In my 4th week of treatment and its been hell - like clockwork I woke up feeling ok then took my antibiotics with breakfast and one hr later ..... Bam ... Extreme fatigue , dizziness , pain on left side of my body ( right below arm pit ) then hit with hot flashes and numbness in my left fingers ...... Please give some encouraging words ! Should I stop meds for a little ? I can push through if I knew it was helping me
Posts: 259 | From new york | Registered: Sep 2002
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Keep track of symptoms using a pad and rate symptoms from 1- 10 along with the dates and meds .
This way your doctor can help you manage your meds and also may be pinpoint a possible Coincection
Posts: 238 | From Where | Registered: Aug 2012
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Frequent Contributor (5K+ posts)
Member # 14183
The fourth week is generally the worst as you are having the 28th day herx. The 28th day herx (28 days after starting good treatment) is the worst herx most people have.
So, drink lots and lots of water with lemons squeezed into it. People are surprised how effective this is. Take Alka Seltzer Gold (or baking soda) up to 4 times per day for this rough period. And, if you have any glutathione, take it.
"Another very important factor is response to treatment- presence or absence of Jarisch Herxheimer-like reactions, the classic four-week cycle of waxing and waning of symptoms, and improvement with therapy." (page 7)
"With treatment, these monthly symptom flares are exaggerated and presumably represent recurrent Herxheimer-like reactions as Bb enters its vulnerable growth phase and then are lysed. For unknown reasons, the worst occurs at the fourth week of treatment. Observation suggest that the more severe this reaction, the higher the germ load, and the more ill the patient." (page 17)
"It has been observed that symptoms will flare in cycles every four weeks. It is thought that this reflects the organismâ€™s cell cycle, with the growth phase occurring once per month (intermittent growth is common in Borrelia species). As antibiotics will only kill bacteria during their growth phase, therapy is designed to bracket at least one whole generation cycle. This is why the minimum treatment duration should be at least four weeks.
If the antibiotics are working, over time these flares will lessen in severity and duration. The very occurrence of ongoing monthly cycles indicates that living organisms are still present and that antibiotics should be continued." (page 17)