Treatment FAQ

why do i have lingering symptoms after treatment for lyme disease

by Dr. Cletus Williamson III Published 3 years ago Updated 2 years ago

When this happens, and symptoms persist, it is referred to as post-Lyme disease

Lyme Disease

A tick-borne disease caused by bacteria Borrelia burgdoferi.

syndrome. Although it isn’t exactly clear why some people with Lyme disease have lingering musculoskeletal symptoms while others do not, it is thought that the borrelia bacteria can essentially hide out in tissues and muscles.

A handful of studies have suggested that inflammatory markers such as C-reactive protein, as well as immune mediators such as CCL19 and IL-23, remain elevated for months after completion of antibiotic therapy among patients with persistent symptoms (47, 48, 106).Feb 25, 2020

Full Answer

Can Lyme disease symptoms persist for years?

Feb 01, 2018 · Credit: iStock. In a study of 61 people treated for the bacteria that causes Lyme disease, Johns Hopkins researchers conclude that fatigue, pain, insomnia and depression do indeed persist over long periods of time for some people, despite largely normal physical exams and clinical laboratory testing. “Post-treatment Lyme disease syndrome (PTLDS) is a real …

What is post-treatment Lyme disease syndrome?

Feb 02, 2018 · Feb 2, 2018. In a study of 61 people treated for the bacteria that causes Lyme disease, Johns Hopkins researchers conclude that fatigue, pain, insomnia, and depression do indeed persist over long periods of time for some people, despite largely normal physical exams and clinical laboratory testing. "Post-treatment Lyme disease syndrome (PTLDS) is a real …

Can Lyme disease be re-infected?

Mar 31, 2016 · Patients who’ve been treated for Lyme disease but still suffer from its crushing fatigue, aching muscles, stiff joints and other symptoms will not be helped by additional longer-term courses of...

What is chronic Lyme disease and how is it treated?

Jan 10, 2022 · This condition is called Post-Treatment Lyme Disease Syndrome (PTLDS). Why some patients experience PTLDS is not known. Some experts believe that Borrelia burgdorferi can trigger an “auto-immune” response causing symptoms that last well after the infection itself is gone. Auto–immune responses are known to occur following other infections, including …

Can you still have symptoms of Lyme disease 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).

Can Lyme disease flare up after treatment?

In rare cases, you may experience a continuation of Lyme disease symptoms after antibiotic treatment. This is called post-treatment Lyme disease syndrome (PTLDS).

Why Lyme disease might continue to cause symptoms after the bacterium has been cleared?

Even advanced cases can be cleared by the drugs, doctors say, though an extra month or so of treatment may be needed. Symptoms like pain and fatigue can linger even after the bacteria are gone, possibly because the infection caused abnormalities in the immune system.Nov 15, 2012

How long can Lyme disease symptoms last after antibiotics?

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 relapse?

Erythema migrans is the most common manifestation of Lyme disease. Recurrences are not uncommon, and although they are usually attributed to reinfection rather than relapse of the original infection, this remains somewhat controversial.

What does a Lyme disease flare up feel like?

The symptoms of a flare-up can include: an increase in fatigue. problems with memory and concentration, sometimes referred to as 'brain fog' extreme sensitivity to bright lights, heat, cold, and noise.

How do I know if my Lyme disease is back?

Chronic Lyme survivors have reported experiencing the following symptoms for months to years after infection:Intermittent fevers, chills, and sweats.Chronic inflammation.Roving aches and stiffness.Numbness and tingling in the limbs.Dizziness and shortness of breath.Tremors.Respiratory infections.Sore throats.More items...

Can Lyme reactivate?

Lyme relapse can happen spontaneously, simply because all it takes for symptoms to recur is one dormant spirochete to start quietly replicating in the bloodstream.Mar 15, 2017

Can Lyme disease flare up years later?

In post-treatment Lyme disease syndrome (PTLDS), certain symptoms of Lyme disease return, weeks, months or even years after early (localized or disseminated) or late Lyme disease has been treated.Feb 15, 2022

How long does it take doxycycline to work for Lyme disease?

Early localized Lyme disease — Early localized Lyme disease (the erythema migrans rash, with or without flu-like symptoms) is treated with oral antibiotics, usually doxycycline, amoxicillin, or cefuroxime, taken daily. Doxycycline is given for 10 to 21 days, and amoxicillin and cefuroxime are given for 14 to 21 days.Jun 29, 2021

What is the best antibiotic for chronic Lyme disease?

Oral antibiotics. These are the standard treatment for early-stage Lyme disease. These usually include doxycycline for adults and children older than 8, or amoxicillin or cefuroxime for adults, younger children, and pregnant or breast-feeding women.Oct 24, 2020

How long do Lyme disease symptoms last?

The CDC states, 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.Oct 9, 2015

How many patients were recruited for the PTLDS study?

This study, and the term "PTLDS," do not define the cause of the condition, but do provide a starting place for future studies. The researchers recruited 61 patients who were either self- or physician-referred to the Lyme Disease Clinical Research Center at Johns Hopkins and who met the study criteria. Roughly half were women and half were men, ...

Does Lyme disease cause insomnia?

Feb 2, 2018. In a study of 61 people treated for the bacteria that causes Lyme disease , Johns Hopkins researchers conclude that fatigue, pain, insomnia, and depression do indeed persist over long periods of time for some people, despite largely normal physical exams and clinical laboratory testing.

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.

What are the auto immune responses?

Auto–immune responses are known to occur following other infections, including campylobacter ( Guillain-Barré syndrome), chlamydia (Reiter’s syndrome), and strep throat (rheumatic heart disease). Other experts hypothesize that PTLDS results from a persistent but difficult to detect infection.

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.

What are the symptoms of Lyme disease?

Typically, the symptoms of post-treatment Lyme disease syndrome resemble those that occur in earlier stages. People with persistent symptoms often experience lingering episodes of: 1 fatigue 2 restless sleep 3 pain 4 aching joints or muscles 5 pain or swelling in the knees, shoulders, elbows, and other large joints 6 decreased short-term memory or ability to concentrate 7 speech problems

How long does Lyme disease last?

They may last up to six months or longer. These symptoms can interfere with a person’s normal activities and may cause emotional distress as a result. However, most people’s symptoms improve after six months to a year. It’s not known why some people develop post-treatment Lyme disease syndrome and others don’t.

How long after tick bite can you get Lyme disease?

If the infection progresses to the chronic stage, your symptoms might continue for weeks, months, or even years after the initial tick bite.

How long does it take for a tick bite to show symptoms?

Early antibiotic intervention may reduce your risk of developing chronic symptoms. The signs of early Lyme disease can occur from 3 to 30 days after a bite from an infected tick. Look for: a red, expanding bull’s-eye rash at the site of the tick bite. fatigue, chills, and general feeling of illness.

What are the symptoms of antibiotics?

These symptoms can include fatigue, joint or muscle aches, and cognitive dysfunction.

What test is used to test for Lyme disease?

The enzyme-linked immunosorbent assay (ELISA) test is the most common for Lyme disease. The Western blot test, another antibody test, can be used to confirm the ELISA results. These tests may be done at the same time. While these tests can confirm infection, they can’t determine what’s causing your continued symptoms.

Can you take antibiotics for Lyme disease?

Depending on your condition and symptoms, other antibiotics or an intravenous (IV) treatment may be necessary. The exact cause of post-treatment Lyme disease syndrome is not known, so there’s some debate regarding appropriate treatment. Some experts advocate continued antibiotic therapy. However, there’s evidence that such long-term antibiotic ...

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