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» LymeNet Flash » Questions and Discussion » Medical Questions » ER doc said he wasn't sure..

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Author Topic: ER doc said he wasn't sure..
Buchana3
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I recently visited the edge of WV/Ky .. and when I got back to dallas a day later both my feet/ankles were the size of my thighs.. red to the tough.. and my hands were swollen.. the docs said all the cbc and urinalysis were all normal.. they told me they are not sure what is wrong.. but they suspect lyme disease and started me on docx.. is there a way to be sure that this is the problem.. Also, can ticks live on coal.. I was picking up coal along the railroad tracks for a souvenir.. am wondering if I carried the tick home.. help..
Posts: 6 | From dallas, tx | Registered: Nov 2004  |  IP: Logged | Report this post to a Moderator
EZ-E
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Roids made my ankles & feet swell last time........Hope ya get to doin' better......
Posts: 103 | From LAS VEGAS | Registered: Oct 2004  |  IP: Logged | Report this post to a Moderator
Tincup
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quote:
Originally posted by Buchana3:
they suspect lyme disease and started me on docx.. is there a way to be sure that this is the problem..

Welcome to LymeNet...

Sorry.. right now we have no test that is perfect.. so the diagnosis of Lyme is basically a clinical one. The fact that you started doxycycline immediately is a good thing. Better safe than sorry.

Also .. by starting doxy now.. it can throw off the tests if you had one later.. and if you test for Lyme before your body has a chance to produce antibodies to the infection... about 3 weeks average.. you will have a false negative test even if infected.

Also, can ticks live on coal.. I was picking up coal along the railroad tracks[/QUOTE]

Spirochetes.. the bacteria that causes Lyme.. have been found fossilized in the midgut of termites.. which were found inside a piece of amber... that was dated back millions of years ago.

No telling what the heck they can or can't do for sure.

Maybe they thought the coal was "chocolate milk"? HA!

I have seen ticks on rocks and rock piles. Not sure what they are doing there.. maybe sun bathing.. or soaking up the warmth of the warm rocks.. but they do hang out near rock and wood piles. they MIGHT use the rocks to hide under.. like leaf litter perhaps?

If I couldn't stay under a roof myself.. I MIGHT chose to hang out under a rock pile.

My GUESS is...

Since railroad track are considered "wilderness-like" in many remote areas.. and wildlife live and feed along the tall, rarely mowed sections beside the tracks...

This type of an area could be considered highly endemic for the ticks.

My thought is perhaps you could have been walking through the area.. and picked up ticks on your clothing that you can't see easily.. and if they were still there later on.. they could have been carried back to Dallas when you returned.

BUT..

I also have not heard of the swelling you describe happening the day after possible exposure to ticks and Lyme disease. Anything COULD happen.. but it is just not what I have seen happen before.

Is there a chance you could have been exposed to ticks or mosquitoes, fleas, etc. near to home PRIOR to going to Kentucky.. and the symptoms started after you arrived there? There is quite a bit of Lyme IN Texas.

Anyhow... I hope the swelling goes down and you are safe and sound.

By the way.. have you had your thyroid checked?

Oh yeah.. one more thing..

Dandelion tea... which can be purchased in a health food store... is a natural diretic (SP?) and will help reduce fluids and swelling. I mix Dandelion tea with decaf green tea and drink them together when I am swelling up like a balloon.

Hope this helps answer some of your questions.


Posts: 20353 | From The Moon | Registered: Jun 2004  |  IP: Logged | Report this post to a Moderator
Tincup
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HOLY COW! It's AMAZING!!!

After over 16,000 posts here.. I have FINALLY figured out how to make the bold letters show up and then respond underneath!!!

Now.. I won't have to say ..

"you said"...

"you said"...

"you said"...

ANYMORE!

IF ..

I can remember how I did that!!!!

Yikes!

------------------
If you get the choice to sit it out or dance...



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treepatrol
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You probaly just picked up the tick hitchhiker off the grass or brush along the rr tracks.

WELCOME To LYMENET

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Posts: 10564 | From PA Where the Creeks are Red | Registered: Jun 2003  |  IP: Logged | Report this post to a Moderator
Kara Tyson
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You are fortunate.

Take the meds. Just in case.

Oh, and send a thank you note to the ER Doc.


Posts: 6022 | From Mobile, AL | Registered: Apr 2001  |  IP: Logged | Report this post to a Moderator
Buchana3
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Thanks for everyone's advice.. btw.. is it really a bumpy road from here. .?

Also, less than 6 months I had a complete physical.. everything looked normal.. from thyroid to a 5 hour glucose test.. (aren't new jobs great!)


Posts: 6 | From dallas, tx | Registered: Nov 2004  |  IP: Logged | Report this post to a Moderator
Buchana3
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Thanks for everyone's advice.. btw.. is it really a bumpy road from here. .?

Also, less than 6 months I had a complete physical.. everything looked normal.. from thyroid to a 5 hour glucose test.. (aren't new jobs great!)


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treepatrol
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Yes it can be a very bumpy road if not eliminated in early stage. 6 weeks usually around 250mg doxycylene three times a day and flagyl abx's have a good cahance of ridding your body of spirochetes. But you should watch your self for fevers achey feelings and joint pain etc. Read Dr b's stuff above in my first reply.
Posts: 10564 | From PA Where the Creeks are Red | Registered: Jun 2003  |  IP: Logged | Report this post to a Moderator
Buchana3
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they have me on docx.. 100mg 2x/day for 3 weeks.. is that enough?
Posts: 6 | From dallas, tx | Registered: Nov 2004  |  IP: Logged | Report this post to a Moderator
Buchana3
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They took blood in the ER . I am not sure what all they did with it.. I assume a CBC panel.. they said everything looked normal..

[QUOTE]Originally posted by Raskilnokov:
[B]It might help to take blood tests before starting the dox. before the dox. skewers the results.


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treepatrol
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No thats not the dose you need the dose I told you is the going dose fromm llmd's. 200mg a day is useually what the ducks precribe or just the totally uninformed.

Here just found this right from horses mouth.

Dosage

Increasingly, clinicians recommend that certain drugs used for Lyme disease be given at higher daily doses: for example, 3,000-6,000 mg of amoxicillin, 300-400 mg doxycycline, and 500-600 mg of azithromycin. Some clinicians prescribe antibiotics using blood levels to guide higher doses. Close monitoring of complete blood counts and chemistries are also required with this approach.

With higher doses, there may be an increase in adverse events in general and gastrointestinal problems in particular. Acidophilus has reportedly reduced the incidence of Clostridium difficile colitis and non-C. difficile antibiotic-related diarrhea.
Thats off of ILADS 2004 Guidlines.

[This message has been edited by treepatrol (edited 30 November 2004).]


Posts: 10564 | From PA Where the Creeks are Red | Registered: Jun 2003  |  IP: Logged | Report this post to a Moderator
Buchana3
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Went to my regular doc today.. he took me off the ibuprofen .. and ordered lyme disease test.. a rheumatoid arthritis test and also a western something.. but it didn't say blot.. wht is a spect test?

The swelling is down.. and I look normal again.. my doc is a internist(a friend told me get an internist for your pcp - and it has helped).. he tests for everything..

Going back to work tomorrow.. am a little achy and kinda tired.. even tho I have done nothing but sleep for 5 days..

Should have the results tomorrow regarding my tests.. my doc actually will callme with the results..
- susan


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troutscout
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Susan,

remember that the tests will NOT pick up Lyme Disease in the first 3 weeks of infection..it is impossible...even if you HAVE Lyme. Why? The body hasn't has enough time to make the antibodies you are testing for.

Your treatment should be based on symptoms alone....and, the amount of Doxy you are taking will not suffice IF you have Lyme.

Trout

PS.....please listen to the above posts...however, CONTINUE with Doxy as LONG as you can....and find a different Doctor that has a long list of patients with Lyme.

(Go to our seeking Doctor Section)


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Lymetoo
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quote:
Originally posted by Raskilnokov:
So I think my suggestion of waiting on taking dox. until after having chance of testing positive is a good one.

3-weeks time is not that much time to delay treatment IF it will help insure further treatment.



WAITING CAN BE A DEATH SENTENCE! You may not die, but will wish you had if you let this become disseminated throughout your body!

You need a minimum of 400mg doxy per day....more if you can get it or tolerate it.

You can always do the Western Blot later. The most important thing is to clear the bugs out of your system ASAP!

------------------
oops!
Lymetutu


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Lymetoo
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up
Posts: 96227 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
troutscout
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I personally would NOT endorse waiting for a positive test.

Staying on a minimum dose of 300 to 400 mg of Doxy for 6 weeks (or, untitl symptoms abate) is appropriate. To delay is tantamount to allowing a disease to become a lifetime disability.

Trout

------------------
Now is the time in your life to find the "tiger" within.
Let the claws be bared,
and Lyme BEWARE!!!
Iowa Lyme Disease Assoc.
www.ildf.info


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