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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