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Understanding How To Treat Lyme Disease

By Francis Riggs


Lyme disease was discovered about four decades ago and has been studied extensively since. The disease is caused by a group of bacterial organisms known as spirochetes. There are many species that have been discovered to date. Persons suffering from the condition complain of a variety of symptoms such as painful joint swelling, skin lesions, chest pain and those related to central nervous system. In order to understand how to treat Lyme disease, one will need to have some basic knowledge on the illness itself.

The causative bacteria are transmitted by ticks living on deer as parasites. A bite from the tick introduces bacteria into the blood stream. This gives rise to the first phase of the illness. The organisms incubate for a brief period of days or weeks before giving rise to the full blown illness, the second phase. The rate of progression depends on the amount of bacteria released during the bite.

The initial presentation is in the form of flu like illness while the second is more severe and affects major body systems. Advanced forms may develop into meningitis, cerebral palsies and arthritis. Anxiety and depression have been reported in a number of affected persons. Diagnosis is made based on the clinical history as well as the presence of specific antibodies in the blood stream.

Antibodies to the bacteria are detected using a special technique known as ELISA. The use of the antibodies has the downside of giving a number of false positive results. This is because the antibodies remain to circulate in the body. This means that their presence in the body should be treated with caution. The other major challenge to diagnosis is the fact that the symptoms are at times nonspecific and the disease may be misdiagnosed for rheumatoid arthritis.

The treatment of this illness is mainly by use of antibiotics. There are many types of antibiotics that are used with the choice being determined by the severity and area of body involved. Oral drugs are good enough for the early disease. Intravenous drugs, on the other hand, are preferred when treating more advanced disease. Treatment that is started early gives better outcomes.

The main oral antibiotics that are used are doxycycline, cefuroxime and amoxicillin. In most cases the early symptoms will resolve within a few weeks without any long term consequences. Doxycycline is harmful to growing bone and should therefore be avoided in pregnant women and in children that are less than eight years. The drugs that have been approved for intravenous use are penicillin G and ceftriaxone. No home remedies exist.

Other drugs that are used are mainly for supportive treatment. For instance pain relieving drugs are often necessary for the pain associated with joint swelling. These drugs also help in reducing the associated inflammation. For the severely swollen joints, drainage of joint fluid is usually useful.

Research has established that this illness has the highest incidence among children 5 to 14 years. Another peak is at 40 to 50 years among adults. The biggest risk factor to contracting this illness is living in an area with tick infested deer. Fortunately, transmission does not occur through contact or across the placenta.




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