The Early Warning Signs of a Lyme Flare That Patients Know Before It Hits You’re not “sick” yet.But your body knows.You feel the shift — before the symptoms have a name. It might start with a flash of irritability.Or a strange sense of clarity that doesn’t match your day.Then the fatigue rolls in. And you […]
25 Warning Signs of Lyme disease Read More »
If your digestion has slowed and nothing seems to help, you’re not alone Constipation is a common and often frustrating symptom in people with Lyme disease. Some patients notice fewer bowel movements. Others experience hard stools, straining, bloating, or a constant sense of incomplete emptying despite adequate hydration and fiber. This symptom is common in
Why Constipation Is Common in Lyme Disease Read More »
The debate over chronic Lyme vs PTLDS isn’t just about words—it’s about whether patients feel validated or dismissed. Many patients use chronic Lyme disease to describe ongoing fatigue, pain, and brain fog. Some clinicians prefer post-treatment Lyme disease syndrome (PTLDS), a term that sounds more neutral but often feels minimizing. Did You Know? Most patients
Chronic Lyme vs PTLDS: The Debate Read More »
Many patients expect Lyme disease to resolve once antibiotic treatment is completed. For some, however, symptoms persist or evolve long after therapy ends. Post-treatment Lyme disease syndrome (PTLDS) is commonly used to describe ongoing fatigue, pain, cognitive dysfunction, and neurologic symptoms that persist long after standard treatment for Lyme disease. For patients, PTLDS is not
What Is Post-Treatment Lyme Disease Syndrome (PTLDS)? Read More »
Many patients with Lyme disease experience persistent symptoms that are increasingly understood to involve immune dysregulation, even long after the initial infection has been treated. These symptoms are often misunderstood or minimized. Increasingly, they are recognized as reflecting immune dysregulation and neuroinflammation—a state in which immune signaling fails to return fully to baseline and continues
Immune Dysregulation in Lyme Disease Read More »
When Vision Doesn’t Let Go Some patients notice that an image disappears, but their vision does not fully reset. Lights may trail, words linger on the page, or objects seem to echo briefly in space. These experiences can be confusing and unsettling, particularly when they occur without warning. This phenomenon is known as palinopsia. Although
When Vision Lingers: Understanding Palinopsia and Repeating Images Read More »
When symptoms persist beyond what medicine can easily explain Author’s note: I wrote this because I often meet patients who have been told there is nothing more to do, even though their symptoms persist. This post explains why that phrase usually reflects the limits of a medical framework—not the limits of a patient’s illness or
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When Symptoms Are Blamed on Aging Symptoms blamed on aging are often accepted without question. A patient noticed a gradual decline in stamina as routine activities became exhausting, sleep no longer felt restorative, and shortness of breath appeared with simple tasks. He assumed it was just getting older. Aging explains some changes, but it should
When Symptoms Are Blamed on Aging, Look Deeper Read More »
She came to see me after months of feeling dismissed. She was experiencing Lyme bladder pain — pressure, burning, and urgency that felt exactly like a UTI, yet every test came back normal. She is not the only one. Many women quietly live with bladder pain due to Lyme disease. They are often told it’s stress,
Can Lyme cause bladder pain or urgency? Read More »
He wasn’t losing his mind—he was losing time. Each week blurred into the next as fatigue and fog deepened. When he finally came to my office, he’d already accepted a diagnosis that wasn’t quite right. A patient came to me months after recovering from COVID-19. He still felt drained—exhausted, foggy, and plagued by a burning
Long COVID or Lyme Disease? When Symptoms Don’t Add Up Read More »
