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» LymeNet Flash » Questions and Discussion » Medical Questions » Bartontella

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Author Topic: Bartontella
couched
Junior Member
Member # 17860

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I've been in treatment for Lyme for a while and I recently started having strange symtpoms. My new LLMD thinks I have Bart because of low abdominal pain (lymphnode like), insomnia, sweats etc. He started me on Levaquin along with Omniceff which I take for Lyme.

Can someone explain what Bart herxing is like? Yesterday I started feeling like I was having trouble breathing....allergy like. I thought it was fall allergies kicking up but I am wondering if it's air hunger. My mucous membranes seem dilated too. Weird. No choking.

What else can I expect and how long is the treatment for Bart? The dr. says 4 months, but like everything else with this nightmare disease, I expect it will be longer.

Thanks.

Posts: 5 | From new york | Registered: Oct 2008  |  IP: Logged | Report this post to a Moderator
bettyg
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bart; i don't have personal experience but will copy symptoms for it, lyme, and other co-infections, and will include what i send to everyone when they join here!


Welcome; i'm so glad you found us!! You've come to the right place for education and support!

Fyi: we have over 1000 viewers daily; 200 - 400 posting/replying; so specific titles get our time/replies. non-specific ones, i sob, scroll on by!

Also, please be very specific in the subject line what you will be discussing so more people will be able to assist you.


Dr. Burrascano's most recent "Diagnostic Hints and Treatment Guidelines for Lyme and Other Tick Borne Illnesses" @
http://www.ilads.org/burrascano_0905.html
suggests that you discuss with your doctor continuing treatment until you are symptom free for 2 months.


this link, making the most of your LLMD visit, may help you also.
http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic&f=1&t=020605#000005


please see BettyG's newbie package info on the link below; click on link at bottom of my package. Check it out as time permits for you!
@ http://tinyurl.com/58eyou

***************


The Quick Checklist

This was the initial checklist that began to lead to my Lyme diagnosis. It is based on the Burrascano "Guidelines". Keep a tally of the "yes" responses.

Although many of these symptoms are common or indicative of other things, a number of them may suggest the need for further evaluation. (My own count was 18 out of 46.)

As part of your symptoms, have you had any of the following?
Yes No

1. Tick Bite (deer tick or dog tick?) Y N

2. Rash at bite site Y N

3. Rashes at other sites Y N

4. Joint/muscle pain in feet Y N

5. Swelling in toes, balls of feet Y N

6. Ankle pain Y N

7. Burning in feet Y N

8. Shin splints Y N

9. Unexplained fevers, sweats, chills Y N

10. Unexplained weight change (loss or gain) Y N

11. Fatigue, tiredness Y N

12. Unexplained hair loss Y N

13. Swollen glands Y N

14. Sore throat Y N

15. Testicular pain / pelvic pain Y N

16. Unexplained menstrual irregularity Y N

17. Unexplained milk production (lactation) Y N

18. Irritable bladder or bladder dysfunction Y N

19. Sexual dysfunction or loss of libido Y N

20. Upset stomach Y N

21. Change in bowel function (constipation,
diarrhea) Y N

22. Chest pain or rib soreness Y N

23. Shortness of breath, cough Y N

24. Heart palpitations, pulse skips, heart block Y N

25. Joint pain or swelling Y N

26. Stiffness of the joints, neck or back Y N

27. Muscle pain or cramps Y N

28. Twitching of the face or other muscles Y N

29. Headache Y N

30. Neck creaks and cracks, neck stiffness Y N

31. Tingling, numbness, burning or stabbing sensations Y N

32. Facial paralysis (Bell's Palsy) Y N

33. Eyes/vision: double, blurry, pain, increased floaters Y N

34. Ears/hearing: buzzing, ringing, ear pain Y N

35. Dizziness, poor balance, increased motion sickness Y N

36. Lightheadedness, wooziness, difficulty walking Y N

37. Tremor Y N

38. Confusion, difficulty in thinking Y N

39. Difficulty with concentration or reading Y N

40. Forgetfulness, poor short term memory Y N

41. Disorientation: getting lost, going to wrong places Y N

42. Difficulty with speech Y N

43. Mood swings, irritability, depression Y N

44. Disturbed sleep: too much, too little, early awakening Y N

45. Exaggerated symptoms or worse hangover from alcohol Y N

46. Any history of heart murmur or valve prolapse? Y N
************************************************

Lyme Disease Symptoms List

1. Unexplained fevers, sweats, chills, or flushing
2. Unexplained weight change--loss or gain
3. Fatigue, tiredness, poor stamina
4. Unexplained hair loss
5. Swollen glands: list areas____
6. Sore throat
7. Testicular pain/pelvic pain
8. Unexplained menstrual irregularity
9. Unexplained milk production: breast pain
10.Irritable bladder or bladder dysfunction
11.Sexual dysfunction or loss of libido
12.Upset stomach
13.Change in bowel function-constipation, diarrhea
14.Chest pain or rib soreness
15.Shortness of breath, cough
16.Heart palpitations, pulse skips, heart block
17.Any history of a heart murmur or valve prolapse?
18.Joint pain or swelling: list joints_____________
19.Stiffness of the joints, neck, or back
20.Muscle pain or cramps
21.Twitching of the face or other muscles
22.Headache
23.Neck creeks and cracks, neck stiffness, neck pain
24.Tingling, numbness, burning or stabbing sensations, shooting pains
25.Facial paralysis (Bell's Palsy)
26.Eyes/Vision: double, blurry, increased floaters, light sensitivity
27.Ears/Hearing: buzzing, ringing, ear pain, sound sensitivity
28.lncreased motion sickness, vertigo, poor balance
29.Lightheadedness, wooziness
30.Tremor
31.Confusion, difficulty in thinking
32.Diffculty with concentration, reading
33.Forgetfuiness, poor short term memory
34.Disorientation: getting lost, going to wrong places
35.Difficulty with speech or writing
36.Mood swings, irritability, depression
37.Disturbed sleep-too much, too little, early awakening
38.Exaggerated symptoms or worse hangover from alcohol


The following signs/symptoms may be present in those infected with Babesiosis:

Fatigue
Arthralgias
Myalgia
Drenching sweats
Headaches
Emotional lability
Depression
Dark urine
Splenomegaly
Dizziness
Nausea and vomiting
Cough
Dyspnea
Fever
Chills
Hepatosplenomegaly
Jaundice
Malaise
Shortness of breath
Bleeding tendencies, bruising
Thrombocytopenia
Hemoglobinuria
Hyperesthesia
Pulmonary edema
Encephalopathy
Low to normal range leukocyte counts
Possible elevated levels of dehydrogenase, bilirubin,
transaminase*
Anorexia

Approximately 25%- 66% of Babesia patients are known to be co-infected with Lyme disease. These symptoms may continue for long periods of time, decrease, then return. A low Babesiosis titer (IgG) often indicates a chronic infection.

An acute or current infection may show a higher reading on the IgM test initially. There are over 100 species of Babesia in the United States but only ONE or TWO species are currently checked by commercial labs.


BARTONELLA SYMPTOMS
********************


GENERAL: Fatigue, Restlessness, Combative behavior, Myalgias, Malaise, Liver and/or Spleen involvement, Abdominal pain, Infectious Mononucleosis-like Syndrome, Granulomatous Hepatitis

BRAIN: Encephalopathy may occur 1-6 weeks after the initial infection and is fairly common in patients with Bartonella.

Note: Approximately 50 percent of patients who develop Encephalopathy can be affected by seizures (from focal to generalized, and from brief and self-limited to status epilepticus). Headaches, Cognitive Dysfunction, and CNS Lesions may be evident.

RASH AND LYMPHADENITIS: Erythematous papules (red splotches or slightly raised red spots) may develop. Such papules occasionally occur on the lower limbs but are more common on the upper limbs, the
head, and neck. The papules may appear on the skin or mucous membranes. Bartonella may also cause subcutaneous nodules, with some bone involvement possible. The nodules may show some
hyperpigmentation, be tender, fester, and/or be enlarged or swollen, but not always.

EYES: Conjunctivitis, Bartonella Neuroretinitis, Loss of Vision, Flame Shaped Hemorrhages, Branch Retinal Artery Occlusion with Vision Loss, Cotton Wool Exudates, Parinaud's Oculoglandular Syndrome,
and Papilledema.

BONES AND MUSCLES: Osteomyelitis, Myositis, Osteolytic Lesions (softening of bone), Myelitis, Radiculitis, Transverse Myelitis, Arthritis, Chronic Demyelinating Polyneuropathy.

HEART: Endocarditis, Cardiomegaly.
Possible lab findings: The following may show up during standard testing:
Thrombocytopenia, pancytopenia, anemia, elevated serum alkaline phosphatase level, elevated bilirubin, abnormal liver enzymes.

X-ray of the bone may show areas of lysis or poorly-defined areas of cortical destruction with periosteal reaction. Cardiomegaly may show up on a chest X-Ray.

Biopsies of lymph nodes reveal pathology often indistinguishable from sarcoidosis. Reports of biopsies strongly suggestive of lymphoma do occur.
Tests occasionally show an enlarged liver with multiple hypodense areas scattered throughout the parenchyma.


ENDROCRINE ISSUES ... EXAMINING YOUR ADRENALS!

To those exploring endocrine issues: Please, please, please don't forget to examine your adrenals....Some hypothyroid patients may actually make their adrenal fatigue worse by just treating their thyroid (you need to look at both; some doctors are now saying you need to treat/examine your adrenal issues before starting thyroid treatment):....

For optimum results, please look at both...

SIGNS OF ADRENAL FATIGUE:

1) Do you have a hard time falling asleep at night?
2) Do you wake up frequently during the night?
3) Do you have a hard time waking up in the morning early, or feeling refreshed?
4) Do bright lights bother you more than they should?
5) Do you startle easily due to noise?
6) When standing from sitting or from lying down, do you feel lightheaded or dizzy?
7) Do you take things too seriously, and are easily defensive?
8) Do you have difficulty "recovering" (are really sore)from exertion/exercise

******************************************

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