With symptom diagnosis, some may be more clear in providing an answer. That is, some people knew they were bit by a tick and developed a bulls eye rash (only about a third of people do). Many developed flu like symptoms or neurological or arthritic symptoms but never got better, with or with out the use of antibiotics. However, symptom diagnosis is often the most challenging due to the variety of symptoms, how it progresses (slow or fast) or if it was misdiagnosed or not treated early. Antibiotics are still the best treatment for initial infection and the sooner the treatment starts, the better the prognosis.
The most unique symptom of Chronic Lyme is migrating symptoms; symptoms that come and go, move from place to place and can change in severity and presentation. However, when a person with Lyme also has a Candida overgrowth or co-infections, then migrating symptoms can be less evident.
Co-Infections are other pathogens that the tick can carry and then be transmitted at the time of Lyme infection. Some of the common vector (tick) based diseases are Bartonella (cat scratch fever), Babesia, Mycoplasma and Ehrlichiosis. Non vector based examples of co-infection are fungal i.e. Candida and viral.
The Horowitz Questionnaire was developed by Richard Horowitz MD, author of “Why can’t I get better?” This can be an excellent tool as it addresses the common Lyme symptoms and quantifies them into a scale for easy interpretation by both practitioner and end user. See below for the Questionnaire.
You may fill out the questionnaire then print it and bring it to your first appointment. This will help keep track of your symptom levels over the course of the treatment regime.