Treatment FAQ

what if you had treatment for lyme disease but still positive 2 yrs later?

by Dr. Oleta Cole Jr. Published 2 years ago Updated 2 years ago

So even after you have been treated for the disease, you might still have positive blood tests. Lyme disease is treated with antibiotics. Your doctor will discuss your course of treatment in detail if you test positive for the bacterial infection.

Full Answer

How long do Lyme disease symptoms last after treatment?

It is not uncommon for patients treated for Lyme disease with a recommended 2 to 4 week course of antibiotics to have lingering symptoms of fatigue, pain, or joint and muscle aches at the time they finish treatment. In a small percentage of cases, these symptoms can last for more than 6 months.

Can Lyme disease be cured with antibiotics?

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 linger for more than 6 months after they finish treatment.

Is it too late to treat my Lyme disease?

No matter how you got to late stage Lyme disease, it’s essential you know you are not crazy, your pain is real, and it is not too late to treat your symptoms and give you back an active lifestyle. Below are tips for getting the right treatment.

What is the treatment for post Lyme disease syndrome?

Resources. In the majority of cases, it is successfully treated with oral antibiotics. Physicians sometimes describe patients who have non-specific symptoms (like fatigue, pain, and joint and muscle aches) after the treatment of Lyme disease as having post-treatment Lyme disease syndrome (PTLDS) or post Lyme disease syndrome (PLDS).

Can you test positive for Lyme years later?

Your immune system continues to make the antibodies for months or years after the infection is gone. This means that once your blood tests positive, it will continue to test positive for months to years even though the bacteria are no longer present.

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.

Can Lyme disease be cured after 2 years?

Can doctors treat and cure 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.

Does Lyme disease have long term immunity results from infection?

Infections with the Lyme Disease agent, Borrelia burgdorferi, often fail to generate long-term protective immunity. We show here that this is because the immune system of the Borrelia-infected host generates only short-lived, structurally abnormal and non-functional germinal centers.

Can Lyme come back after treatment?

When people who have been treated for Lyme disease recover but later come down with its symptoms again, is the illness a relapse or a new infection? The question has lingered for years. Now, a new study finds that repeat symptoms are from new infections, not from relapses.

Can Lyme disease symptoms return after treatment?

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. This condition is called Post-Treatment Lyme Disease Syndrome (PTLDS).

What causes a Lyme disease flare up?

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.

How do you know if you have chronic Lyme disease?

The CDC reports that late stage Lyme disease may appear days to months after the initial tick bite and may include but are not limited to: Severe headaches and neck stiffness. Additional EM rashes in new places on the body. Facial palsy, also known as Bell's palsy – paralysis of one side of the face.

What are neurological 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.

How long do Lyme IgG antibodies last?

IgM or IgG antibody responses to B. burgdorferi may persist for 10-20 years, but these responses are not indicative of active infection.

Can Lyme trigger an autoimmune disease?

As mentioned above, there are documented correlations between Lyme and autoimmune diseases. The evidence shows that Lyme disease may trigger (or manifest as) an autoimmune disease, or it may mimic an autoimmune disease.

Is chronic Lyme an autoimmune disease?

Lyme disease has been found to be an autoimmune disease. This finding is supported by the fact that many people who have Lyme disease have antibodies in their blood against their own tissue, which is a sign of autoimmunity. In addition, some areas of the brain may be damaged due to inflammation caused by Lyme disease.

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.

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 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), ...

What is the reaction of antibiotics to a virus?

This is called a Herxheimer reaction and occurs when the antibiotics start to kill the bacteria. In the first 24 to 48 hours, dead bacterial products stimulate the immune system to release inflammatory cytokines and chemokines that can cause increased fever and achiness.

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, ...

What are the symptoms of PTLD?

PTLD is characterized by a constellation of symptoms that includes severe fatigue, musculoskeletal pain, sleep disturbance, depression, and cognitive problems such as difficulty with short-term memory, speed of thinking, or multi-tasking.

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.

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.

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.

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.

What is the best treatment for lyme disease?

Anti-parasitic protocols eliminate the parasites associated with Lyme disease. Depending on your needs, doctors may include intravenous cocktails and detoxification and cleansing treatments to flush parasites from your system.

How many stages of Lyme disease are there?

There are three stages of Lyme disease. If you are experiencing the symptoms in the late stage, that means you have already passed through the first two stages of early localized and early disseminated Lyme disease. During the early localized phase, you may have had a rash associated with the bite given by the infected tick.

What are the symptoms of a lyme disease?

Symptoms following the bite may have included chills, fever, headaches, fatigue, stiff neck, muscle soreness, and possibly swollen lymph nodes. If you did not receive the right treatment at the onset, you quickly moved into the next stage. During the early disseminated phase, the Lyme infection started spreading through your body.

How do you know if you have Lyme disease?

You may have been diagnosed with some form of arthritis. Your headaches have become severe. You may even experience dizziness or vertigo.

Is it too late to treat lyme disease?

No matter how you got to late stage Lyme disease, it’s essential you know you are not crazy, your pain is real, and it is not too late to treat your symptoms and give you back an active lifestyle.

Can a doctor test for lyme disease?

No doctor wants a patient to suffer. But doctors can only make a diagnosis for Lyme disease using a few nondefinitive methods. The first tool a primary doctor will use to test for Lyme is called the ELISA or the Western Blot blood test. Some doctors may use both, which is highly suggested.

Can Lyme disease be fought by itself?

Your body has a natural way to fight infections, using fever. In late stage Lyme disease, your body cannot fight the disease by itself. However, a Lyme-literate doctor can medically supervise a procedure called Hyperthermia that helps your body do its job.

How long does it take for a lyme disease to heal?

As mentioned earlier, the Lyme-disease bacteria can damage nerves. Depending on the amount of damage, it can simply take months for the nerves to heal, even long after the bacteria are gone. The good news is that they eventually do heal.

What is a PTLDS?

Although sometimes called "chronic Lyme disease," this condition is properly known as "Post-treatment Lyme Disease Syndrome" (PTLDS)...studies have not shown that patients who received prolonged courses of antibiotics do better in the long run than patients treated with placebo.

Is it logical to assume a tick bite is a lyme disease?

Such a diagnosis is neither logical nor helpful. If a patient did not receive a tick bite, did not develop a rash, does not have the other symptoms, and does not have positive blood tests, there is no scientific reason to assume that the patient has Lyme disease or has ever had Lyme disease.

Can a positive antibody test show lyme disease?

Fortunately, a simple blood test for elevated levels of the corresponding antibody can determine whether a person has had Lyme disease, even if the Lyme-disease bacteria are no longer present. Since antibody levels can stay elevated long after the bacteria that triggered them are gone, a positive antibody blood test does not mean ...

Can Lyme disease cause paralysis?

In a few cases, symptoms can also include mood swings, memory loss, and sleep disturbance. If left untreated for too long, Lyme disease can lead to nerve damage, thereby causing shooting pain, numbness, and even paralysis. The good news is that since Lyme disease is caused by bacteria, antibiotics do a good job of eliminating the disease.

Is Lyme disease a post treatment condition?

For a person who has been infected with Lyme disease and then treated, the bacteria that causes Lyme disease is measurably no longer present in his body, even though he may still feel some symptoms. The correct title for this condition is therefore "Post-treatment Lyme Disease Syndrome.".

Can lupus be mistaken for lyme disease?

Lupus, Crohn's disease, HIV, fibromyalgia, CFS, multiple sclerosis, and rheumatoid arthritis are all conditions that could be easily mistaken as Post-treatment Lyme Disease Syndrome. For this reason, the number of people misdiagnosed with Post-treatment Lyme Disease Syndrome or "Chronic Lyme disease" is likely high.

Why is there post treatment lyme disease?

The answer lies in the presence of fragments of bacteria that are non-viable, in the blood of the patient. These fragments act as an antigen to the body, may initiate inflammation process ...

How is lyme disease transmitted?

Lyme disease is one of the most common vector-borne diseases occurring in approximately 300,000 people in United States of America. The disease is caused by the bacteria, but transmitted by the ticks. Mice and deer acts as reservoir of the bacteria. When ticks feed on these reservoirs, the bacterium gets transmitted in ticks ...

Does lyme disease affect the heart?

Advertisement. The treatment of the Lyme disease depends upon the severity of infection, the symptoms and the organ affected. Lyme disease may also affect brain and heart and those conditions immediately require medical intervention. The disease is divided in to early Lyme symptoms and late Lyme symptoms.

Is Borrelia a lyme disease?

The causative agent of the Lyme disease i. e. the Borrelia is difficult to culture in the routine laboratories. The controversy arises that the people who again experienced the symptoms of the Lyme disease have the relapsed Lyme disease or they are again infected by the bacteria.

Is lyme disease rare in India?

The prevalence of disease is growing to other parts of the world due to migration of people. In India, the disease is rare but recently cases have of Lyme infections have been reported in India. Advertisement.

Is lyme disease completely eradicated?

The believers of the term “Chronic Lyme disease”, which essentially means that the Lyme disease is not completely treated from the patients, argues that the Post-treatment Lyme Disease Syndrome is the repercussion of the presence of the old bacteria in the body and has not eradicated completely.

Can Lyme disease be relapsing?

A study conducted concludes that generally the patients are re-infected by the bacteria and there are very rare chances of relapsing of the disease. It is also recommended by the Infectious Disease Society of America that the chronic therapy of antibiotic in the treatment of Lyme disease is not helpful.

How long does it take for Lyme disease to show symptoms?

What’s tricky, too, is that the onset of initial symptoms occurs anywhere from three to 30 days after exposure.

Why is it so hard to get exact numbers for lyme disease?

It’s difficult to get exact numbers when it comes to Lyme disease, in part because there’s only limited accounting of the condition’s frequency overall, and it’s often misdiagnosed or mistaken for other conditions.

What are the symptoms of Lyme disease?

You experience symptoms of more advanced Lyme disease: arthritis, heart palpitations, facial paralysis, dizziness, and others. 2.

What is the most common vector-borne disease in the United States?

Lyme disease is the most frequently seen vector-borne disease in the United States. It is a bacterial infection spread by black-legged ticks (commonly known as deer ticks). 1 Symptoms vary based on the severity of the case.

What are the complications of bacterial infection?

Vision problems (conjunctivitis), in rare cases. In its late disseminated phase, the bacterial infection has begun affecting nerve and joint structures, causing significant complications. Chronic arthritis, continued swelling of the brain (encephalopathy), and nerve damage can all result. 3. Symptoms of Lyme Disease.

How many people develop a syphilis every year?

Currently, it’s estimated that 476,000 people develop it in the United States every year, with 81% of the cases clustered in the Northeast, upper Midwest, and mid-Atlantic regions. 4. A significant—but shrinking—proportion of those with the disease end up progressing without treatment.

Is doxycycline effective for lyme disease?

Antibiotic therapy, if applied promptly, tends to be effective as a treatment. 7. Even in cases where Lyme disease has progress ed, antibiotic regimens—especially drugs like doxycycline—are generally successful in resolving problems.

How is lyme disease treated?

Lyme disease is typically treated with antibiotics, and when treated early, people with Lyme usually recover completely. Tait’s treatment plan included antibiotics, immunotherapy, various supplements as well as dietary changes. But because she had been sick for so long, some of her health problems were irreversible.

Why is lyme disease so hard to diagnose?

If Lyme is not diagnosed immediately, the bacteria start to spread to other parts of the body — the joints, the nervous system and the heart. Eventually, arthritis sets in, along with extreme fatigue and general aches and pains. These can also be symptoms of other conditions, which is part of the reason why Lyme is difficult to diagnose.

How long did Tait have Lyme disease?

A long journey of pain and misdiagnosis. Tait estimates that she had Lyme for about 15 years before she was diagnosed. She thinks she was bitten by a tick as a teen in California’s Bay Area, where she grew up. In high school, she was a dancer.

What test did Tait ask for?

She asked her doctor for an ELISA, an enzyme-linked immunosorbent assay, or a blood test that’s typically the first way doctors test patients who may have Lyme disease.

How long does it take for a tick bite to show up on your skin?

One common symptom of Lyme is a red rash on the skin (often called a bulls-eye rash, although the rash doesn’t always have a ring-within-a-ring appearance), that appears at the site of a tick bite usually within a week, but up to a month later . Some people may not experience a rash, or may mistake it for a spider bite.

Did Tait get a second test?

Tait, however, wasn’t convinced. She asked for another test, but she said the doctor refused. So she turned to a private lab for a second test, this one a Western Blot, which doctors typically turn to next, to verify a positive ELISA result. That test was positive for the Lyme antibodies.

Can you test for lyme disease?

There’s also no definitive way to test for Lyme disease. There is no direct blood test for the bacteria that causes Lyme. Doctors have to rely on antibody tests, which merely measure the immune system’s response to the bacteria.

Treatment

  • 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…
See more on hopkinslyme.org

Side effects

  • 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…
See more on hopkinslyme.org

Prognosis

  • 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...
See more on hopkinslyme.org

Roles

  • The causes of PTLDS are not yet well understood but our Center is investigating the potential roles of:
See more on hopkinslyme.org

Research

  • Our research has validated PTLDS as a serious and impairing condition. However, the causes of PTLDS are not yet well understood or validated. The term PTLDS does not mean post-infection or imply an assumption of underlying biologic mechanisms. The roles of immune dysfunction, autoimmunity, persistent bacterial infection, neural network alteration, and other potential causa…
See more on hopkinslyme.org

Terminology

  • Patients are often referred to the Lyme Disease Research Center for evaluation of chronic Lyme disease, an umbrella term that encompasses many different subsets of illness. Examples of defined Lyme disease subsets are Post Treatment Lyme Disease Syndrome (PTLDS), and Antibiotic Refractory Late Lyme Arthritis. The mechanisms of these Lyme disease conditions ar…
See more on hopkinslyme.org

Diagnosis

  • The symptoms of chronic Lyme disease are similar to and overlap with other conditions involving fatigue, pain, and cognitive symptoms. Therefore, rigorous diagnostic evaluation is necessary to determine if Lyme disease could be the trigger for ongoing disease processes or if some other disease processes are involved.
See more on hopkinslyme.org

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9