Doctor insights on:
Lyme Disease And Not Being Diagnosed
What is being done with Lyme disease? I am making a website to aware people of Lyme disease and need to know what is being done with Lyme disease.
There : There is a lot of heated controversy surrounding the diagnosis and treatment of lyme disease. Two organizations, the infectious disease society of america and the international lyme and associated diseases society have published treatment guidelines that are quite different in their view of this illness. Ilads supports the validity of chronic lyme disease as a real and common occurred that should be treated with antibiotics and supportive therapies until symptoms resolve, and that other tick born infections should be considered and tested for in the patient who does not recover with adequate treatment of the lyme infection. Idsa does not acknowledge the existence of chronic lyme disease and proposes a treatment of 3-4 weeks with doxycycline. If the patient continues to have symptoms following this treatment, ongoing antibiotics are not recommended and the symptoms are attributed to a newly proposed "syndrome" called "post lyme disease syndrome" which is basically a psychosomatic or inflammatory response and should be treated with antidepressants, anti-inflammatory drugs or pain medications, but not antibiotics. www.ilads.org can give you more information on this from the perspective of treating chronic lyme disease and this website will give you the idsa perspective: www.Idsociety.Org/lyme/ some good patient and family oriented information can be found at www.Lymedisease.Org. Good luck with your endeavor. Dr. Tedde rinker los altos, ca. ...Read moreSee 1 more doctor answer
Is it absolutely impossible to have celiac disease without positive blood tests and biopsy? Even with all symptoms and other autoimmune diseases?
Very unlikely: The gold standard of celiac disease is the small bowel biopsy. Blood tests, if positive are helpful. You don't provide enough clinical detail to give you more specific advice. Denmark has several excellent hospitals and medical schools.I suggest you should be evaluated in a tertiary medical center.l ...Read more
Can Celiac Disease mimic MS even after being treated with a strict gluten-free diet? Could my untreated Celiac have caused my brain lesions?
If I have an elevated transglutaminase iga, hypothyroidism, and a mother with celiac disease. Is the likelihood that I have celiac disease.?
Yes, but ...: While your database is highly suggestive of a person at risk for celiac disease, the diagnosis still hinges on a diagnostic small bowel biopsy. Once the diagnosis is secure, a gluten-free diet should then result in a drop in tissue transglutaminase titer. ...Read moreSee 1 more doctor answer
Can joint issues occur in Crohn's disease without a known Crohn's (intestinal) flare? I have Crohn's disease and what led the physicians to that diagnosis was my chronic knee effusions. I was offically diagnosed with Crohn's properly and was aggressibley
Often : Often times, the joint disease can serve as a "barometer" for underlying GI inflammation in patients with crohn's disease. There can be low-grade GI inflammation even without overt symptomatology. One cannot say with certainty, but i would be suspicious that you may, in fact, have some mild intestinal inflammation and you might want to check back in with your gastroenterologist for additional input on the subject. ...Read moreSee 1 more doctor answer
Diagnosed with adrenal insufficiency, autoimmune thyroiditis and low t. Adrenals not being treated and now having seizures, can this be related?
How is Meningitis from Lyme disease diagnosed? Already have the lyme diagnosis? Past ER note says "likely Lyme Meningitis" but no inflammation on MRI.
Lumbar puncture: Meningitis is diagnosed classically by sending off cerebrospinal fluid analysis from a lumber puncture when there is a clinical suspicion that a patient has this condition. Lyme meningitis can be diagnosed with specialized testing sent on cerebral spinal fluid often in conjunction with serum testing to confirm the presence of Lyme Disease. ...Read more
Yes: Tests confirm, exam determines.Get a more detailed answer ›
Missed hrt diagnosis: It is possible to have limited coronary heart disease for years without impacting function. At some point the partial narrowing may become enough to cause symptoms of pain or decreased exercise tolerance. If symptoms have been present for years then a thorough cardiac workup is overdue. See your doctor ...Read more
Possibly: There is some data to suggest that the inflammatory response seen in uc may also play a role in pd. However, more data is needed to make that connection. Interestingly, a study in 2012 showed aggregates of a protein known to induce pd was found in the gut of patients getting colonoscopy and did not have pd at the time. Here is the info for that study: movement disorders may 2012 vol.27 #6:709-1. ...Read more
Is sle a serious type of disease? Recently my sister was diagnosed with this disease, but the biopsy is yet to be conduct.
No, : Celiac disease is not related to antibiotic therapy. Everything is possible, but this association was not reported. There could be other reasons why people who used antibiotics have a higher risk of developing celiac. A recent study has shown, and adds to some theories that composition of gut bacteria can influence whether one will develop celiac or not, therefore, antibiotic may pay a role. ...Read more
I say no: There is no reason to draw labs without symptoms. Healthy people can have anti-centromere especially at low titer. No one knows the prevalence of high titer antibodies in healthy people as we don't test these folks. ...Read more
Lyme is a spirochete: That is , a type of bacteria that can be found in some ticks, but can also be transmitted by mosquitoes, some biting flies, and possibly fleas. But the most common carrier is the tick. Not all ticks carry the lyme spirochete (aka borrelia burgdorferi). ...Read moreSee 1 more doctor answer
Tsh and rad tests: Tsh and rai-u will be able to assess thyroid overactivity with TSH being low or undetectable. Tsh reqs blood draw and rai-u is a pill thyroid receptor antibody or thyroid stim immunoglobulin (trab/tsi) can confirm graves often in 75-90% of cases. ...Read moreSee 2 more doctor answers
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