Stage : Small Oval Rashes Or A Reddish Lump
When a tick that causes Lyme disease bites you, it infects you with bacteria. Without treatment, the bacteria can spread to other areas of your body. Stage 2 begins when the bacteria spread to other parts of your body.
During this stage, you may see small, oval rashes on your skin. Some people develop a bluish-red lump.
Where you see these signs: Because the infection has spread, small rashes can appear anywhere on your skin, except for your palms and soles. Most rashes appear on the arms, legs, and face.
Some people develop a lump, which your doctor may refer to as borrelial lymphocytoma. In children, this lump tends to appear on an earlobe. Adults often see a raised growth form around a nipple.
Borrelial lymphocytoma on a childs ear
This can appear in stage 2 of Lyme disease.
What you may see on your skin: The rashes that appear during stage 2 differ from the rash that can appear in stage 1. In stage 2, the rashes stay the same size rather than grow larger.
When the rashes, lump, and symptoms begin: About 30 to 45 days after the tick bites you, you may notice rashes or a lump. These can also take longer to appear, sometimes six months or more.
Some people develop symptoms, which make them feel ill, including:
Shortness of breath and dizzy spells
Bells palsy, which causes one half of the face to droop
Heart problems, such as chest pains or an irregular heartbeat
Outlook For Early Disseminated Lyme Disease
If you receive a diagnosis and treatment with antibiotics at this stage, you can expect to be cured of Lyme disease. Without treatment, complications can occur. Treatments are available for the complications.
In rare cases, you may experience a continuation of Lyme disease symptoms after antibiotic treatment. This is called post-treatment Lyme disease syndrome .
Some people who were treated for Lyme disease report muscle and joint pain, cognitive difficulties, sleep issues, or fatigue after their treatments were finished.
The cause of this is unknown. However, researchers believe it may be due to an autoimmune response in which your immune system attacks healthy tissues. It may also be linked to an ongoing infection with the bacteria that causes Lyme disease.
The practices below can reduce your likelihood of contracting Lyme disease and having it progress to the early disseminated stage.
Lyme Disease In Young Children
There is currently very little published medical research documenting Lyme disease symptoms in young children, and none on babies, or on patients in the UK.
One research paper describes the neurological symptoms in 96 children in North America. The main symptom in this category was encephalitis , which children would experience as very severe headache and blurred vision, which could eventually become blindness:
The most frequent neurologic symptom was headache, and the most common sign was facial palsy. Less common manifestations were sleep disturbance, and papilledema associated with increased intracranial pressure. Signs and symptoms of peripheral nervous system involvement were infrequent. The most common clinical syndromes were mild encephalopathy, lymphocytic meningitis, and cranial neuropathy . In contrast with adult patients with neurologic Lyme disease, meningoradiculitis and peripheral neuropathy syndromes were rare.
You May Like: What Piercing Is For Migraines
Treatment Of Chronic Lyme Disease
Damage to the peripheral and autonomic nervous system is common in late-stage Lyme disease. Numbness, tingling, burning and nerve pain experienced in peripheral neuropathy and radiculitis require effective treatment of the involved infections. Therapies directed at decreasing the inflammatory response by the immune system and repair of the damaged nerves is also part of the strategy when treating symptoms associated with chronic neurological Lyme disease.
Neuropathy is one of the most debilitating and challenging to treat symptoms of chronic neurological Lyme disease. Intravenous immunoglobulin therapy can be useful at reversing any form of neuropathy including CIDP caused by Lyme disease. The biggest hurdle in using IVIG as a therapy is the expense , so insurance coverage of this therapy is typically necessary. Often, criteria for health insurance approval is a positive nerve conduction study and a biopsy demonstrating small fiber neuropathy. Treatments are usually once per month, and it can take 6-18 months to see results.
Other therapies can also be helpful in treating the untoward neurological effects of Lyme disease. Work with a Lyme-literate doctor to determine the most effective therapies for the infection and subsequent immune-mediated inflammatory response that is causing your symptoms.
Not All Headaches Are Alike: Whats Causing Yours
byJennifer Crystalon May 17, 2019
Headaches are a common symptom of tick-borne illness. Now that Im in remission, I rarely get headaches. When I do, Ive become adept at recognizing why I have them. Knowing the nuances of my headaches helps me determine whether my pain is Lyme or babesia relatedor from something else entirelyand how to treat it. In short, I now know my own head as well as I know my own body.
I trained myself to recognize gradations and causes of headaches in part as a defense against people who thought they knew my head and body better than I did. In my worst days of battling tick-borne diseases, when I would complain to an acquaintance of a smashing migraine, they might say It could be the weather.
I wanted to scream. A headache that severe does not result from a shift in barometric pressure. Sometimes on muggy days with impending rain, I felt fine. My head was clear. I had no brain fog or pain. Other days, it would be beautiful and sunny outside, and I felt my head might explode. Healthy people were outside playing, encouraging me to enjoy the weatheritll be good for you!when all I really needed was to take some migraine medication and sleep.
These days when I do get a migraine, its usually because Ive pushed myself way too hard neurologically or physically. If they persist, I know my babesia is flaring. But the headaches I usually get now are the normal headaches healthy people thought I was suffering from years ago.
Don’t Miss: How Does Elavil Work For Migraines
Pots Constipation And Lyme Disease
POTS stands for postural orthostatic tachycardia syndrome which means the heart rate will increase when someone changes position, from laying or sitting to standing. POTS is very common in late-stage Lyme disease since the autonomic nervous system does not maintain tone in blood vessels causing a drop in blood pressure. When the blood pressure drops, the heart rate has to increase to stabilize blood pressure. Mast cell activation syndrome is another common cause of POTS and MCAS is frequently seen as a consequence of Lyme disease.
Another common symptom associated with autonomic nervous system dysfunction is constipation. Termed gastroparesis, constipation can happen when the nerve that signals intestinal muscular contraction become damaged by the bacteria and the resulting immune response.
Regression And Other Symptoms In Children
Children are the largest population of Lyme patients.
The CDC study of reported Lyme cases from 19922006 found that the incidence of new cases was highest among 5- to 14-year-olds . About one quarter of reported Lyme cases in the United States involve children under 14 years old .
Children can have all the signs and symptoms of Lyme that adults have, but they may have trouble telling you exactly what they feel or where it hurts.
You may notice a decline in school performance, or your childs mood swings may become problematic.
Your childs social and speech skills or motor coordination may regress. Or your child may lose their appetite.
Children are more likely than adults to have arthritis as an initial symptom 01267-2/fulltext#sec0040″ rel=”nofollow”>25).
In a 2012 Nova Scotian study of children with Lyme, 65 percent developed Lyme arthritis . The knee was the most commonly affected joint.
Also Check: How To Wean Off Nortriptyline For Migraines
Migraines And Lyme Disease
Lyme disease sufferers are especially susceptible to coinfections. Coinfections are other illnesses that go hand in hand with Lyme disease, either caused directly by the virus or developed over time because of the symptoms that the virus causes. Because spirochetes have the ability to enter the nervous system, and essentially pass through the blood-brain barrier, they have the ability to affect the brain in a very negative way.
This infiltration of the system can cause symptoms such as chronic fatigue, neurological decline, and migraines. The migraines found in sufferers of Lyme disease can range in severity, but for most, they will have a devastating impact on health and day-to-day life.
Risk Factors For Early Disseminated Lyme Disease
Youre at risk for early disseminated Lyme disease if youve been bitten by an infected tick and remain untreated during stage 1 of Lyme disease.
Youre at an increased risk of contracting Lyme disease in the United States if you live in one of the areas where most Lyme disease infections are reported. They are:
- any of the Northeastern states from Maine to Virginia
- the north central states, with the highest incidence in Wisconsin and Minnesota
- parts of the West Coast, primarily northern California
Certain situations also can increase your risk of coming into contact with an infected tick, such as:
- gardening, hunting, hiking, or doing other outside activities in areas where Lyme disease is a potential threat
- walking or hiking in high grass or wooded areas
- having pets that may carry ticks into your home
Read Also: Piercing To Help Migraine
Lyme Disease And Vision
Lyme disease is caused by the bacterium Borrelia burgdorferi and is transmitted to humans through the bite of infected blacklegged ticks. In its early stages, Lyme disease commonly results in a rash, which can appear anywhere from one day to one month after a tick bite, joint pain and headaches. Later-stage Lyme disease is characterized by arthritic pain, cognitive difficulties, fatigue and other symptoms that can have an enormous effect on a patients life.
One tick may carry more than one disease, so sometimes people get more than one co-infection from the bite of a single tick. Experienced doctors may be able to distinguish each of the tick-borne co-infections and order appropriate tests and treatment.1 If left untreated, infection can spread to joints, the heart, and the nervous system.
The Centers for Disease Control estimates that more than 300,000 new cases of Lyme disease occur each year in the U.S. However, some experts suggest this number may be under-estimated.
What Can Be Done About Neuropsychiatric Illness And Lyme Disease
When someone is suffering from a mood or psychiatric disorder and the person is also experiencing additional symptoms such as fatigue, headaches, joint pain, insomnia, and cognitive issues, an underlying cause such as an infection should be ruled out. Other clues that there may be an infectious cause to psychiatric symptoms include having an atypical presentation of the diagnosis and not responding to common medications used to treat the mood disorder. Also, is there a possibility the person could have been exposed to ticks or other known vectors? Anyone who spends time outdoors, either where they live or vacation, or has pets that are indoor/outdoor is at risk for exposure to ticks.
If a tick-borne infection is the cause of a mood disorder, addressing the infection can improve the mental symptoms. Those already on psychotropic medication may need to stay on the medication while the underlying cause are treated. Immune and detoxification support to reduce inflammation is also effective at improving mental health.
Taking a comprehensive approach to identify and treat any underlying causes of psychiatric illness, especially in those with a multi-systemic and multi-symptomatic presentation. There is increased hope and improved outcomes for those suffering from what is otherwise a life-long disorder. Lyme disease and other tick-borne infections are more common than previously recognized and have a high likelihood of contributing to neuropsychiatric conditions.
Also Check: What Type Of Headache Do I Have Quiz
Lyme Disease And Depression
Mood disorders and mental illness are common manifestations of Lyme disease and other tick-borne infections. In acute Lyme disease, cognitive impairment is a common symptom. However, when tick-borne infections go undiagnosed for a long period of time, people can experience a range of neuropsychiatric symptoms. Lyme disease can cause anxiety, panic attacks, depression, bipolar disorder, developmental disorders, autism, schizophrenia, PTSD, addiction, insomnia, cognitive impairment, dementia, violence, and even suicide.
There are over 400 peer-reviewed articles discussing the association between Lyme disease and neuropsychiatric symptoms. The biggest challenge for people suffering from mood disorders is most mental health practitioners are not trained to look for the underlying cause of the symptoms including Lyme disease. Many people end up on mood-stabilizing medication for years or a lifetime without a known cause of their symptoms. In some with Lyme disease, mood symptoms may improve on psychotropic medication, but symptoms often relapse.
If a mood disorder is caused by Lyme disease or an associated infection, it may present as atypical. This is because the symptoms do not have the usual characteristics of the mood disorder while also having additional symptoms such as fatigue, joint pain, or headaches.
Treatment Of Acute Neuroborreliosis
In acute Lyme neuroborreliosis, treatment needs to be directed at the bacterial infection. Administering the antibiotic ceftriaxone intravenously for 14 days has proven to be effective at treating the bacteria in the central nervous system. Blood levels of oral antibiotics or herbal formulas may not reach high enough concentrations to treat central nervous system infections effectively.
Read Also: How Does Elavil Work For Migraines
Stage : Quickly Expanding Rash
After being bitten by a black-legged tick, a quickly growing rash can appear. This is the earliest stage of Lyme disease, known as stage 1.
Most people who develop a rash, get it within days or weeks of being bitten by a tick.
Where you see the rash: If you develop a rash, it appears near the tick bit you. For most people, that means the back, groin, armpit, or a lower leg. However, a tick can bite you anywhere.
What the rash can look like: You may see a spot or bump on the skin, which is the bite mark. Around or near the bite mark, a rash develops. Some people see the bulls-eye rash . You can also have one of the other rashes shown here.
Early rash caused by Lyme disease
Notice the bite mark in the center of this early rash, which will expand quickly.
Bull’s-eye rash on woman’s upper arm
This is another early sign of Lyme disease.
Lyme disease rash with lighter color on the outside
This rash has expanded, but you can still see the bite mark in the center.
Rash from Lyme disease has begun to clear
As the rash begins to clear, the redness fades.
If you develop a rash during this stage, you may notice that it:
Feels smooth and warm to the touch
Causes a burning sensation
Itches or feels painful
Has an outer edge that feels scaly or crusty
When the rash and symptoms begin: According to the Centers for Disease Control and Prevention , the rash begins 3 to 30 days after the tick bites you.
About 50% of people who have Lyme disease develop flu-like symptoms , which include:
Contact Us About Natural Lyme Disease Treatment
We have been treating patients with Lyme disease for over 23 years with our all-natural Lyme disease treatment program.
Dr. Minkoff is a world-renowned Lyme disease expert and has helped hundreds of patients successfully recover from the disease.
To discuss your symptoms or to schedule an appointment, call us at our Clearwater clinic at 727-466-6789 or submit an online patient inquiry.
If youd like to learn more about Lyme disease, visit our Lyme Disease Section.
Don’t Miss: What Piercing Is For Migraines
What Is Neurologic Lyme Disease
Neurologic symptoms of Lyme disease occur when the Lyme disease bacteria affect the peripheral or central nervous systems.
- Cranial nerve involvement: When the cranial nerves are affected, facial palsy can occur on one or both sides of the face.
- Peripheral nerve involvement: When the peripheral nerves are affected, patients can develop radiculoneuropathy which can cause numbness, tingling, shooting pain, or weakness in the arms or legs.
- Central nervous system involvement: When the central nervous system is affected, Lyme meningitis can cause fever, headache, sensitivity to light, and stiff neck.
Out of every 100 patients whose cases are reported to CDC, 9 have facial palsy, 4 have radiculopathy, and 3 have meningitis or encephalitis. Because of reporting practices, this statistic may overestimate how often these manifestations are seen by clinicians.
Chronic Lyme Disease Symptoms
There is currently only one symptom in the medical literature which is defined as being specific to chronic or long-standing Lyme disease infection, Acrodermatitis Chronica Atrophicans.
Acrodermatitis Chronica Atrophicans , is unique to Lyme disease and can occur in people who have been infected with Lyme disease for many years. It occurs particularly on the palms of the hands and soles of the feet; it begins with painful inflammation of the skin which lasts months or years, often with bluish red discolouration, and ultimately leads to thinning of the skin like tissue paper .
This symptom can be mistaken for peripheral vascular disorders.
Read Also: What Piercing Is For Migraines
Your Childs Grades Are Slipping
If a kid was an all-A student, did well in school, and is suddenly struggling, that may well be because of Lyme, Barenbaum says. Thats because children with Lyme could have cognitive problems that make it hard to look at the blackboard, listen to the teacher, and write notes at the same timemultitasking skills most kids can handle, she says. Memory loss might also make it hard for them to remember the notes theyve studied or what a teacher said, Leventhal says.
Years Of Headaches Vertigo And Other Pains Dismissed As Depression
I was born in Brooklyn in 1990, to a Puerto Rican mom and an Irish and Spanish dad. I was raised in Staten Island. In 2007, my senior year of high school, I started getting GI issues that lasted for about a year.
In 2009, after a few weeks in Puerto Rico, I came back to New York City and one day I got super dizzy, with a pounding headache. That headache literally did not stop for 10 years.
I went to my primary doctor, multiple ENTs, multiple neurologists, physical therapy, had many tests in the hospital. No answers. They gave me different antidepressantsfor a decade. When my symptoms didnt go away, they increased the dose or changed the medication. If you are familiar with those drugs, you know changing them takes a while to kick in, which is not fun.
In March of 2019, I woke up in the morning to go to work. My neck felt stiff as a board and I could not move my head from side to side. It felt as if there was a metal rod from the base of my skull to my pelvis.
You May Like: Do I Have A Migraine Quiz