lyme disease
  • neurologic features including vertigo or dizziness,
  • difficulty sleeping
Some common questions

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Stage : Quickly Expanding Rash

After being bitten by a black-legged tick, a quickly growing rash can appear. This is the earliest stage of Lyme disease, known as stage 1.

Most people who develop a rash, get it within days or weeks of being bitten by a tick.

Where you see the rash: If you develop a rash, it appears near the tick bit you. For most people, that means the back, groin, armpit, or a lower leg. However, a tick can bite you anywhere.

What the rash can look like: You may see a spot or bump on the skin, which is the bite mark. Around or near the bite mark, a rash develops. Some people see the bulls-eye rash . You can also have one of the other rashes shown here.

Early rash caused by Lyme disease

Notice the bite mark in the center of this early rash, which will expand quickly.

Bull’s-eye rash on woman’s upper arm

This is another early sign of Lyme disease.

Lyme disease rash with lighter color on the outside

This rash has expanded, but you can still see the bite mark in the center.

Rash from Lyme disease has begun to clear

As the rash begins to clear, the redness fades.

If you develop a rash during this stage, you may notice that it:

  • Feels smooth and warm to the touch

  • Causes a burning sensation

  • Itches or feels painful

  • Has an outer edge that feels scaly or crusty

When the rash and symptoms begin: According to the Centers for Disease Control and Prevention , the rash begins 3 to 30 days after the tick bites you.

About 50% of people who have Lyme disease develop flu-like symptoms , which include:

What Causes Lyme Disease

Early Signs and Symptoms of Lyme Disease

Lyme disease is caused by bacteria. In the United States, this is usually a bacterium called Borrelia burgdorferi. It spreads to humans through the bite of an infected tick. The ticks that spread it are blacklegged ticks . They are usually found in the:

  • Pacific coast, especially northern California

These ticks can attach to any part your body. But they are often found in hard-to-see areas such as your groin, armpits, and scalp. Usually the tick must be attached to you for 36 to 48 hours or more to spread the bacterium to you.

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Cdc Supports The Development Of New Tests

New tests may be developed as alternatives to one or both steps of the two-step process. Before CDC will recommend new tests, they must be cleared by the Food and Drug Administration . For more details, see: Recommendations for Test Performance and Interpretation from the Second National Conference on Serologic Diagnosis of Lyme Disease.

Wide Range Of Signs And Symptoms Of Lyme Disease

Studies indicate that at least 50% of patients with Lyme disease do not exhibit the classic Bulls-eye rash. When a rash is present, it can appear anywhere on the body. It does not always appear at the site of the tick bite. The rash usually appears between 3 30 days after the tick bite.

A rash due to Lyme disease is typically not itchy or painful. It may fade and then reappear and it can be confused with a spider bite. Atypical rashes can also occur. And when multiple rashes appear on the body, it may be an indication that the Borrelia burgdorferi spirochete has disseminated beyond the tick bite and the disease is in a more advanced stage.

If left untreated, the infection can spread to other parts of the body, including the brain and central nervous system, cardiovascular system, peripheral and autonomic nervous system, along with the muscles and joints, and eyes.

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When To See Your Gp

You should contact your GP or dial NHS 111 promptly if you feel unwell with any of the symptoms described above after being bitten by a tick or after spending time in areas where ticks may live.

Take this leaflet with you if you are unsure what to say and remember to let your GP know if youve recently had a tick bite or spent time in areas where ticks may live.

Diagnosing Lyme disease can be difficult as many of the symptoms are similar to other conditions. A spreading erythema migrans rash appearing some days after a known tick bite is characteristic and should be treated with antibiotics.

If you dont have this rash but do have other symptoms of Lyme disease, blood tests can be carried out that look for antibodies against the borrelia bacteria.

Blood tests can be negative in the early stages of the infection as the antibodies take some time to reach levels that can be detected.

You may need to be re-tested if Lyme disease is still suspected 4 to 6 weeks after a first negative test result.

If you have long-lasting symptoms, you may be referred to a specialist in microbiology, infectious diseases, rheumatology, or neurology as appropriate for further investigation and management.

How Is Lyme Disease Transmitted

Lyme symptoms

Ticks usually live in woods or tall grasslands in Canada, the United States, Europe, and Asia. Ticks can become infected with Borrelia burgdorferi by feeding on infected wild animals, and then can spread the bacteria when they feed on blood from the host. Ticks cannot fly – they hang onto small bushes or tall grasses and are usually found close to the ground. They wait for an animal or person to pass near them and when the animal or person makes contact, the ticks attach themselves to the skin to feed.

In North America, Lyme disease is transmitted mainly by two species of ticks:

  • Blacklegged tick , Ixodes scapularis.
  • Western blacklegged tick, Ixodes pacificus.

The Public Health Agency of Canada states that there no evidence that Lyme disease can spread from person-to-person. Pets, especially dogs, can get Lyme disease, but there is no evidence that pets can spread the infection directly to humans. They may, however, carry infected ticks into the home or yard which may increase the chance of transmission.

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What Tests Are Available For Lyme Disease

When a person becomes infected, the body creates antibodies to protect itself from the bacteria. Certain blood tests are available to measure these antibodies. However, sometimes a “false negative” test can result if there are not enough antibodies in the blood for the tests to detect accurately. A doctor should also do a complete medical examination and gather information about your recent outdoor activities in order to make a clinical diagnosis for Lyme disease.

Stage : Early Disseminated Lyme Disease

Timing: Weeks to months after a tick bite

In early disseminated Lyme disease, the infection has started to move beyond the site of your tick bite to other parts of your body such as your heart, brain, or spinal cord. Lyme disease that has moved to the brain is sometimes referred to as Lyme neuroborreliosis, or neurological Lyme disease.

Common symptoms of early disseminated Lyme disease include:

  • More than one EM rash

  • Pain that may come and go and move around the body, in joints, tendons, muscles, and bones

  • Inflammation of the brain and spinal cord , which can cause severe headache, neck stiffness, and sensitivity to light and sound

  • Numbness, weakness, or tingling in the arms and legs

  • Weakness or drooping on one or both sides of the face difficulty closing an eyelid

  • Inflammation of the heart that can cause heart palpitations, irregular heartbeat, dizziness, shortness of breath, or fainting. If you are experiencing any of these heart symptoms, seek immediate medical care.

You may also experience a worsening of earlier Lyme disease symptoms.

Lyme disease can cause joint pain , a stiff neck , or weakness or drooping on one or both sides of the face, known as facial palsy .

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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.

Signs Of The Disease In Animals

Do you know the signs of Lyme disease?

Ticks are very small mites. Their bites can easily go unnoticed.

Infected animals generally do not show any symptoms. If there are signs of the disease, they vary in severity and present differently depending on the species.

Generally, kidney damage and lameness caused by joint pain that alternates between each leg is observed. Sometimes, a fever, fatigue, appetite loss, a lack of energy and swollen lymph nodes may occur. A skin rash can expand around the site of the tick bite. Its rarely visible under an animals fur.

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Who Is At Risk For Lyme Disease

Anyone can get a tick bite. But people who spend lots of time outdoors in wooded, grassy areas are at a higher risk. This includes campers, hikers, and people who work in gardens and parks.

Most tick bites happen in the summer months when ticks are most active and people spend more time outdoors. But you can get bitten in the warmer months of early fall, or even late winter if temperatures are unusually high. And if there is a mild winter, ticks may come out earlier than usual.

Lyme Disease: A Pet Owner’s Guide

Lyme disease is an illness that affects both animals and humans what is known as a zoonotic disease and is the most commonly reported vector-borne illness in the United States, according to the U.S. Centers for Disease Control and Prevention . Transmitted through tick bites, the disease can be difficult to detect and can cause serious and recurring health problems. Therefore, it is best to prevent infection by taking appropriate measures to prevent tick bites and, for dogs, possibly vaccinating against the disease.

The bacterium that causes Lyme disease a worm-like, spiral-shaped bacterium called Borrelia burgdorferi is carried and transmitted primarily by the tiny black-legged tick known as the deer tick. Deer ticks are found in forests or grassy, wooded, marshy areas near rivers, lakes or oceans. People or animals may be bitten by deer ticks during outdoor activities such as hiking or camping, or even while spending time in their back yards.

Named after numerous cases were identified in Lyme, Conn., in 1975, the disease has since been reported in humans and animals across the United States and around the world. Within the U.S., it appears primarily in specific areas including the southern New England states eastern Mid-Atlantic states the upper Midwest, particularly Wisconsin and Minnesota and on the West Coast, particularly northern California. The CDC maintains a map detailing confirmed cases of Lyme disease throughout the years.

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