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Doctor insights on: Diagnosing Lyme Disease By Lumbar Puncture

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Dr. Randy Baker
656 Doctors shared insights

Lyme Disease (Definition)

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


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Can back pain be from Lyme disease?

Can back pain be from Lyme disease?

Yes: The signs and symptoms of lyme disease vary and usually affect more than one system. The skin, joints and nervous system are affected most often. ...Read more

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Could Lyme disease cause a painful burning sensation in your ribs in your back?

Could Lyme disease cause a painful burning sensation in your ribs in your back?

Lyme's disease: Although the answer is "possible" you do not want to fall into the habit of blaming all symptoms to this condition. Always check with your physician for accurate diagnosis and treatment. ...Read more

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Tested positive for Lyme disease IgM but my western blot test came back negtive?

Tested positive for Lyme disease IgM but my western blot test came back negtive?

Then it's not Lyme: Lyme disease can be tricky -and you want to make sure you see someone like an Infectious Diseases doctor who knows how to treat it. The diagnosis is actually based on clinical findings, and the lab testing is generally 'supportive'. Since you're Western blot is negative, then it's very unlikely you have Lyme. There are other diseases that could cause 'Lyme-like' symptoms -and good to get evaluated ...Read more

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What is the best Lyme disease test? I've had the basic blood test done, came back negative, but is there a more thorough test to rule it out?

What is the best Lyme disease test? I've had the basic blood test done, came back negative, but is there a more thorough test to rule it out?

Thorough WesternBlot: The screen many doctors use, the elisa, only detects about half of those with lyme. A much more sensitive and specific test is the western blot, but I strongly advise doing this through ignenex in palo alto, a specialty lab, as the test offered by most other labs does not include tests for antibodies to the 31 & 34 kda antigens, which are the most specific antigens for lyme! Please see my comment. ...Read more

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Can you have Lyme disease if the blood test comes back negative?

Can you have Lyme disease if the blood test comes back negative?

No: Others may argue this point but I firmly believe a positive lyme screen and western blot is essential for the diagnosis. ...Read more

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I noticed small bug on back of my hand. I pushed it with my other hand & it flew or fell in the ground. After couple mins, I got red bump. Lyme disease?

I noticed small bug on back of my hand. I pushed it with my other hand & it flew or fell in the ground. After couple mins, I got red bump. Lyme disease?

Lyme Disease: Hello and welcome to HealthTap :)

The lesion of Lyme disease is very classical and takes some time to appear, can you share/ inbox me picture of the "bump" on your hand?

It could very well just be a local inflammatory response.

Regards
Thank you ...Read more

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Could knee, foot, calf, and leg pain be caused my Lyme disease or mono or ra? What types of tests should I have? I do have a back history

Could knee, foot, calf, and leg pain be caused my Lyme disease or mono or ra? What types of tests should I have? I do have a back history

Cannot diagnose: You need to be thoroughly evaluated and to communicate effectively with the doctor (s) seeing you. This cannot be done long distance over the internet. Make a detailed list of all your symptoms, the sequence in which they occur and their relationships with each other and take this with all you prior medical records to either a rheumatologist or an infectious diseases doctor. Good luck. ...Read more

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I was bit by a tick pulled all out and has left a mark for a month? My back and arm muscles are aching but I do not have a bull's eye. Lyme disease?

I was bit by a tick pulled all out and has left a mark for a month? My back and arm muscles are aching but I do not have a bull's eye. Lyme disease?

Tick bite and aches: You should definitely see your physician as you may have lymes or other disease without a rash. You still can be treated. See your doctor as soon as possible. ...Read more

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Please tell me, is western blot good in diagnosing Lyme disease?

Not great: But it is used to diagnoses lyme disease as it is one of the better tests we have. The cdc recently stated it believes lyme infections are about ten times higher than predicted due to false negatives related to current testing. Hope that helps! ...Read more

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How accurate are spinal taps when diagnosing the different stages of Lyme disease?

How accurate are spinal taps when diagnosing the different stages of Lyme disease?

Usually not needed: Lyme disease does not require a spinal tap to diagnose. There are blood tests that can be helpful but the history of a tick bite, rash, fever, headaches, joint aches or arthritis is helpful. However, most people with lyme do not have a known history of a tick bite. You do live in an area where lyme is common (nj). Go to www. Cdc. Gov/lyme for more reliable information. Avoid misdiagnosis. ...Read more

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How accurate is a blood test for Lyme antibodies in diagnosing whether a patient actually has Lyme disease?

How accurate is a blood test for Lyme antibodies in diagnosing whether a patient actually has Lyme disease?

What to ask: In general, accredited labs must validate the performance characteristics for tests they offer. That can be hard for a dx like Lyme where there are few definite criteria and many vague symptoms. Antibody testing is very sensitive, but antibodies themselves cross-react. The most sensitive and specific tests aim to detect DNA specific to the organism. Ask the lab for the performance profile of test. ...Read more

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I have lyme disease and my d dimmers were extremely elevated?

May be related to it: It could be related to your inflamation - especially any vascular issues. This will depend on the manfestations that you are having. You can discuss that with your physician. ...Read more

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My dad just found out he has Lyme disease and e has had it for 9 years drs just keep tellig his it was athrightus he is in a lot of pain what cn we do?

?: According to the most up to date research, once tx'ed, lyme disease is no longer present. However, it is possible that if it wasn't treated, he could have other chronic problems. First, make sure he was treated with appropriate antibiotics and for the right amount of time. Second, if treated right, sometimes, people can have autoimmune reactions related to the lyme disease. Talk to his doc. ...Read more

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Does lyme disease go away?

Does lyme disease go away?

Not if untreated.: Untreated Lyme disease can progress to have cardiac (heart) and neurologic (brain and nerves) complications. If left untreated too long some damage can be permanent. Lyme disease can be treated with common antibiotics. If you have symptoms, like a bullseye rash, joint pains, fevers, or headache, and have a reasonable chance of exposure, please see a doctor for testing and treatment. ...Read more

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Can Lyme disease live for ever?

Can Lyme disease live for ever?

Not sure of question: Do you mean to ask if lyme would continue indefinitely if not treated? Te answer to that is yes, though the typical course for lyme disease is one where symptoms can tend to come & go, get worse, then better. ...Read more

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Symptoms of Lyme disease easy to see?

Symptoms of Lyme disease easy to see?

Easy to see but...: The symptoms of lyme are very easy to see but it may be hard to recognize these as lyme. Classic symptom of bullseye rash only seen in half or less, then flu-like symptoms, then migrating joint pains (often 1st in knees), fatigue, poor memory/concentration, can't find right word, blurred vision. Can cause virtually any symptom, often misdiagnosed as chronic fatigue, fibromyalgia, arthritis, MS etc. ...Read more

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How to deal with Lyme disease as a teen?

It depends: It depends what specific manifestation of lyme disease you mean and what therapies were used to treat it. ...Read more

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Is Lyme disease more serious in children?

Is Lyme disease more serious in children?

Not necessarily: Lyme is a complex illness. Some who have it become quite ill, while others have mild symptoms. This depends on the strain of lyme bacteria, genetics of the patient, presence of co-infections like babesia & bartonella & factors that affect immune function like nutrition, parasites, heavy metals, mold exposure & stress.Thus, like adults, some children become quite ill but others have minimal symptoms. ...Read more

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Where can I get checked for Lyme disease?

See detail: Any doctor, clinic or urgent care center can order the appropriate tests. ...Read more

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Can you tell me how is Lyme disease tested?

Blood test.: Simple blood test are very helpful. If the screening test is positive then another blood test, the western blot, is done to confirm. ...Read more

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I've had Lyme disease. Can I get it again?

Yes: Depends on your immune system's response. If the tick bite you again, possibility you will get it again. ...Read more

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How do you treat and diagnose Lyme disease?

Lyme disease: Lyme disease can be detected by blood by testing the igm level. However lyme disease can turn into complicated chronic problem affecting many systems of the body. It can be treated with antibiotics. Treatments varies depend on when it was discovered and how it had spread. Consult your doctor if you have concern for contacting the disease. Early treatment and proper prevention is important. ...Read more

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Does Lyme disease return after being treated?

Yes-if Rx incomplete: Lyme disease may return if the treatment was insufficient. In the early phase, within weeks to a few months of a first tick bite, then a course of oral antibiotics should cure the problem. If the lyme disease is first diagnosed with systemic problems such as arthritis or neuropathy, then treament takes much longer, and incomplete treatment can be followed by a recurrence of symptoms. ...Read more

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What are the common symptoms of Lyme disease?

See below: Red, expanding rash called erythema migrans (EM)
Fatigue, chills, fever, headache, muscle and joint aches, and swollen lymph nodes. Bell's Palsy or facial paralysis, neck stiffness, Heart palpitations and dizziness, Late stage Lyme has bouts of arthritis with severe joint pain and swelling ...Read more

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How doyou feel in early stages of Lyme disease?

How doyou feel in early stages of Lyme disease?

Not well: Lyme disease presents early with a classic rash which is an expanding circle of redness clearing in the center. There may be fever, chills, malaise, headache, stiff neck, and involvement of joints (arthritis), the heart, and the nervous system may all follow. It is due to a spiral bacteria transmitted by deer ticks (borellia burgdorfii), and should be treated aggressively to prevent long illness. ...Read more

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Are there any at home remedies for Lyme disease?

No: See a doctor if you think yopu may have lyme dsease and do not try to treat it yourself, at home. ...Read more

Dr. Dariush Saghafi
388 Doctors shared insights

Lumbar Puncture (Definition)

To test for meningitis or multiple sclerosis or a variety of problems, a small needle is inserted into the lumbosacral cistern to obtain spinal fluid for testing ...Read more


Dr. Sheila Smith
1 Doctor shared a insight

Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more