Symptom Checklist for Lyme-Associated Disease

July 18, 2018

This checklist by Joseph Burrascano, M.D. (reprinted with permission from the author), is not intended for diagnosis but only to show how easily we can be exposed to tick bites and what a broad range of symptoms can be associated with Lyme Disease.

Did you know that:

Only 17% of people with a diagnosis of Lyme Disease ever remember getting a tick bite.

Only 36% of people with a diagnosis of Lyme Disease ever recall having a bull’s eye rash
or other warning sign of having been bitten by a tick.

Only proper laboratory testing can help determine if multiple symptoms are due to Lyme Disease.

These factors increase the risk for tick bites:                                  Have you had many of the following symptoms?
     1.  Unexplained fevers, sweats, chills, flushing
Visiting tick-infested area    2.  Unexplained weight change (loss or gain)
Frequent outdoor activities    3.  Fatigue, tiredness, poor stamina
Hiking    4.  Unexplained hair loss
Fishing    5.  Swollen glands
Camping    6.  Sore throat
Gardening    7.  Testicular pain / pelvic pain
Hunting    8.  Unexplained menstrual irregularity
Ticks noted on pets    9.  Unexplained milk production or breast pain
    10.  Irritable bladder or bladder dysfunction
Risk of Lyme increases if you:   11.  Sexual dysfunction or loss of libido
Remember being bitten by a tick   12.  Upset stomach or abdominal pain
Have or have had a bull’s eye rash   13.  Change in bowels (constipation or diarrhea)
Have any other suspect rash   14.  Chest pain or rib soreness
Have other household members   15.  Shortness of breath, cough
who developed Lyme Disease   16.  Heart palpitations or pulse skips
    17.  History of heart murmur or prolapsed valve
    18.  Joint pain or swelling of joints
    19.  Stiffness of joints or back
    20.  Muscle pain or cramps
    21.  Twitching of the face or other muscles
    22.  Headache
    23.  Neck creaks and cracks, neck stiffness or pain
    24.  Tingling and numbness, burning/stabbing pain
    25.  Skin hypersensitivity
    26.  Facial paralysis (Bell’s Palsy)
    27.  Ears buzzing, ear pain, sound sensitivity
    28.  Double vision, blurry vision, light sensitivity
    28.  Motion sickness, vertigo, poor balance
    29.  Lightheadedness, unavoidable need to sit or lie
    30.  Tremor
    31.  Confusion, difficulty thinking
    32.  Difficulty with concentration and reading
    33.  Forgetfulness, poor short-term memory
    34.  Disorientation and getting lost
    35.  Difficulty with speech or writing
    36.  Mood swings, irritability, depression
    37.  Disturbed sleep (too much or too little)
    38.  Fractionated sleep, early awakening
    39.  Exaggerated symptoms from drinking alcohol


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