Treatment FAQ

lymes disease in people and how long should treatment be

by Prof. Evie Kutch V Published 2 years ago Updated 1 year ago
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Lyme disease is caused by infection with the bacterium Borrelia burgdorferi
Borrelia burgdorferi
The Lyme disease bacterium, Borrelia burgdorferi, is spread through the bite of infected ticks. The blacklegged tick (or deer tick, Ixodes scapularis) spreads the disease in the northeastern, mid-Atlantic, and north-central United States.
https://www.cdc.gov › lyme › transmission
. Although most cases of Lyme disease can be cured with a 2- to 4-week course of oral antibiotics, patients can sometimes have symptoms of pain, fatigue, or difficulty thinking that lasts for more than 6 months after they finish treatment.

Medication

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Nutrition

When people are diagnosed with Lyme disease in its early stages, a 10- to 20-day course of oral antibiotics—usually with a drug called doxycycline—will clear the infection and help them feel better fairly quickly. “This cures the vast majority of people, and they have a 100% recovery with no lasting effects,” says Dr. Zemel.

What is the recovery time for Lyme disease?

What Are The 3 Stages Of Lyme Disease?

  • Stage 1 is called early localized Lyme disease. The bacteria have not yet spread throughout the body.
  • Stage 2 is called early disseminated Lyme disease. The bacteria have begun to spread throughout the body.
  • Stage 3 is called late disseminated Lyme disease.

Can Lyme disease ever be truly cured?

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  • I suggest you also practice forgiveness, address past emotional trauma, and work on healing through spirituality and guidance. ...

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What are the end stages of Lyme disease?

How do you cure Lyme disease naturally?

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How long should Lyme disease be treated?

A 14- to 21-day course of antibiotics is usually recommended, but some studies suggest that courses lasting 10 to 14 days are equally effective. Intravenous antibiotics. If the disease involves the central nervous system, your doctor might recommend treatment with an intravenous antibiotic for 14 to 28 days.

How long is antibiotic treatment for Lyme disease?

For early Lyme disease, a short course of oral antibiotics, such as doxycycline or amoxicillin, cures the majority of cases. In more complicated cases, Lyme disease can usually be successfully treated with three to four weeks of antibiotic therapy.

Do people ever recover from Lyme disease?

Most people who develop Lyme disease recover fully following a course of antibiotics. In rare cases, Lyme disease symptoms may persist for weeks, months, or even years after antibiotic treatment.

Is Lyme disease a lifelong condition?

If treated, Lyme disease does not last for years. However, for some people, the after-effects of the disease can linger for months and sometimes even years. Alternative medicine providers call this condition "Chronic Lyme disease," but this title is simply wrong.

How long should you take doxycycline for Lyme disease?

Doxycycline is given for 10 to 21 days, and amoxicillin and cefuroxime are given for 14 to 21 days. Antibiotics prevent worsening of the disease and may decrease the duration and severity of symptoms. (See "Musculoskeletal manifestations of Lyme disease".)

Can antibiotics cure late stage Lyme disease?

Like the less severe forms of Lyme disease, late Lyme disease can be treated with antibiotics, although medical opinions differ about the appropriate length of an antibiotic treatment course.

Can Lyme disease shorten your life?

Take away message: In the long run, Lyme does not affect your life as much as other health conditions. It is important to live a healthy lifestyle regardless of whether you are struggling with Lyme disease or not.

What are the 3 stages of Lyme disease?

There are three stages of Lyme disease.Stage 1 is called early localized Lyme disease. The bacteria have not yet spread throughout the body.Stage 2 is called early disseminated Lyme disease. The bacteria have begun to spread throughout the body.Stage 3 is called late disseminated Lyme disease.

What are the long term effects of Lyme disease in humans?

Chronic symptoms of Lyme are a much longer list and may include vertigo, ringing in the ears, short-term memory loss, light and sound sensitivity, mood swings, anxiety, depression, heart palpitations, and serious cardiac problems.

Can you have Lyme disease for 20 years?

In the early 1990s, it also became apparent that patients may develop pain, fatigue, or neurocognitive syndromes soon after contracting Lyme disease, with these conditions sometimes persisting for years [24–26].

Can Lyme disease flare up years later after treatment?

You're at a greater risk for post-treatment Lyme disease syndrome if you're infected by the bite of a diseased tick. If the infection progresses to the chronic stage, your symptoms might continue for weeks, months, or even years after the initial tick bite.

What triggers Lyme disease flare ups?

Triggers for Lyme disease vary by person, but they can include: emotional stress (such as a divorce, death in the family, or accidents) physical stress to the body (i.e., surgery, physical harm, concussion) life stress or stressful events.

What happens after Lyme disease treatment?

After treatment, a small number of people still have some symptoms, such as muscle aches and fatigue. The cause of these continuing symptoms, known as post-treatment Lyme disease syndrome, is unknown, and treating with more antibiotics doesn't help.

What to do if you don't have a lyme disease rash?

Lab tests to identify antibodies to the bacteria can help confirm or rule out the diagnosis. These tests are most reliable ...

What is the test used to detect lyme disease?

Enzyme-linked immunosorbent assay (ELISA) test. The test used most often to detect Lyme disease, ELISA detects antibodies to B. burgdorferi. But because it can sometimes provide false-positive results, it's not used as the sole basis for diagnosis. This test might not be positive during the early stage of Lyme disease, ...

How long does it take for a central nervous system infection to go away?

Intravenous antibiotics. If the disease involves the central nervous system, your doctor might recommend treatment with an intravenous antibiotic for 14 to 28 days. This is effective in eliminating infection, although it may take you some time to recover from your symptoms. Intravenous antibiotics can cause various side effects, ...

How long after an infection can you test for antibodies?

Lab tests to identify antibodies to the bacteria can help confirm or rule out the diagnosis. These tests are most reliable a few weeks after an infection, after your body has had time to develop antibodies. They include: Enzyme-linked immunosorbent assay (ELISA) test.

What to do if you have been bitten by a tick?

Make a list of: Your symptoms, and when they began. All medications, vitamins and other supplements you take, including doses. Questions to ask your doctor.

Can a Western Blot test be positive for lyme disease?

This test might not be positive during the early stage of Lyme disease, but the rash is distinctive enough to make the diagnosis without further testing in people who live in areas infested with ticks that transmit Lyme disease. Western blot test. If the ELISA test is positive, this test is usually done to confirm the diagnosis.

How long does it take for a lyme disease to go away?

Sometimes, people go through treatment for Lyme disease but their symptoms (feeling run-down and achy) don’t go away. If this lasts over 6 months , it’s known as chronic Lyme disease or “post-treatment Lyme disease syndrome” (PTLDS). Doctors still aren’t sure why some people get PTLDS.

How long do you have to take amoxicillin for lyme disease?

Which drug you’re prescribed will depend on your age. Your doctor will also take into account if you’re pregnant or nursing. You’ll need to take this medicine for 10 to 21 days. The earlier Lyme disease is found, the better. Most people who start treatment in this stage improve quickly.

What is the disease that can make you sick?

What Is Lyme Disease? Symptoms. Diagnosis. Treatments. Prevention. Chronic Lyme Disease Complications. Some ticks carry a type of bacteria called Borrelia burgdorferi. If you’re bitten by an infected tick, this microbe enters your bloodstream and can make you sick with an illness called Lyme disease.

What antibiotics are used for lyme disease?

If your Lyme disease is found soon after you’ve been infected, your doctor will start you on antibiotics: 1 Doxycycline 2 Amoxicillin 3 Cefuroxime

How long does it take for a syringe to work?

This allows it to go right into your bloodstream and start working. Most people receive medicine by IV for 2 to 3 weeks. During this time, your doctor will also try to ease some of your symptoms and any pain you’re in.

Can ticks cause a headache?

It’s the most common illness carried by ticks in the United States. It can damage any organ of your body. That includes your nervous system and brain, heart and joints. Lyme disease can be tough to diagnose. Early symptoms such as headaches and body aches are often mistaken for other health problems.

Is Lyme disease better treated with antibiotics?

The earlier Lyme disease is found, the better. Most people who start treatment in this stage improve quickly. If not, your doctor may need to pre scribe another course of antibiotics.

How high is the risk of Lyme disease after treatment?

The rates of Post Treatment Lyme Disease after neurologic involvement may be as high as 20% or even higher. Other risk factors being investigated are genetic predispositions and immunologic variables.

What is lyme disease?

Lyme disease encompasses a range of biologic processes and disease manifestations. Patients are often referred to the Lyme Disease Research Center for evaluation of chronic Lyme disease, an umbrella term that encompasses many heterogeneous subsets of illness. Examples of defined Lyme disease subsets include Post Treatment Lyme Disease (PTLD), ...

How common is PTLD after lyme disease?

The rates of Post Treatment Lyme Disease after neurologic involvement may be as high as 20% or even higher.

What are the risk factors for lyme disease?

Risk factors for Post Treatment Lyme Disease include: 1 Delay in diagnosis 2 Increased severity of initial illness 3 Presence of neurologic symptoms

What antibiotics are used for borrelia?

Other antibiotics that have activity against borrelia include the penicillin-like antibiotic, amoxicillin, and the second generation cep halosporin, Ceftin. The mainstay of treatment is with oral (pill) antibiotics, but intravenous antibiotics are sometimes indicated for more difficult to treat cases of neurologic-Lyme disease, such as meningitis, ...

Can antibiotics help with lyme disease?

The use of antibiotics is critical for treating Lyme disease. Without antibiotic treatment, the Lyme disease causing bacteria can evade the host immune system, disseminate through the blood stream, and persist in the body. Antibiotics go into the bacteria preferentially and either stop the multiplication of the bacteria (doxycycline) ...

Can lyme disease be recurrent?

However, some patients suffer from ongoing or recurrent symptoms related to Lyme disease despite standard of care antibiotic therapy. The persistent symptoms in Lyme disease can have a large negative impact on an individual’s health and quality of life.

How long does it take for lyme disease to go away?

Lyme disease is caused by infection with the bacterium Borrelia burgdorferi. Although most cases of Lyme disease can be cured with a 2- to 4-week course of oral antibiotics, patients can sometimes have symptoms of pain, fatigue, or difficulty thinking that last for more than 6 months after they finish treatment.

What are the symptoms of Lyme disease?

Common symptoms of Lyme disease include a rash, fever, body aches, facial paralysis, and arthritis. Ticks can also transmit other diseases, so it’s important to be alert for any illness that follows a tick bite.

What is the CDC's main activity?

Activities of this program include: Maintaining and analyzing national surveillance data for Lyme disease. Conducting epidemiologic investigations.

What is the goal of Lyme disease surveillance?

The goal of Lyme disease surveillance is not to capture every case, but to systematically gather and analyze public health data in a way that enables public health officials to look for trends and take actions to reduce disease and improve public health.

How long does it take for a lyme test to be positive?

In this case, if the person is retested a few weeks later, they should have a positive test if they have Lyme disease. It is not until 4 to 6 weeks have passed that the test is likely to be positive. This does not mean that the test is bad, only that it needs to be used correctly.

Can you get Lyme disease from a tick bite?

The chances that you might get Lyme disease from a single tick bite depend on the type of tick, where you acquired it, and how long it was attached to you. Many types of ticks bite people in the U.S., but only blacklegged ticks transmit the bacteria that cause Lyme disease. Furthermore, only blacklegged ticks in the highly endemic areas ...

Can you donate blood with Lyme disease?

Individuals being treated for Lyme disease with an antibiotic should not donate blood. Individuals who have completed antibiotic treatment for Lyme disease may be considered as potential blood donors. The Red Cross external icon provides additional information on the most recent criteria for blood donation.

How long does it take to cure lyme disease?

Lyme disease is caused by infection with the bacterium Borrelia burgdorferi. Although most cases of Lyme disease can be cured with a 2- to 4-week course of oral antibiotics, patients can sometimes have symptoms of pain, fatigue, or difficulty thinking that lasts for more than 6 months after they finish treatment.

Is there a cure for Borrelia burgdorferi?

Unfortunately, there is no proven treatment for PTLDS. Although short-term antibiotic treatment is a proven treatment for early Lyme disease, studies. external icon.

How to prevent lyme disease?

The best way to prevent Lyme disease is to avoid areas where deer ticks live, especially wooded, bushy areas with long grass. You can decrease your risk of getting Lyme disease with some simple precautions:

How long does it take for a tick to get lyme disease?

Lyme infection is unlikely if the tick is attached for less than 36 to 48 hours.

What is the most common type of lyme disease?

The most common tick-borne illness in these regions, Lyme disease is transmitted by the bite of an infected black-legged tick, commonly known as a deer tick.

How long does it take for a deer tick to transmit lyme disease?

In most cases, to transmit Lyme disease, a deer tick must be attached for 36 to 48 hours. If you find an attached tick that looks swollen, it may have fed long enough to transmit bacteria. Removing the tick as soon as possible might prevent infection.

How long does it take for a tick to get out of your system?

Bacteria from a tick bite can enter your bloodstream if the tick stays attached to your skin for 36 to 48 hours or longer. If you remove a tick within two days , your risk of getting Lyme disease is low.

What is the life cycle of a deer tick?

Deer tick. The deer tick (Ixodes scapularis) goes through three life stages. Shown from left to right is the adult female, adult male, nymph and larva on a centimeter scale. In the United States, Lyme disease is caused by the bacteria Borrelia burgdorferi and Borrelia mayonii, carried primarily by black-legged or deer ticks.

How do you get lyme disease?

The most common tick-borne illness in these regions, Lyme disease is transmitted by the bite of an infected black-legged tick, commonly known as a deer tick. You're more likely to get Lyme disease if you live or spend time in grassy and heavily wooded areas where ticks carrying Lyme disease thrive.

How many patients had serious reactions to ceftriaxone?

Four patients (1.4%) had serious reactions to the ceftriaxone, three of which required hospitalization for hives and respiratory distress. 29% had a rash or allergic reaction. Diarrhea occurred in 26% of patients during the initial ceftriaxone phase.

Is there proof for lyme infection?

Some hypothesize that there are persistent intracellular bacteria that have evaded antibiotic treatment, but there is no proof. (For more on Lyme persisters, see works by Ying Zhang at Johns Hopkins, such as this paper .) Others believe antigens on the spirochete may be inflammatory, causing some of the symptoms.

Is lyme disease difficult to diagnose?

But Lyme can be difficult to diagnose, and the assays miss a lot of patients (half the patients had negative antibody tests before treatment and 29% never developed antibodies in a recent gene expression study ).

What are the symptoms of lyme disease?

What are the symptoms? Neurological complications most often occur in early disseminated Lyme disease, with numbness, pain, weakness, facial palsy/droop (paralysis of the facial muscles), visual disturbances, and meningitis symptoms such as fever, stiff neck, and severe headache.

Can you take antibiotics for lyme disease?

Most people with Lyme disease respond well to antibiotics and fully recover.

How to get rid of lyme disease?

Exercise. Many people with chronic Lyme disease experience fatigue and painful arthritis. That often means that exercising is the last thing that you want to do, but getting exercise can actually improve symptoms, making you feel more energetic and limber.

How much sleep does Lyme disease require?

At the same time, getting enough sleep can help you reduce inflammation and keep symptoms at bay. Make an effort to get the recommended eight hours of sleep each night. Establishing healthy sleep hygiene can help. This includes:

What happens if you don't get a tick?

However, if you don't notice that you've been bitten by a tick and don't receive antibiotic treatment, you may experience symptoms of Lyme disease including arthritis, neurological issues, and heart disease. This is sometimes called chronic Lyme disease.

What is the importance of finding a doctor with Lyme disease?

Because of that, finding a doctor who is Lyme literate, or who specializes in treating Lyme disease, is very important. These doctors have the most up-to-date research and information, and they understand the ways in which Lyme disease can manifest.

How does Lyme disease affect the body?

The physical effects of Lyme disease include arthritis, which occurs in up to 60% of patients who were not treated after a tick bite. About 12% of people experience neurological symptoms, including numbness or weakness, and about 1% of people experience heart problems, including a racing heart.

What foods can help with lyme disease?

Eating more fiber—like fruits and vegetables—which help feed gut bacteria. Eating fermented foods like yogurt, kombucha, or kimchi.

How many people with lyme disease have depression?

1. In fact, more than half of people with Lyme disease experience mood swings, about one-quarter suffer from anxiety, and about 20% have depression. 2.

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Diagnosis

Treatment

Alternative Medicine

Preparing For Your Appointment

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes antibiotics.
Medication

Oral antibiotics: Early stages of lyme disease are treated with oral antibiotics.

Doxycycline . Amoxicillin . Tetracycline


Intravenous antibiotics: Prescribed for people whose central nervous system is affected by lyme disease.

Ceftriaxone . Penicillin

Nutrition

Foods to eat:

  • Gluten-free eating
  • Low sugar/ carbohydrate diet
  • Consume food that is rich In vitamins to improve immunity

Foods to avoid:

  • Stop dairy intake
  • Avoid refined sugars

Specialist to consult

Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Treatment

Side effects

  • Antibiotics are used to treat Lyme disease. In general, recovery will be quicker and more complete the sooner treatment begins.
See more on mayoclinic.org

Prognosis

  • Antibiotics are the only proven treatment for Lyme disease. Some people who have unexplained signs and symptoms or chronic disease might believe they have Lyme disease even if it's not been diagnosed. There are a variety of alternative treatments that people with Lyme disease or people who think they have Lyme disease turn to for relief. Unfortunately, these treatments either haven'…
See more on mayoclinic.org

Roles

  • You're likely to start by seeing your family doctor or a general practitioner who might refer you to a rheumatologist, infectious disease specialist or other specialist. Here's some information to help you get ready for you appointment.
See more on mayoclinic.org

Research

  • The first-line standard of care treatment for adults with Lyme disease is doxycycline, a tetracycline antibiotic. Other antibiotics that have activity against borrelia include the penicillin-like antibiotic, amoxicillin, and the cephalosporin, Ceftin. In children under the age of 12, amoxicillin is used because of the possible side effects of doxycycline in small children. The mainstay of treat…
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Terminology

  • Antibiotics, like all medications, have the potential for side effects. Any antibiotic can cause skin rashes and if an itchy red rash develops while on antibiotics, a patient should see their physician. Sometimes symptoms worsen for the first few days on an antibiotic. This is called a Herxheimer reaction and occurs when the antibiotics start to kill the bacteria. In the first 24 to 48 hours, thes…
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Diagnosis

  • The prognosis after treatment of Lyme disease is generally very good. The majority of people are treated with antibiotics and return to their normal health. The prognosis is best when Lyme disease is diagnosed and treated early and worsens when diagnosis and treatment is delayed. Most patients with early Lyme disease infection recover with antibiot...
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