Doctor insights on:
Chronic Lyme Disease Carpal Tunnel Syndrome
A condition caused by borrelia burgdorferi. Acute symptoms can include bullseye rash, headaches, joint pain, fever, and flu-like sx. Chronic symptoms can include fibromyalgia symptoms, nerve pain in extremities, mood swings, brain fog, heart problems. Lab diagnoses are not very reliable, and sometimes clinical ...Read more
Not traditionally: The term "chronic Lyme disease" refers to the symptoms of continued headache, joint pains, fatigue, and sometimes cognitive difficulties that can continue to occur for months after the initial infection and antibiotic course. Gastrointestinal involvement as with the liver and gallbladder suggest another diagnosis. ...Read more
Not particularly: Lyme can cause virtually any symptom and geographic tongue could be one of them, but I have not found geographic tongue to be common in patients with lyme. Common causes of geographic tongue include celiac disease & other food allergies, environmental allergies, vit B12 & zinc deficiencies, hormonal imbalances & imbalances of flora. Of course many people with chronic lyme may also have those issues. ...Read more
Is there a link between dissociative identity disorder and acute chronic Lyme disease? Can a person have both & can did be misdiagnosed?
Thoughts on safety and efficacy of major autohemotherapy for chronic lyme disease. This treatment has been recommended along with silver iv.
Very promising but..: Major autohemotherapy using ozone is a cutting-edge treatment which is more widely used in Europe but a growing # of innovative docs in the US are offering it. I'm not aware of research on it for Lyme but there are studies showing it to be safe and effective for macular degeneration, Hep C, eczema and other conditions and many case reports of success in chronic Lyme. See http://tinyurl. Com/z5jrlnq ...Read more
No: These two disease are caused by very different micro-organisms. Both can be treated, but with different medications. ...Read more
Can chronic Lyme disease cause cardiovascular problems? If so what are they and which type of doctor should be seen?
I am on a fentanyl patch to control my pain I have fibromyalgia, chronic Lyme disease. I forgot this morning, took Ultram twice 100 mg, I am naseous.?
Nausea: Nausea can be a symptom of opiate withdrawal, but you are wearing your fentanyl patch. Nausea is also a common side effect of ultram. It's possible that this is the result of the inadvertent double dose of ultram you gave yourself, rather than opiate withdrawal. I suggest contacting your physician, and also creating a way to consistently keep track of the pills you take each day. ...Read more
What herxheimer reactions can occur when treating chronic Lyme disease? My blood feels poisoned...Rage, dysesthesias, and fatigue are way worse...
When spirochetes: Killed, they release what is called exotoxins. Those toxins are extremely powerful vasodilators as result people develop low blood pressure, high heart rate and other symptoms systemic manifestations. I have seen the worst jerish hexhimers's reaction with louse born relapsing fever treated with penicillin. People die from such reaction than the disease itself (i mean relapsing fever). ...Read more
Why is the topic of chronic Lyme disease so controversial and do all infectious disease doctors specialize in Lyme disease treatment?
Most infectious disease docs follow the guidelines of the idsa ; are either unaware of or willfully ignore a large body of sound science that proves without question that lyme infection can persist after what they consider to be adequate treatment. See http://bit. Ly/1px4fnq
; http://bit. Ly/1ffxjxl
; http://www. Lymeinfo. Net/lymefiles. Html
; http://bit. Ly/qcegra
; http://bit. Ly/orugxl for details. ...Read more
Yes there are: I can't possibly cover all the alterativs that help. I'll assume you mean in addition to antibiotics which you are taking. Support adrenal system with adaptogens like eleuthero senticosis, panax ginseng, rhodiols rosea, holy basil. These help rebalance andrenals, support immune system and restore energy. Drink lots of water w/lemon juice, eat organic fruits & veggies. Check out your thyroid too. ...Read more
Tested positive for 3 IgG bands (41, 58, 66) in March. Tested again in Dec and a 4th reactive band appeared (45). Could I have chronic lyme disease?
Possible: You need to discusswith your physician - this may say you have been exposed but that enough is not able to make a diagnosis of chronic lyme disese. ...Read more
Treats Babesia not L: Atovaquone (mepron) is not effective for treating borrelia, the lyme bacteria. However, up to 70% of those with chronic lyme have babesiosis, a co-infection, and Atovaquone is the "drug of choice" for this. Successful treatment of chronic lyme requires treating co-infections like babesia & bartonella. There are natural alternatives to Atovaquone but that drug is relatively safe & effective. ...Read more
Mepron (atovaquone): This is the brand name for atovaquone, an antiparasitic drug used occasionally in patients with tick borne illnesses when coinfection with babesia microti may be present and Azithromycin is used in combination. Not aware that Atovaquone is active against borellia burgdorfi, but if you go on line you can find testaments to its efficacy for almost anything. Be skeptical. ...Read more
What makes it unknown if chronic Lyme disease is real or not? I just tested positive for past infection and have gone unbelievably downhill since bite
Need more info: "chronic" lyme disease is difficult to diagnose because isolation of the organism has not been effected and the serologic tests used can be misinterpreted. Many doctors feel that these symptoms are the result of some immune process, but the details have been resistant to definitive diagnosis or understanding. To know what you have you need to see a doctor, preferably id. ...Read more
Is hospitalization needed for chronic Lyme disease treament (during an intravenous antibiotic treatment)?
Not necessarily: Not necessarily.Get a more detailed answer ›
Many issues: It takes longer to treat if you had the infection for a long time (a year or more) before starting treatment. Sometimes many months to 1-2 years. If you have multiple tick borne infections like babesia, bartonella, mycoplasma, various viruses, then treatment is extended to address these other infections, which need different drugs than what we use for lyme. ...Read more
Real & controversial: There is a huge divide here. Most infectious disease specialists believe chronic lyme doesn't exist while ilads, a group of docs who specialize in lyme, strongly believes in it. I have many patients suffering from chronic lyme. See http://www. Hindawi. Com/journals/ipid/2010/876450/ and http://www. Ilads. Org/lyme_research/chronic_lyme. Html and http://columbia-lyme. Org/patients/ld_chronic. Html. ...Read more
I have chronic Lyme disease have been treated for 4 years finally starting to feel better and now only on abx every two weeks why are so many doctors?
In California?: Where did you get lyme? Not much in the west. I am glad you are better but many id physicians do not believe that there is a chronic lyme borelliosis. ...Read more
Can someone who had chronic Lyme disease and has been treated for it & still has neurological symptoms, bladder dysfunction & pain possibly have ms?
Multiple sclerosis: Yes. A person with treated lyme disease can develop multiple sclerosis. Having lyme disease does not protect your from having ms nor it increases the risk of having it either. Bladder dysfunction and pain are seen in many conditions and are not specific of multiple sclerosis. The diagnosis of ms may require certain period of observation or perhaps a lumbar puncture. Check with a neurologist. ...Read more
CLD and Tx:
For more on Lyme Disease (acute and chronic) read Dr. Richard L. Horowitz's book "Why I Can't Get Better." He dose a great job explaining the symptoms, diagnostic test short comings and several therapy regimens. My practice focuses on Lyme and associated diseases and its effect on normal body function. It is also called the great masquerader, as it has many many symptoms.
JP Saleeby, MD ...Read more
For more on Lyme Disease (acute and chronic) read Dr. Richard L. Horowitz's book "Why I Can't Get Better." He does a great job explaining the symptoms, diagnostic test short comings and several therapy regimens. My practice focuses on Lyme and associated diseases and its effect on normal body function. Lyme is the great masquerader, as it has many many symptoms.
JP Saleeby, MD ...Read more
Please tell me the symptoms of chronic Lyme disease, and how long can someone go without signs before they reappear?
Reappear many years:
Early symptoms of lyme may be a rash
followed by arthralgias then joint problems and eventually CNS symptoms of headaches and cardiac involvement. ...Read more
46 yr-old woman who 9 years ago started having progressive, dramatic neurological and pain symptoms after an "acute illness", including 50-pound.....?
Autoimmune: Post-infectious sequelae can cause a variety of syndromes and symptoms, largely of the autoimmune etiology. CIDP is a possibility. Do you have reflexes? CIDP can be diagnosed with EMG/NCS. Did you have that? There are panels of antibodies associated with not only CIDP but also autoimmune dysautonomia, which is another consideration. Were these panels sent? Mayo has comprehensive panels. For dysautonomia testing, I would recommend tilt table and skin biopsy for small fiber neuropathy. Other considerations include myopathies, which can be metabolic or mitochondrial, and I would recommend EMG as well as possible muscle biopsy. ...Read more