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Lyme Symptom Check List by Joseph J. Burrascano Jr., M.D.

Symptoms of Lyme Disease Thanks to Lyme Out.

Symptoms Canadian Lyme Disease Foundation

Lyme Disease in Detail by Joseph J. Burrascano Jr., M.D. Thanks to ILADS

The Treatment of Lyme Disease by Ernie Murakami, M.D.

Summary of ILADS Treatment Guidelines thanks to lymeInfo


Evidence-based guidelines for the management of Lyme disease.

Neuropsychiatric Lyme Disease Thanks to lymeInfo

Diagnosis and Therapy of Chronic Lyme Thanks to lymeInfo

A Doctors Website Dr. Charles Crist M.D.

Alternative Therapies

Late and Chronic Lyme Disease by Sam T. Donta, MD.

Lyme Symptoms by John D. Bleiweiss, M.D.

More Lyme Symptoms Thanks to LDF

Lyme Symptoms and Research, U.S.

Lyme Symptoms and More Thanks to Lyme Info

Lyme Symptoms: A Review

Brainfog A symptom of Lyme disease

The Neuropsychiatric Assessment of Lyme Disease by Robert Bransfield, M.D.

Lyme Disease, Comorbid Tick-Borne Diseases, and Neuropsychiatric Disorders by Robert Bransfield, M.D.

A Very Interesting Story by Virginia T. Sherr, M.D.

"Bells Palsy of the Gut" by Virginia T. Sherr, M.D.

Vasculitis associated with Lyme borreliosis

Lyme Disease Rashes

'Bull's-Eye' Lyme Disease Rash Not Most Common Medscape.

Lyme Disease Misdiagnosed as... With special thanks to Art Doherty

Gastrointestinal and Hepatic Manifestations of Tickborne Diseases in the United States Zaidi and Singer

How Lyme disease mimics ADD Family Matters

Read the personal stories of IBS sufferers and share your own experiences. IBS Tales

LymeNet Flash Discussion A good place to ask questions.




SYMPTOM CHECK LIST

NAME_______________________________________DATE__________________

RISK PROFILE (PLEASE CHECK)
  • Tick infested area__
  • Frequent outdoor activities__
  • Hiking__
  • Fishing ___
  • Camping ___
  • Gardening ___
  • Hunting ___
  • Ticks noted on pets ___
  • Do you remember being bitten by a tick? No__ Yes__ When? _________
  • Do you remember having the "bull's eye rash"? No__ Yes__
  • Any other rash? No__ Yes__
Have you had any of the following? (CIRCLE ALL YES ANSWERS)
    1. Unexplained fevers, sweats, chills, or flushing
    2. Unexplained weight change--loss or gain
    3. Fatigue, tiredness, poor stamina
    4. Unexplained hair loss
    5. Swollen glands: list areas_______________________________
    6. Sore throat
    7. Testicular pain/pelvic pain
    8. Unexplained menstrual irregularity
    9. Unexplained milk production: breast pain
    10.Irritable bladder or bladder dysfunction
    11.Sexual dysfunction or loss of libido
    12.Upset stomach or abdominal pain
    13.Change in bowel function-constipation, diarrhea
    14.Chest pain or rib soreness
    15.Shortness of breath, cough
    16.Heart palpitations, pulse skips, heart block
    17.Any history of a heart murmur or valve prolapse?
    18.Joint pain or swelling: list joints________________________
    19.Stiffness of the joints, neck, or back
    20.Muscle pain or cramps
    21.Twitching of the face or other muscles
    22.Headache
    23.Neck creeks and cracks, neck stiffness, neck pain
    24.Tingling, numbness, burning or stabbing sensations, shooting pains, skin hypersensitivity
    25.Facial paralysis (Bell's Palsy)
    26.Eyes/Vision: double, blurry, increased floaters, light sensitivity
    27.Ears/Hearing: buzzing, ringing, ear pain, sound sensitivity
    28.lncreased motion sickness, vertigo, poor balance
    29.Lightheadedness, wooziness, unavoidable need to sit or lie down
    30.Tremor
    31.Confusion, difficulty in thinking
    32.Diffculty with concentration, reading
    33.Forgetfulness, poor short term memory, poor attention, problem absorbing new information
    34.Disorientation: getting lost, going to wrong places
    35.Difficulty with speech or writing; word or name block
    36.Mood swings, irritability, depression
    37.Disturbed sleep-too much, too little, fractionated, early awakening
    38.Exaggerated symptoms or worse hangover from alcohol

Later symptoms (i.e., after a few months without proper treatment):

Frequent and easy bruising
Hoarseness
Drippy nose, especially in the mornings
Night sweats ("sweats" mentioned above)
Unusual tastes or smells
Elevated blood pressure
Nausea ("upset stomach" mentioned above)
Periodic, 36-hour headaches (headaches mentioned above)
Mild, random dizziness (lightheadedness, wooziness mentioned above)
Tendon problems - hands/fingers temporarily lock into unusual positions
Painful teeth
Lower back pain - occasional and unexplained
White spots on fingernails, ridging and cracking of fingernails
Alternating warm/cool sensations at various locations in body
Increased dreams and/or nightmares
Slurring of speech (difficulty with speech mentioned above)
Constant low body temperature

Personal note: Watch for small itchy blisters that are irritated by the sun along with a raised itchy red rash which is also irritated by the sun. Strokes and unexplained suicides.

I am interested in talking with persons who have had some of the above symptoms along with a sudden onset of osteoarthritis. e-mail:

Return to top: Lyme Symptoms




THE TREATMENT OF LYME DISEASE. October 20th/01.

There has been much controversy regarding the treatment of LYME disease.

There is one small fraction medical doctors that supports the theory that a single dose of doxycycline is sufficient to cure and prevent the development of this disease.

There is another group that are adamant that the maximum therapy with any antibiotic is three weeks.

Internationally the majority of Lyme literate physicians use two to three weeks of antibiotics after the initial bite of a Ixodes wood-tick (Scapularis or Pacificum in North America)). However if the treatment is delayed more than this time period the disease spreads very quickly into the systemic system and rapidly progresses into the second and third stage of this infestation.

The alacrity of the infestation and difficulty of treatment depends on many factors, virulence of the spirochete (300 sub- species ), personal immunity( and other health problems of chronic nature in the patient such as immuno-compromised states ie. a loss of a spleen) the mutations and the protective capsule or cystic formation etc, etc. .

The treatment then becomes more difficult and combinations of antibiotics and intravenous therapy becomes necessary to eradicate the infectious agent from the entire body of a patient. As it was with syphilis every organ in the body in invaded without exception.

To understand the hardy nature of this spirochete , the wood tick life cycle is about two years and during this time both the wood-tick and the agent must survive extreme heat and harsh sub-zero conditions. In the free form they cannot survive but in the cystic state they have been found to revert to the free form even after being subjected to freeze-thawing conditions. (Institute of Microbiology and Parasitology, Veterinary Faculty, Ljubljana, Slovenia.)

When a person is bitten by an arthropod there is the contamination by both the spirochete and as well the cystic form from the bowel contents of the tick. The cystic form can mature depending on the environment and release the free form anytime up to four weeks in the human or animal body.

Thus a single dose in the first stage of this disease, and three weeks of doxycycline in the second stage could be inadequate to completely treat the cycles of the cystic or encapsulated form.

If the treatment time is delayed beyond two or three weeks following the wood-tick bite ,treatment must be a minimum of three months.

The combination of drugs are often necessary to treat late stages until the patient is symptom free for two months, and in Neuroborelliosis the long term intravenous third generation cephlosporins are indicated.

Dr. Ernie Murakami ,B.A, M.D. Clinical Associate Professor , UBC Medical School; Consultant in Lyme Disease Professor Emeritus, Faculty of Medicine.



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'Bull's-Eye' Lyme Disease Rash Not Most Common

NEW YORK (Reuters Health) Mar 20 - While the classic rash of Lyme disease is an expanding erythematous skin lesion with partial central clearing, a new report indicates that most patients actually have homogeneous lesions. Dr. Robert P. Smith, from Maine Medical Center Research Institute in Portland, and colleagues characterized early Lyme disease in 118 patients with microbiologically confirmed erythema migrans. The researchers' findings are published in the March 19th issue of the Annals of Internal Medicine.

Patients typically presented about 3 days after symptom onset. Only 9% of patients had the classic bull's-eye rash, the researchers note. Fifty-nine percent of patients had rashes with homogeneous pattern and 32% had rashes with dense central erythema.

The most common symptoms associated with erythema migrans were nonspecific flu-like symptoms. Nearly a third of patients reported a fever, but in only 6% was it confirmed at office evaluation.

IgM or IgG antibody responses to Borrelia burgdorferi were detected in about a third of acute phase samples and in about two-thirds of convalescent-phase samples, the authors note. Most patients responded rapidly to antibiotic therapy.

"In major endemic areas in the US, Lyme disease commonly presents as erythema migrans with homogeneous or central redness and nonspecific flu-like symptoms," the researchers state.

In a related editorial, Dr. Robert B. Nadelman and Dr. Gary P. Wormser, from New York Medical College in Valhalla, comment that the current findings are important because they help dispel the myth that Lyme disease always involves a bull's-eye rash.

Ann Intern Med 2002;136:421-428, 477-479.

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This page last updated 19th of June, 2008.