Lyme Science Blog

How to Exercise in Lyme Disease When You’re Homebound “I tried to do a little more… and now I can’t get off the couch.” For many patients, exercise in Lyme disease does not mean workouts or training sessions. It may mean trying to stand, shower, or walk across a room without triggering a crash afterward.

Lyme vs Long COVID: Why Symptoms Overlap and Get Missed Lyme vs Long COVID can be difficult to tell apart Brain fog, dizziness, fatigue, and dysautonomia may overlap Careful clinical evaluation matters when symptoms persist “Is this Lyme… or long COVID?” Patients ask me this with a mix of fear and exhaustion. They describe the

Lyme Disease Alcohol Intolerance: Why You Can’t Tolerate Alcohol Anymore Lyme disease alcohol intolerance is a common but often overlooked symptom involving autonomic dysfunction, immune sensitivity, and altered physiologic resilience. Many patients describe a striking shift after becoming ill. What was once an ordinary social experience becomes unpredictable and uncomfortable, with flushing, dizziness, anxiety, nausea,

Post-Exertional Malaise in Lyme Disease Explained Many patients with Lyme disease describe a confusing pattern: they complete a workout, busy day, or stressful activity without immediate difficulty — only to crash hours later. Post-exertional malaise (PEM) refers to a delayed worsening of symptoms after physical, cognitive, or emotional exertion. Instead of symptoms appearing during activity,

Black Teeth After Antibiotics in Lyme Disease: Causes and Reversible Solutions Black stains on teeth can look frightening. But antibiotic-related discoloration is often reversible. Sometimes the enamel underneath is completely healthy. A Case That Surprised Both Patient and Clinician One of my patients recently developed black teeth after taking antibiotics for Lyme disease. The discoloration

Why Am I So Sensitive to Light and Sound? For some Lyme disease patients, light sensitivity in Lyme disease and sound sensitivity are among the earliest and most disruptive neurologic symptoms. The brightness of kitchen lights may feel blinding, and the sound of a spoon dropping can trigger a jolt of discomfort. Patients often dim

Lyme Tinnitus and Ear Fullness: Causes and Why It Won’t Stop Lyme tinnitus and ear fullness can be persistent and unsettling—especially when your hearing tests are normal, yet the ringing, pressure, or blocked sensation won’t go away. Many patients are told “everything looks fine.” But in Lyme disease, these symptoms often reflect neurologic, inflammatory, and

Brain Zaps and Internal Vibrations in Lyme Disease: Why They Happen Quick Answer: Brain zaps and internal vibrations in Lyme disease are neurologic symptoms linked to central sensitization, autonomic dysfunction, and neuroinflammation. These sensations reflect altered nerve signaling—not anxiety—and often occur during flares or nervous system instability. The electrical jolts started without warning. Every few

Can Lyme Disease Cause Bladder Pain or Urgency? Many patients come to me after months of bladder discomfort that no one can explain. They describe pelvic pressure, burning, or an overwhelming urge to urinate — yet every culture, scan, and exam has been normal. They tell me things like, “My bladder feels inflamed,” or, “It’s