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Lyme disease - NHS

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A circular or oval shape rash around a tick bite can be an early symptom of Lyme disease in some people. The rash can appear up to 3 months after being ... Skiptomaincontent Home HealthAtoZ BacktoHealthAtoZ Lymedisease Lymediseaseisabacterialinfectionthatcanbespreadtohumansbyinfectedticks.It'susuallyeasiertotreatifit'sdiagnosedearly. SymptomsofLymedisease AcircularorovalshaperasharoundatickbitecanbeanearlysymptomofLymediseaseinsomepeople.Therashcanappearupto3monthsafterbeingbittenbyaninfectedtick,butusuallyappearswithin1to4weeks.Itcanlastforseveralweeks.Therashcanhaveadarkerorlighterareainthecentreandmightgraduallyspread.It'snotusuallyhotoritchy.Therashmaybeflat,orslightlyraised,andlookpink,red,orpurplewhenitappearsonwhiteskin.Itcanbehardertoseetherashonbrownandblackskinanditmaylooklikeabruise. Therashmaylooklikeabullseyeonadartboard. Credit: Sometimestheedgesoftherashmayfeelslightlyraised. Credit: Somepeoplealsogetflu-likesymptomsafewdaysorweeksaftertheywerebittenbyaninfectedtick,suchas:ahightemperature,orfeelinghotandshiveryheadachemuscleandjointpaintirednessandlossofenergy OthersymptomsofLymedisease SomepeoplewithLymediseasedevelopmoreseveresymptomsmonthsoryearslater.Thisismorelikelyiftreatmentisdelayed.Thesemoreseveresymptomsmayinclude:painandswellinginjointsnerveproblems–suchaspainornumbnessheartproblemstroublewithmemoryorconcentration ThechanceofgettingLymedisease NotallticksinEnglandcarrythebacteriathatcausesLymedisease.Butit'sstillimportanttobeawareofticksandtosafelyremovethemassoonaspossible,justincase.TicksthatmaycauseLymediseasearefoundallovertheUK,buthigh-riskplacesincludegrassyandwoodedareasinsouthernandnorthernEnglandandtheScottishHighlands. Whatareticks? Credit: Ticksaretinyspider-likecreaturesthatliveinwoods,areaswithlonggrass,andsometimesinurbanparksandgardens.They'refoundallovertheUK.Ticksdonotjumporfly.Theyattachtotheskinofanimalsorhumansthatbrushpastthem.Onceatickbitesintotheskin,itfeedsonbloodforafewdaysbeforedroppingoff. Howtospotandremoveticks Important Tickbitesarenotalwayspainful.Youmaynotnoticeatickunlessyouseeitonyourskin.Regularlycheckforticksonyourclothesandskin,andonchildrenandpetsafterbeingoutdoors. Toremoveaticksafely:Usefine-tippedtweezersoratick-removaltool.Youcanbuythesefromsomepharmacies,vetsandpetshops.Graspthetickasclosetotheskinaspossible.Slowlypullupwards,takingcarenottosqueezeorcrushthetick.Disposeofitwhenyouhaveremovedit.Cleanthebitewithantisepticorsoapandwater.Thechanceofgettingillislow.Youdonotneedtodoanythingelseunlessyounoticearashorbecomeunwell. Howtoremoveaticksafely. Credit: Non-urgentadvice:SeeaGPif: you'vebeenbittenbyatickorvisitedanareainthepast3monthswhereinfectedtickscouldbeandyouhave:flu-likesymptoms–suchasfeelinghotandshivery,headaches,achingmusclesorfeelingsick,oraroundorovalshaperashTellthemifyouhaverecentlybeeninforestsorgrassyareas. Information: Coronavirus(COVID-19)update:howtocontactaGPIt'sstillimportanttogethelpfromaGPifyouneedit.TocontactyourGPsurgery:visittheirwebsiteusetheNHSAppcallthemFindoutaboutusingtheNHSduringCOVID-19 WhathappensatyourappointmentTheGPwillaskaboutyoursymptomsandconsideranyrashorrecenttickbitesyouknowabout.Lymediseasecanbedifficulttodiagnose.Ithassimilarsymptomstootherconditionsandthere'snotalwaysanobviousrash.2typesofbloodtestareavailabletohelpconfirmorruleoutLymedisease.Butthesetestsarenotalwaysaccurateintheearlystagesofthedisease.YoumayneedtoberetestedifyoustillhaveLymediseasesymptomsafteranegativeresult. TreatmentfromaGP IfaGPthinksyoumighthaveLymedisease,they'llprescribeacourseofantibiotics.Theantibioticsyou'regivenwilldependonyoursymptoms,butyoumayneedtotakethemforupto28days.It'simportanttofinishthecourse,evenifyoustarttofeelbetter.Somepeoplewithseveresymptomswillbereferredtoaspecialistinhospitalsoantibioticscanbegivendirectlyintoavein.MostpeoplewithLymediseasegetbetterafterantibiotictreatment.Thiscantakemonthsforsomepeople,butthesymptomsshouldimproveovertime.PeoplewithsymptomsofLymediseasethatlastalongtimeaftertreatmentmaybereferredtoaspecialistinhospitalforadviceandmorebloodtests. Important SomewebsitesoffertestsandtreatmentforLymediseasethatmaynotbesupportedbyscientificevidence.Speaktoadoctorforadvicebeforebuyingtestsortreatmentonline. Howtoavoidtickbites Toreducethechanceofbeingbitten:coveryourskinwhilewalkingoutdoorsandtuckyourtrousersintoyoursocksuseinsectrepellentonyourclothesandskin–productscontainingDEETarebeststayonclearpathswheneverpossiblewearlight-colouredclothingsoticksareeasiertoseeandbrushoff OngoingsymptomsofLymedisease AfewpeoplewhoarediagnosedandtreatedforLymediseasecontinuetohavesymptoms,liketiredness,achesandlossofenergy,thatcanlastforyears.Thesesymptomsareoftencomparedtofibromyalgiaandchronicfatiguesyndrome.It'snotclearwhythishappenstosomepeopleandnotothers.Thismeansthere'salsonoagreedtreatment.Speaktoadoctorifyoursymptomscomeback,ordonotimprove,aftertreatmentwithantibiotics.Thedoctormaybeabletoofferyoufurthersupportifneeded,suchas:referralforacareneedsassessmenttellingyouremployer,schoolorhighereducationinstitutionthatyourequireagradualreturntoactivitiescommunicatingwithchildrenandfamilies'socialcare Pagelastreviewed:05July2021 Nextreviewdue:05July2024

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