Home
Up

A striking feature of Lyme disease is that a lot of patients either don't recall ever having a tick bite or report yes they have had a tick bite in the distant past and removed it themself or had it removed. These patients are not able to describe ever having the large local reaction after a bite that we know as erythema migrans.

The number of of doctors seen and the number or diagnosis made will be proportional to the time interval of chronic symptoms. I had one at 7 years and another at 10 years. The last had a very impressive list of medical attendances but no mention of possible Lyme disease. She found her diagnosis herself on the Net. Past diagnosis will often revolve around CFS and fibromaylgia. This of course is not to suggest that Lyme is necessarily always the fundamental underlying cause of these conditions. However it has been found underlying supposed MS, Sarcoid, ALS and Motor Neurone disease in several cases. My own practice load currently has 6 patients in this cluster.

Cardinal symptoms of Lyme Disease  

Cant think -  "brain fog"

Poor concentration 

Poor memory

Glands swollen – particularly neck  

Throat sore

Facial pain

Jaw pain and neck pain around the throat

Chest wall pain

Shortness of breath

Cough

Muscle pains

Muscle spasms- usually with fasciculation. Sometimes localised tetany

Muscle cramps

Retro orbital eye pain, particularly with movement and sometimes with coughing 

Sensitivity to bright light

Sensitivity to loud noise

Smell and taste changes

Intermittent facial muscle weakness and muscle twitching

Headache  

Difficulty swallowing

Alcohol sensitivity

 Common  

Fevers

Abdominal pain

Palpitations

Paraesthesia

Facial paralysis (Bell’s Palsy)

Visual deficit - particularly diminished night acuity which relates to contrast sensitivity viz here

Abdominal pain  

Period pain, irregularity - unexplained

Tachycardia or heart block

Slurring of the speech, wrong words, or mispronunciation

Word block

 Less Common  

Tinnitus

Vertigo  

Also lateral object fixation at speed painful or impossible. Also can induce nausea motion sickness

Imbalance

Gait disturbance

Fevers - in daytime

air hunger

Arthritis or joint pains (not muscle pain) - Lyme is often a monoarticular disease but can be migratory

Dental pain

Genital pain

Bladder irritability dysfunction

Bowel irritability dysfunction

 More general symptoms

Presyncope

tremors

confusion

disorientation

memory loss

mood changes

depression

early morning waking

anxiety

panic

insomnia

irritability