Top
20
Doctor insights on: Lyme Disease Blood In Urine

Share
1

1
Can a person with disseminated Lyme disease transmit it via a blood donation?

Can a person with disseminated Lyme disease transmit it via a blood donation?

Yes: There is every reason to believe that lyme disease can be transmitted via blood transfusion. This does not mean that someone with lyme will always transmit it; in patients with lyme PCR tests are often negative, meaning it is not always present in the blood, but it is at times and in that case is almost certain to be transmitted. Certainly some with lyme don't know it & donate blood & transmit it.

Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


2

2
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.

See 2 more doctor answers
3

3
What are blood tests for Lyme disease?

What are blood tests for Lyme disease?

ELISA/West blot.: The 2 main tests are elisa and western blot. Elisa or serology is used for screening to see if there is an antibody response to the b. Burgdorferi spirochete responsible for the disease, while the western blot is a specific test that makes sure the positive response is to this and not a false positive, or a reaction to something else. Pcr, or polymerase chain reaction is another possible test.

5

5
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.

7

7
I recently had a blood test, it showed a potential false pos of hep b, but is there a link between Lyme disease and hepatitis?

NO: Lyme does not cause hepatitis. The clinical presentation of the 2 with aches, pains, fatigue, stiffness, weakness can overlap and be confusing. Lyme needs antibiotics hepatitis does not. See your doctor.

See 1 more doctor answer
8

8
For physical exam blood tests, Do doctors usually check for Lyme disease or does it get noticed in the blood? Does that have to be requested?

For physical exam blood tests, Do doctors usually check for Lyme disease or does it get noticed in the blood? Does that have to be requested?

Blood tests: "Routine" blood tests do not check for Lyme disease. A blood test for Lyme disease would be done when a suspicion for the disease from the history and/or physical warrants it.

See 3 more doctor answers
9

9
I had a blood test (Western Blot), to check for Lyme Disease. The results look strange (0.45). This doesn't look like the result of any WB test I have?

I had a blood test (Western Blot), to check for Lyme Disease. The results look strange (0.45). This doesn't look like the result of any WB test I have?

Probably not Lyme: Your Western Blot would need to be above 5 for a conclusive confirmation of Lyme disease. Unless you also had known tick bite, low-grade fever, "erythema migrants", you probably had a viral illness that should resolve on its own. Do discuss this with your primary medical provider or specialist if symptoms persist.

10

10
Can chronic lyme disease cause your blood test to be post for hep c?

Can chronic lyme disease cause your blood test to be post for hep c?

No: These two disease are caused by very different micro-organisms. Both can be treated, but with different medications.

11

11
Will the regular blood test and western blot test for Lyme disease rule out someone having it?

Will the regular blood test and western blot test for Lyme disease rule out someone having it?

It is a good test..: Enzyme-linked immunassay is a sreening test which if positive will be confirmed with a western-blot (=standard of testing). Although not absolutely 100%, a negative western blot is a good bet that there is no lyme at the time of testing. Early disease/infection may have negative test, thus recommended retesting in about 3 wks. Lyme dna testing is better, but more expensive. Consult doc. Good luck.

See 1 more doctor answer
12

12
Is it common for a blood test to miss Lyme disease? Also can Lyme disease lead to weight loss?

Is it common for a blood test to miss Lyme disease? Also can Lyme disease lead to weight loss?

Yes to both: It is fairly common for lab tests for lyme disease to be a false negative. The cdc criteria for a positive test is so strict that it might miss up to 50% of patients who have lyme disease.

See 1 more doctor answer
13

13
What does it mean if your body develops antibodies to Lyme disease And blood work shows my body fighting infection??

What does it mean if your body develops antibodies to Lyme disease And blood work shows my body fighting infection??

Still infected: If your body is still fighting the infection, you will require further treatment even though you have developed some protective antibody to the organism. Think of it as ISIS. Certainly there is resistance to its invasion but the resistance has not killed it yet.

14

14
My doctor ordered a routine lab req for blood work. Can it detect Lyme disease?

My doctor ordered a routine lab req for blood work. Can it detect Lyme disease?

No: Routine blood work should not include testing for Lyme disease. The test is only to be run if there is suspicion that the individual has been infected and has the disease. Cholesterol and blood sugar are good screening tests. Tests for rheumatoid arthritis, lupus, Lyme disease are NOT screening tests as there are many false positives.

15

15
What do you suggest if my doctor ordered a routine lab req for blood work. Will it detect Lyme disease?

No: We don't look for the routinely. Actually, there's some dispute as to just how sensitive the usual Lyme serologies are. If you're concerned that you may be a Lyme patient, talk about this with your physician.

16

16
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.

17

17
I have a bullseye rash around a tick bite but do not have any other symptoms of Lyme disease. Do I need to get a blood test?

I have a bullseye rash around a tick bite but do not have any other symptoms of Lyme disease. Do I need to get a blood test?

Not just Lyme: Avoid being "lyme-centric"! depending on geography, there are several other tick borne diseases (e.g. Anaplasmosis, babesia, human monocytic or granulocytic erlichiosis) that co-infects with lyme (caused by b. Burgdorferi), or else, the diagnosis is something other than lyme (eg. Relapsing fever caused by b. Hermsii & southern tick -associated rash illness [stari] caused by a diffferent tick.

See 4 more doctor answers
18

18
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).

19

19
Does lyme disease and Co infections increase the risk of blood clots? And if so by how much? I take 3000 mg fishoil a day would that prevent issues?

Does lyme disease and Co infections increase the risk of blood clots? And if so by how much? I take 3000 mg fishoil a day would that prevent issues?

Definitely not: Lyme disease and other tick borne illnesses should not increase the risk for blood clots. See a hematologist if you suffer from clots. There are things that CAN be done - like no smoking, avoiding birth control pills (estrogens), avoiding long stationary periods (sitting on a plane), avoiding injury to legs/veins, etc. Fish oil is a supplement - probably won't help this situation at all. See an MD

Dr. Michael Michaels
636 Doctors shared insights

Blood In Urine (Definition)

Hematuria is the presence of blood in the urine. When you can see the blood, it's called gross hematuria. When the blood can only be seen under a microscope it is known as microscopic hematuria. Hematuria can be caused by kidney stones, kidney infections, urinary tract infections, an enlarged prostate, cancer, certain medications, and ...Read more


Dr. Randy Baker
644 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