The Three Stages of Lyme Disease

Lyme disease can go through several stages. It may cause different symptoms, depending on how long the patient have been infected and where in his /her body the infection has spread.

A practitioner’s guide

Stages of Lyme Disease

Stage 1 of Lyme Disease

Patient appears with adherent tick or immediately after a tick’s removal at your practice. This is what the patient needs to know:

Location of bite needs to be observed for at least 4 weeks (max. 6 weeks). In case redness occurs (erythema migrans) patient needs to return for reevaluation.

The same should happen in case of feverish temperatures without erythema. Other symptoms like e.g. cephalgia, arthromyalgia, radicular pain syndrome etc., that newly occur to the patient, need to be monitored or observed for at least 3 months.

A laboratory test does only make sense if the tick bite happened during work (exclusion of an existing borreliae infection) or if the patient’s history shows Lyme symptoms. In case the tick still exists, there might be the chance to prove via Borreliae-PCR, whether the tick had been infected. In general there is no need for an immediate investigation regarding lab testing. The only procedure that might be indicated besides, is the examination of the vital blood via darkfield to check the milieu.

Stage 2 of Lyme Disease

Patient describes symptoms or shows clinical findings, which could be due to early manifestation of Borreliosis. The following tests should be done

  • Heavy Metal tests – Identification, quantification and sensitivity
  • Gastrointestinal effect profiling – stool analysis including bacteria, secretory IgA, Calprotectine, EXP, Dysbiosis, Inflammation, Pepsis
  • Darkfield test of live blood
  • Lymphotropic and neurtropic viruses
  • Autonomous Nervous System Test
  • Hormones, incl. thyroid, pituitary and adrenal gland
  • Fatty acids profile
  • Detoxification and antioxidative stress gene profile
  • Food allergies and sensitivities
  • Borreliosis lab diagnostic

Practitioners should always ask if the patient has been bitten by a tick. If so when and what location of the body? The location is very important because of the proximate surroundings that might be affected. If the bite hit the head- or neck region, early neurologic symptoms may appear. If it is close to a joint, arthritis signs resp. pain may occur at the affected joint.

If the history of the patient and clinical findings would suggest Lyme diagnosis a whole body examination of the skin is necessary. Only this way erythema or lymphozytoma might be discovered (also in children: earlobe, mamillae, genitals).

Symptoms and clinical findings of high diagnostic value regarding early manifestation of borreliosis; especially in younger patients regarded as pathognomic:

  • Erythema migrans and similar skin affections
  • Migrant arthromyalgia, transient arthritis, myositidae, bursitidae, enthesitidae
  • Radicular pain syndrome
  • Cephalgia (double sided)
  • Peripheral monoparesis (facial, acral)
  • Disturbance of sensibility
  • Heart rhythm malfunction (tachycardia supravetricular, AV-block picture)

Treatment principles would be:

  1. Detoxification according to the heavy metal burden
  2. Balancing the intestinal flora according to the stool test findings
  3. Enhance upbuilding forces with nutrition and supplements, according to checked food intolerances via IgG4 and lab proven deficiencies in certain vitamins, minerals and trace elements
  4. Immunological support via isopathic remedies and nosodes
  5. ozone treatments as a supporting therapy

Heavy metal detox and milieu improvement can be accomplished through:

  1. Regular detox infusions
  2. Deacidification of the milieu (alkaline diet, i.v.drips)
  3. The immune system should be disburdened by an individual nosode therapy considering and accounting for the tested neurotropic and lymphotropic “viruses”.

Stage 3 of Lyme Disease

Patient arrives with symptoms that could be caused by a late stage infection with borreliae. Always take the history of the patient into consideration. Was there a tick’s bite? Are they at risk? where does the patient work (woods?; outside?), possible hobbies (camping); have they had periods of rashes; try to distinguish between past and acute symptoms. Never forget the body examination: skin affection; bodily changes in the joints, neurologic noticeable problems.

Possible clinical symptoms and findings are:

  • Acrodermatitis chronica atrophicns
  • Mono- or asymmetric oligoarthritidae of the major joints (DD: reactive arthritis)
  • Chronic enthesitidae/ tendonitis
  • Peripheral neuropathies, diffuse pain syndromes, severe paralysis
  • Fokal encephalitis, encephalopathy (brain cramps, eye problems)
  • Depression, tiredness, exhaustion, CFS, MCS

Even in later stage of Lyme the protocol doesn’t differ very much since the paradigms remain the same. 1. Detox, 2. Intestinal flora balance, 3. Enhancement of upbuidling forces, 4. Immune system support.

Depending on the patient’s general condition orthomolecular infusions with mainly antioxidants, neuraltherapies intended as neuro-vegetative stimulation might be used as well as administration of regular phospholipids i.v. drips, especially if neurological symptoms are observed.

Very important:

The unsaturated fatty acids HAVE to get balanced. Often the patients show very low Omega 3 and high arachidonic and/or linolic acid, which are very much pro-inflammatory!

A dietary change is nearly always helpful to increase the immunitary strength.

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