{"id":31168,"date":"2021-05-18T09:30:06","date_gmt":"2021-05-18T13:30:06","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=31168"},"modified":"2021-05-24T14:43:50","modified_gmt":"2021-05-24T18:43:50","slug":"lyme-disease-symptoms","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/lyme-disease-symptoms\/","title":{"rendered":"Lyme disease symptoms\u2014and how to protect yourself"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">As summer gears up, so do the bugs. Before heading outdoors, plan how you can ward off those pesky insects\u2014especially ticks. There are a variety of tick-borne diseases, but Lyme disease is the most common. More than<\/span> <a href=\"https:\/\/www.cdc.gov\/lyme\/datasurveillance\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">30,000 cases<\/span><\/a><span style=\"font-weight: 400;\"> of Lyme disease are reported to the U.S. Centers for Disease Control and Prevention (CDC) each year, although experts suggest the numbers of actual cases are actually much larger.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In North America, when a particular kind of tick infected with a certain type of<\/span> <span style=\"font-weight: 400;\">bacteria burrows into your body and bites, it may cause a bull\u2019s-eye-shaped rash and flu-like symptoms\u2014two hallmark Lyme disease symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the northeast and mid-Atlantic regions, it\u2019s spread by blacklegged ticks, or deer ticks, carrying <\/span><i><span style=\"font-weight: 400;\">Borrelia burgdorferi (B. burgdorferi) <\/span><\/i><span style=\"font-weight: 400;\">bacteria. On the West Coast, the western blacklegged tick is the vector for this infection. But in the Upper Midwest, the blacklegged tick may be spreading either the <\/span><i><span style=\"font-weight: 400;\">Borrelia mayonii<\/span><\/i><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">B. mayonii) <\/span><\/i><span style=\"font-weight: 400;\">bacteria or the <\/span><i><span style=\"font-weight: 400;\">B. burgdorferi<\/span><\/i><span style=\"font-weight: 400;\"> bacteria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both kinds of bacteria can lead to Lyme, so wherever you live, be prepared as the weather warms up and you start spending more time outside.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Early signs of Lyme disease<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The ticks that spread Lyme disease are so small that a tick bite might go unnoticed\u2026until you start developing the early Lyme disease symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s usually the nymphs, or immature versions of these ticks, that are most likely to bite and spread the disease, according to the CDC\u2014and they\u2019re tiny. Blacklegged nymphs are less than 2 millimeters in size, about the size of a poppy seed. So, they\u2019re extremely hard to see, especially since they tend to home in on areas like the groin, underarm, and scalp.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Since they\u2019re easy to miss, even if you\u2019re carefully scanning your body for ticks, be vigilant for the early symptoms of Lyme disease. The symptoms typically will begin somewhere between three and 30 days after an infected tick bites you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.cdc.gov\/lyme\/signs_symptoms\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">symptoms of Lyme disease<\/span><\/a><span style=\"font-weight: 400;\"> may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Erythema migrans (EM) rash, also known as a bull\u2019s-eye rash<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chills<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle pain and aches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joint pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Swollen lymph nodes<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you get bitten by a tick carrying the <\/span><i><span style=\"font-weight: 400;\">B. mayonii<\/span><\/i><span style=\"font-weight: 400;\"> bacteria, you might also experience some nausea and vomiting, as well as more widespread rashes, according to the CDC.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The EM rash is the hallmark symptom of Lyme disease. It develops close to the site of the tick bite. It can expand over several times, and while the size can vary, in some people, the rash may eventually achieve a diameter of 12 inches.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As many as 70% to 80% of the people who get infected develop the erythema migrans rash. However,<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/atypical-lyme-disease-symptoms\/\"><span style=\"font-weight: 400;\">not everyone gets the bull\u2019s-eye rash<\/span><\/a><span style=\"font-weight: 400;\">, cautions <\/span><a href=\"https:\/\/www.newhaven.edu\/faculty-staff-profiles\/eva-sapi.php\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Eva Sapi, Ph.D.<\/span><\/a><span style=\"font-weight: 400;\">, a professor of cellular and molecular biology at the University of New Haven in Connecticut and an expert in Lyme disease research. It might just look like a rash. It may be round, or it could be oval-shaped, and it may have a clear center, but it might not.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">What other rashes look like Lyme disease?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Here\u2019s where things can get a little tricky. Other rashes can mimic the bull\u2019s-eye rash that\u2019s typically associated with Lyme disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For example, you might have insect bite hypersensitivity and develop a large, itchy red rash at the site of a bite that may resemble erythema migrans. Other rashes that could be the culprit include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ringworm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hives (also known as urticaria multiforme)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pityriasis rosea rash<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Granuloma annulare rash<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/ringworm-in-kids\/\"><b>Ringworm vs. other rashes<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Later symptoms of Lyme disease<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The flu-like symptoms and bull\u2019s-eye rash are usually considered stage 1 symptoms. <\/span><a href=\"https:\/\/www.aad.org\/public\/diseases\/a-z\/lyme-disease-signs\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">The next stage of symptoms<\/span><\/a><span style=\"font-weight: 400;\"> begins when the bacteria spreads around your body, according to the American Academy of Dermatology (AAD).\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During stage 2, you may develop small rashes on your arms, legs, and face\u2014although the rashes can appear almost anywhere except your palms and soles of your feet. You might also develop a dark lump known as a borrelial lymphocytoma on an earlobe or near a nipple.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These symptoms may show up within 30-45 days after the tick bite, or it may take as long as six months for them to develop.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Along the way, you might also develop some other symptoms, such as fever, muscle aches, intermittent arthritis, headaches, dizziness, shortness of breath. Some people even develop a temporary droop on one side of their face, a condition known as Bell\u2019s Palsy. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/heart-palpitations\/\"><span style=\"font-weight: 400;\">Heart palpitations<\/span><\/a><span style=\"font-weight: 400;\"> or an irregular heartbeat are other later-stage symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The AAD reports that these late stage symptoms should clear up within about three weeks if they\u2019re treated. If untreated, they may continue to come and go indefinitely and\/or cause permanent damage.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">What is Lyme arthritis?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A few weeks after you become infected with Lyme disease, it\u2019s possible that you may develop Lyme arthritis. Lyme arthritis makes up about 25% of every Lyme disease case reported to the CDC.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lyme arthritis is essentially the effect of inflammation that can develop if the infection moves into the joints. The joint may feel warm, swollen, and tender to the touch. It might hurt when you move it.\u00a0 Although it can affect more than one joint, the classic presentation is in the knee, notes<\/span> <a href=\"https:\/\/www.hopkinsmedicine.org\/profiles\/details\/paul-auwaerter\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Paul Auwaerter<\/span><\/a><span style=\"font-weight: 400;\">, MD, the clinical director of the division of infectious disease and professor of medicine at Johns Hopkins University School of Medicine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The typical treatment for Lyme arthritis is a 28-day course of oral antibiotic treatment. A persistent case may necessitate a second round of antibiotics, usually intravenous antibiotics. \u201cUsually younger people do very well,\u201d Dr. Auwaerter says. \u201cBut some people do need that second round of antibiotics.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can take over-the-counter pain relievers at the same time if need be to reduce the pain you may feel, too, says<\/span> <a href=\"https:\/\/www.pharmacistmomsgroup.com\/about-the-founder\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Suzanne Soliman<\/span><\/a><span style=\"font-weight: 400;\">, Pharm.D., the founder of the Pharmacist Moms Group.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">And if the pain and swelling don\u2019t dissipate, you may want to see your doctor for further evaluation. Persistent inflammation could be the result of an autoimmune condition that could require its own specific treatment, says Dr. Auwaerter.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The infection can also spread into the peripheral or central nervous system, leading to a condition called neurologic Lyme disease. Depending on which nerves are affected, a person might experience some facial palsy, some numbness or tingling in their arms and legs, or develop Lyme meningitis, which can cause symptoms like headache, neck stiffness, fever, and sensitivity to light. Antibiotics are typically involved in treatment for this condition, too.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Can Lyme disease go away on its own?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Here\u2019s some good news: It is possible that your body\u2019s immune system will clear the disease all on its own, according to Dr. Auwaerter. But you might not want to count on it.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medications for Lyme disease<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">You may need<\/span> <a href=\"https:\/\/www.singlecare.com\/conditions\/lyme-disease-treatment-and-medications\"><span style=\"font-weight: 400;\">medication<\/span><\/a><span style=\"font-weight: 400;\">, specifically a round of antibiotics to knock out the infection, preferably in the early stages. Usually, doctors prescribe<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/doxycycline\/what-is\"><span style=\"font-weight: 400;\">doxycycline<\/span><\/a><span style=\"font-weight: 400;\">,<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amoxicillin\/what-is\"><span style=\"font-weight: 400;\"> amoxicillin<\/span><\/a><span style=\"font-weight: 400;\">, or<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cefuroxime-axetil\/what-is\"><span style=\"font-weight: 400;\"> cefuroxime<\/span><\/a><span style=\"font-weight: 400;\"> to treat the erythema migrans rash. People who can\u2019t tolerate those antibiotics might be able to take macrolide antibiotics instead<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><strong><span class=\"title\">Medications that treat Lyme disease <\/span><\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td>\n<p style=\"text-align: center;\"><span style=\"color: #ffffff;\"><b>Drug name<\/b><\/span><\/p>\n<\/td>\n<td style=\"text-align: center;\"><span style=\"color: #ffffff;\"><b>Drug class<\/b><\/span><\/td>\n<td style=\"text-align: center;\"><span style=\"color: #ffffff;\"><b>When used<\/b><\/span><\/td>\n<td>\n<p style=\"text-align: center;\"><span style=\"color: #ffffff;\"><b>Get coupon<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Doxycycline<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tetracycline antibiotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Used to treat early stage Lyme Disease symptoms, including erythema migrans rash<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/doxycycline-hyclate\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Amoxicillin<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Penicillin-like antibiotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Used to treat early stage Lyme Disease symptoms, including erythema migrans rash<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/amoxicillin\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Cefuroxime<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Cephalosporin antibiotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Used to treat early stage Lyme Disease symptoms, including erythema migrans rash<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/cefuroxime-axetil\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Azithromycin<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Macrolide antibiotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Used to treat erythema migrans in people intolerant of other antibiotics<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/azithromycin\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Clarithromycin<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Macrolide antibiotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Used to treat erythema migrans in people intolerant of other antibiotics<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/clarithromycin\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Erythromycin<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Macrolide antibiotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Used to treat erythema migrans in people intolerant of other antibiotics<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/erythromycin\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Could you turn to a home remedy? Maybe to alleviate some discomfort at the site of the tick bite but not in an attempt to knock out the infection. \u201cPersonally, as a pharmacist, I would always recommend an antibiotic,\u201d Dr. Soliman says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019re uncertain, you can monitor the site of a tick bite, and if you notice that a rash is spreading, which is typical of erythema migrans, consult your healthcare provider. \u201cIf you\u2019re unsure, draw a circle around the edges,\u201d suggests Dr. Auwaerter. \u201cIf it&#8217;s substantially larger by the next morning, you might want to have a doctor look at it.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your doctor can run blood tests to look for antibodies in your blood, but it can take a few weeks for your body to start producing them. It\u2019s also important to understand that those<\/span> <a href=\"https:\/\/www.cdc.gov\/lyme\/diagnosistesting\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">antibodies can linger<\/span><\/a><span style=\"font-weight: 400;\"> for months or years after the infection clears up, according to the CDC.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">What if the symptoms stick around? Some people develop what is called<\/span> <a href=\"https:\/\/www.cdc.gov\/lyme\/postlds\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">post-treatment Lyme disease syndrome<\/span><\/a><span style=\"font-weight: 400;\">. Essentially, these people may have pain, fatigue, and difficulty concentrating or thinking for more than six months after they conclude their antibiotic treatment for Lyme disease. Why it happens, though, is not well understood. \u201cThat remains a mystery,\u201d Dr. Auwaerter says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You may also have heard some people call it \u201c<\/span><a href=\"https:\/\/www.niaid.nih.gov\/diseases-conditions\/chronic-lyme-disease\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">chronic Lyme disease<\/span><\/a><span style=\"font-weight: 400;\">\u201d but the National Institute of Allergy and Infectious Diseases (NIAID) notes that experts typically don\u2019t believe that term is clearly defined enough to use.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, additional antibiotics are unlikely to be necessary at that point, says Dr. Auwaerter. The NIAID also notes that research has shown that long-term antibiotic therapy is not effective. There may be other conditions that could be the culprit for the fatigue and pain, and it\u2019s worth getting checked out to make sure that you don\u2019t have another condition.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Prevention<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Of course, as with other infectious diseases, the best way to deal with Lyme disease is to<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/tick-bites-prevention-treatment\/\"> <span style=\"font-weight: 400;\">prevent<\/span><\/a><span style=\"font-weight: 400;\"> Lyme disease from occurring in the first place. There is not currently a Lyme disease vaccine on the market.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So, you want to watch out for those<\/span> <a href=\"https:\/\/www.cdc.gov\/lyme\/transmission\/blacklegged.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">blacklegged ticks<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">Ixodes scapularis<\/span><\/i><span style=\"font-weight: 400;\"> and <\/span><i><span style=\"font-weight: 400;\">Ixodes pacificus<\/span><\/i><span style=\"font-weight: 400;\">). Here\u2019s how to be proactive and (hopefully) ward off the ticks before they can infect you.\u00a0\u00a0\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Avoid areas where ticks tend to lurk.<\/b><span style=\"font-weight: 400;\"> But don\u2019t assume that just because you\u2019ve stayed out of wooded areas that you\u2019re in the clear. Researchers recently found Western black-legged ticks that were carrying <\/span><i><span style=\"font-weight: 400;\">B. burgdorferi<\/span><\/i><span style=\"font-weight: 400;\"> bacteria in beaches in northern California in numbers similar to those in wooded areas. They published their results of their<\/span> <a href=\"https:\/\/aem.asm.org\/content\/early\/2021\/04\/15\/AEM.00319-21\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> in the journal <\/span><i><span style=\"font-weight: 400;\">Applied and Environmental Microbiology<\/span><\/i><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Wear the right clothes. <\/b><span style=\"font-weight: 400;\">Some experts call this approach dressing defensively. If you\u2019re planning outdoor activities, especially in high grass or wooded areas or other places where you may be vulnerable, wear closed-toe shoes, long-sleeved shirts and long pants. In fact, some experts suggest tucking your pant legs into your shoes or socks to keep ticks from crawling up. You might also choose light-colored clothes, since ticks are more visible on the lighter-colored fabric.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Use insect repellent.<\/b><span style=\"font-weight: 400;\"> An<\/span> <a href=\"https:\/\/www.epa.gov\/insect-repellents\/find-repellent-right-you\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">EPA-registered<\/span><\/a><span style=\"font-weight: 400;\"> product containing DEET can repel ticks. Dr. Soliman likes products containing picaridin as an alternative to DEET. You might also treat your clothes and your shoes with<\/span> <a href=\"https:\/\/tickencounter.org\/prevention\/permethrin\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">permethrin<\/span><\/a><span style=\"font-weight: 400;\">, an insecticide that\u2019s highly toxic to ticks.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Do a thorough tick-check when you come inside. <\/b><span style=\"font-weight: 400;\">\u201cWhen we get home, our rule is that we take off all clothes and everyone showers and then all the clothes go straight into the washer and dryer,\u201d Dr. Sapi says. \u201cWhen you\u2019re in the shower, check everything. You just don\u2019t know where they might hide on your body.\u201d<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Remove ticks carefully if you spot them. <\/b><span style=\"font-weight: 400;\">The CDC recommends using<\/span> <a href=\"https:\/\/www.cdc.gov\/lyme\/removal\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">fine-tipped tweezers<\/span><\/a><span style=\"font-weight: 400;\"> for tick removal. Grasp the tick as close to the skin as possible, pull steadily upward and make sure you remove all parts of the tick.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">If you have any questions or concerns, seek out your healthcare provider for medical advice on how to proceed.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As summer gears up, so do the bugs. Before heading outdoors, plan how you can ward off those pesky insects\u2014especially ticks. There are a variety of tick-borne diseases, but Lyme disease is the most common. More than 30,000 cases of Lyme disease are reported to the U.S. Centers for Disease Control and Prevention (CDC) each [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":31365,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[12164,790,8905],"coauthors":[9482],"class_list":["post-31168","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-arthritis","tag-chronic-disease","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Lyme disease symptoms\u2014and how to protect yourself<\/title>\n<meta name=\"description\" content=\"The hallmark symptom is the bull\u2019s-eye rash, but there are other stages and Lyme disease symptoms you should 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