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Lyme Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Lyme disease is an infectious disease which is transmitted through the bite of an infected blacklegged tick carrying the bacterium Borrelia burgdorferi. Lyme disease is often diagnosed on the basis of symptoms, physical examinations (such as rashes) and probability of exposure to infected ticks. Some of the characteristic symptoms of a patient suffering from Lyme disease include fever, headache, weakness, muscle or joint pain, swollen lymph nodes and a typical type of skin rash known as erythema migrans. This disease is a serious issue and if left untreated, it can even spread to the joints, the nervous system and the heart. The symptoms of Lyme disease usually show up within a time period of 3 to 30 days after the bite and the symptoms are usually wide ranging depending upon the stage of the infection.

It is important to note that not all persons receiving a tick bite gets the disease. According to some recent research works it has been said that the possibility that a person may get Lyme disease from the bite of a blacklegged tick depends on whether the tick was previously infected with the bacterium or not, the place and time when the bite occurred, the time for which the tick remained attached to the person. Hence observing the symptoms of the patient accompanied with a few laboratory tests are the best ways of diagnosis for Lyme disease. Studies have proven that blacklegged ticks must stay attached for at least 24 hours in order to spread Lyme disease to the victim.

Once a patient having such symptoms is diagnosed as having Lyme disease, then he/she is treated with regular doses of antibiotics. People who are treated with the appropriate antibiotics at an early stage of the disease are usually seen to recover sooner and completely. Some of the common antibiotics used for the oral treatment of Lyme disease include doxycycline, amoxicillin, or cefuroxime axetil. Patients who have neurological or cardiac ailments are given intravenous medications of antibiotics like ceftriaxone or penicillin.

How is the treatment done?

When doctors diagnose a patient for Lyme disease, then they mainly look for the history of possible exposure of the person to infected blacklegged ticks and the signs or symptoms shown by the patient. Pathological tests of blood samples of the patient are often helpful in diagnosis, if they are used correctly and performed with validated methods. It is very important to be cautious so as to avoid misdiagnosis and treatment of Lyme disease, when the actual cause of the ailment is something else.

In medical science, Lyme disease is basically described in three stages. During the first stage the symptoms of Lyme disease include fever, chills, skin inflammation and rashes. The second stage of the disease is characterised by spreading of the disease to the heart and the nervous system and may involve palsies and meningitis. On the other hand, during the late stage of this disease the featuring motor and sensory nerves get damaged and brain inflammation and arthritis may also develop.

Lyme disease can be cured completely with appropriate antibiotics, if the patient is diagnosed at an early stage. The common antibiotics which are used for oral treatment include doxycycline, amoxicillin, or cefuroxime axetil. Patients, who have some neurological or cardiac ailments, are given intravenous medications of antibiotics like ceftriaxone or penicillin. Oral medications like azithromycin, clarithromycin or erythromycin may be also used in the treatment of Lyme disease, although they are known to have lower efficacy. These medications should be continued for a period of 10 to 21 days until the patient recovers. It is highly recommended that the patient should take doses of the prescribed medicines regularly, as directed by their doctors. In case a patient suffers from any side effect or allergies due to such medication, then he/she must immediately consult their doctor.

Who is eligible for the treatment? (When is the treatment done?)

Any person who has been bitten by blacklegged tick and is suffering from symptoms like fever, headache, weakness, muscle or joint pain, swollen lymph nodes and a typical type of skin rash known as erythema migrans, are said to have Lyme disease and are eligible for such treatment. Pathological tests of blood samples of the patient are also helpful in the diagnosis of Lyme disease, if they are used correctly and performed with validated methods. It is very important to be cautious, so as to avoid misdiagnosis and treatment of Lyme disease, when the actual cause of the ailment is something else.

Who is not eligible for the treatment?

Any person who are not bitten by blacklegged tick in the near past and do not show symptoms of having Lyme disease are not eligible for this treatment. A proper diagnosis is very essential, so as to avoid problems associated with misdiagnosis and treatment of Lyme disease, if the actual cause of the sickness lies somewhere else. Moreover, it is recommended that Doxycycline (an antibiotic, used for the treatment of Lyme disease) should not be given to pregnant women or children younger than 8 years of age.

Are there any side effects?

Not all people undergoing a treatment for Lyme disease, is said to suffer from side effects of medication. For some people, the side effects may be minor and can be dealt with easily; whereas for others who are allergic to a particular medication may suffer from some serious side effects. Some of the side effects for treatment of Lyme disease include troubled breathing, swelling of face, tongue, lips or throat due to allergic reactions, developing hives, severe diarrhoea, bad taste in mouth, nausea, vomiting, vaginal yeast infection and others. Some people may even develop higher fever, redder rashes or increased pain during the initial 24 hours of antibiotic therapy. This is not an allergic reaction, but a symptom that may be indicative of rapid death of the bacteria. People suffering from any of these side effects need to consult their doctor immediately so that alternative medications can be prescribed if necessary.

What are the post-treatment guidelines?

The symptoms of Lyme disease become very complicated if treated at a later stage. However, quicker and complete treatment of a patient suffering from Lyme disease is possible, if he/she is properly treated at an early stage. The post treatment guidelines for treatment of such a disease essentially involve taking the prescribed medicines regularly on time as directed by the doctor. If a patient is not taking the medicines regularly, then he/she may invite severe health risks or even life risk.

If a female patient is pregnant, breast feeding or planning to get pregnant then she must stop taking Doxycycline because such an antibiotic may harm the baby growing within their womb. Such female patients should not take any medicine without consulting a doctor.

Follow-up care is an important part for the treatment and safety of the patients suffering from Lyme disease. The patient should make sure to go to every appointment or call up their doctor in case they are having any problem during the course of treatment.

How long does it take to recover?

Treatment of Lyme disease at an early stage has proved to be the most effective in curing the patients from such an infection and in eliminating future health problems related to arthritis, the heart or the nervous system. Some of the symptoms may not go right away and can stay for several weeks even after the complete course of treatment is given. The time taken by a person to recover from such a disease may vary depending upon the degree of infection that the person had before the treatment began. However, on an average it takes almost 21 to 30 days for a patient to recover after the treatment is done.

What is the price of the treatment in India?

The price of treatment of Lyme disease in India may vary depending upon the cost of medicines prescribed by the doctor. On an average, the cost of consulting a doctor (in India) regarding the problems of Lyme disease ranges from Rs. 300 to Rs. 1,500 (per consultation). The cost of medicines in India throughout the course of treatment may range from Rs. 3,500 to Rs. 5,000. Hence, the total cost for treatment of patients suffering from Lyme disease may range from Rs. 4,500 to Rs. 10,000 (for each patient). This treatment is easily available in almost all cities and towns in India.

Are the results of the treatment permanent?

Lyme disease can be completely cured if the patients are treated at an early stage. However, with time, serious complications of heart, joints or nervous system may occur if the patient is left untreated. These symptoms can also be treated with appropriate medications but the time taken to treat patients with such complications is usually long. In case of Chronic Lyme disease, some of the symptoms may stay even after the complete treatment is done. Such symptoms like fatigue and muscle aches may stay for months before a patient feels completely well.

What are the alternatives to the treatment?

Once a patient gets infected by the bite of a blacklegged tick and develops Lyme disease then taking antibiotics regularly, at an early stage of the disease, is the best way of treatment. However, another alternative way to overcome such a disease is by naturally boosting a person’s immune system, lowering inflammation and management of the root cause of the symptoms occurring in such cases. Including food items, such as vegetables, nuts, seeds, coconut, bone broth, organic meat, raw cultured dairy products and foods rich in vitamin D, omega-3 fatty acids, magnesium and probiotics, in a person’s diet helps to increase the immunity of the person and prevents them from getting infected from Lyme disease.

Safety: Disease Effectiveness: High Timeliness: Medium Relative Risk: High Side Effects: High Time For Recovery: High Price Range:

Rs. 4,500 – Rs. 10,000

Popular Health Tips

Body Ache - Causes And Management

Pain Management Specialist, Navi Mumbai
Body Ache - Causes And Management

What you must know about Body ache

Affecting your entire body, body ache is usually an indicator of a condition that requires your attention for the pain to stop or a reaction of your body's immune system to an infection. Understanding the symptoms and the cause of the pain is the first step towards getting the right treatment for your problem.

The causes of Body ache can be any one of these:

  •   An increase in your body's lactic acid as a result of overused muscles (that you normally experience when you perform strenuous exercises) leads to body aches that are not severe but temporary in nature.
  •   Temporary body aches can also occur if you suffer from flu caused by the influenza virus and other medical conditions like fever and viral infections, among others.
  •   A cause of body aches can be the presence of a serious condition such as Lyme disease or pneumonia that brings about major infection affecting your entire body.
  •   Inflammation of body cells or damage to your body's nervous system in the form of chronic ailments like autoimmune diseases and psychiatric problems can also cause pains and aches to develop all over the body.

What can you do to manage it?

There are simple ways that you can employ to relieve your body aches based on the root cause and these are:

  •   If the cause of your body ache is the flu, the best way to alleviate your condition is to take a hot bath. The hot water works by eliminating the body pains you may be suffering from. Even a gentle massage can soothe the ache affecting your entire body.
  •   For body aches that are caused due to overused muscle, you need to apply ice packs for 2-3 weeks on the affected area to bring down the inflammation. Even the application of a heating pad can help in relieving body aches brought on by muscle soreness.
  •   Shoulder and neck pains can be easily prevented by performing simple exercises from time to time such as shoulder shrugs or head turns. Also, the practice of using wrist and forearm rests can reduce your chances of getting shoulder and neck aches.
  •   Reducing your stress levels can also help in effectively lowering the instances of body ache. From sleeping on time to meditating for about 20 minutes a day can help in lowering stress.

In case, you do not get relief from any of the suggested ways, you need to consult a doctor who will guide you on the right treatment course.

1 person found this helpful

Facial Paralysis - How Can Physiotherapy Help You Get Better?

Physiotherapist, Noida
Facial Paralysis - How Can Physiotherapy Help You Get Better?

Facial paralysis can happen due to many factors. Sometimes inflammation develops around the facial nerve as it passes through the skull from the brain. This presses on the nerve and makes it stop functioning. As the nerve stops functioning, so does the muscle it controls.

This is what happens in Bell’s palsy, the most common cause of facial paralysis.

Bell’s palsy can happen to anyone and its cause is, hold your breath, a viral infection. Herpes zoster, Varicella zoster and HIV viruses can cause Bell’s palsy.

Bell's palsy is a common cause of a facial paralysis but there are many others too that affect or damage facial nerve. These include head injury, sarcoidosis, lyme disease, growths in the ear, tumours in the parotid gland, brain tumors and stroke.

The weakness of the face usually one-sided is a symptom of Bell’s palsy. The face may droop to one side, chewing food is also tough, drooling, dry eyes and difficulty wrinkling forehead and speech are other symptoms of Bell’s palsy, the most common reason for facial paralysis.


The type of therapy you receive for facial paralysis will depend on its cause. It will also develop on how long you’ve suffered from facial paralysis and the extent of damage to the facial nerve.

Your physiotherapist can help and so can speech and language therapists to deal with the issue.

In physiotherapy, a treatment called 'facial retraining' with facial exercises helps with facial palsy. It is important that you seek help from a therapist who specialises in facial rehabilitation only.

This is what you can expect from facial rehabilitation therapy-

  1. Exercises for eye care

  2. Exercises for dry mouth management

  3. Exercises to make drinking and eating easier

  4. Speech therapy

Your physiotherapist will educate you on how the facial nerve works and how it recovers. This is important to make you recover. A home therapy programme plays an important role too. It includes massages to keep face muscles mobile and healthy, stretches to lengthen muscles, exercises to help re-learn balanced facial movements and relaxation of your facial nerve and muscles.

The physiotherapist will work on your facial movement to make muscles fit. The basic idea is to slowly rewire the brain-to-nerve-to-muscle pathway. The physiotherapist’s first step is to retrain you to do correct movements voluntarily, while mentally focusing on the movement.

Physiotherapy may take months but keep at it to recover completely, especially the home exercises.

Injections of botulinum toxin or Botox also help especially if you suffer from spasms in facial muscles. Surgery is also an option for chronic cases.

Remember that exercises should be done gently as well as daily to reap benefits. Always do these exercises with the help of a therapist only. Doing exercises by yourself can be counter- productive.

5248 people found this helpful

Popular Questions & Answers

Elisa test is accurate result of 2 months. Or not? is not accurate means what test you prefer sir.

General Physician, Mumbai
ELISA test is confirmatory if the exposure to the virus is above three months and if you want to know it beforehand than p24 antigen test needs to be performed after clinical examination.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Kidney Disease
I m Dr Ashok Sarin, a senior consultant nephrologist at Apollo Hospital New Delhi. I trained in Kidney Diseases at the Belfast City and Royal Victoria Hospital in Belfast, UK, which is in Northern Ireland. And besides having an MBA I m also FRCP, Edenborough, fellow of the Royal College of Physicians, Edenborough.

We see a lot of kidney diseases today, and people are very aware. But they get very worried as to what is happening, and there is going to be kidney failure, or kidney damage, and we are going to go on dialysis and transplant. And I want to say here, that there is a lot of prevention we can do so that we do not develop serious kidney diseases. Now the most important is that we must have a good, proper lifestyle. Like,

We should not be obese.
We should not have a diet which is rich in saturated fats or very rich in carbohydrate.
We should maintain our weight, we should maintain our BMI at about 30, and we should also indulge in regular exercise.
This will keep us in a healthy situation and we will not develop serious diseases like diabetes and hypertension. But once we develop diabetes and hypertension, then we must take our treatment for diabetes very regularly, and keep our HPE1C at 6 percent, a fasting sugar of 100 milligrams percent. We should also control our hypertension, and make sure that our blood pressure is 120 by 80 millimetres of mercury. Then we should avoid smoking. As I said we should indulge in exercise.

And there are other conditions which can also cause kidney damage, which is kidney stones, urine tract infection.

So if we treat our kidney stones adequately, and avoid urinary tract infection from developing, or we treat it properly, then we are unlikely to have kidney damage, and that is how we prevent kidney disease. As I said, smoking is a complete no-no, and we should not indulge socially sometimes, but over indulgence of alcohol is forbidden. And when I said that regular medical checkups, say once a year, we will come to know if there is any indication of kidney disease, and if that happens, then we can take prompt action. For example, somebody is excreting a lot of protein, then remedial actions or further tests can be done. And kidney disease, if detected early, we have a wide range of medication at the moment, it can be treated very promptly. And we do not have to go into the stage where we say kidney failure or kidney damage, or dialysis or transplant. Now this is avoidable to a great extent. I will not say completely, but to a great extent it is possible, and that is why I am emphasizing over and over again, that this can be prevented. If we are very aware of kidney disease, and we make sure that we don t develop kidney diseases at all.

Thank you, and in case you want to consult me, you could get in touch with Lybrate

. Thank you very much indeed.
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Chronic Diseases
Namaskar, main Vedya Ravindra Kaushik, ek certified Pulse diagnosis expert hoon. Pichle 6 saalo se hum Chronic diseases ke root causes ka upchaar karte aa rahe hai. Aur majorly jin diseases ka humne safal upchaar taiyaar kiya hai, un diseases me major diseases jo ki involved hai, wo hai, heart diseases, infertility, Diabetes, arthritis etc hai. Yeh chronic diseases aaj kal har ghar me kisi na kisi family member ko hoti hai.

Sabse pehle main apne process ko samjhana chahunga-

Sabse pehle hum pulse diagnosis karte hai. Isme hum basically body ke constitution ko study karte hai kyuki beemari ek hoti hai lekin uske causes alag-alag ho sakte hai. For example, person A me wo root cause alag hai, person B me root cause alag hai aur person C me root cause kuch aur hai. Root cause ke basis pe medicines change hojati hai, diet instructions bhi change hojate hai. Isliye hum sabse pehle body constituents ko study karte hai pulse diagnosis ke through.
Body constituents study karne ke baad hum herbal medicines taiyar karte hai depending on the root cause. Jab patient herbal remedies and dietry ko follow karta hai, to patient apni chronic diseases se free hojata hai.
Aap humse contact karne ke liye humari Lybrate profile se humse connect ho sakte hai, ya fir aap directly humare clinic me visit kar sakte hai. Humare 3 clinics hai. Ek Rohini me aur 2 clinic Gurgaon me.

Thank you.
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Skin Diseases
Ayurvedic Treatment For Skin Diseases
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Chronic Diseases
Ayurvedic Treatment for Chronic Diseases
Play video
Heart Diseases
Effective Treatment To Get Rid Of Heart Diseases!
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