
Suggest Treatment For Advanced Stage Lyme Disease

Late stage lyme and ammoniacal smell during enema
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Ammonia is produced in the intestine from dietary protein, deamination of glutamine via glutaminase and bacterial action ( urease-containing bacteria )in the colon. The intestine is an important source of ammonia generation through the uptake and breakdown of glutamine by enterocytes. In patients with chronic persistent encephalopathy daily enemata (hyperosmolar -both neutral phosphate and lactulose enemata) is generally used to encourage ammonia extraction.Hence enema can give rise to ammoniacal smell to stool,particularly if hyperosmolar enema is used.
Lyme disease can produce acute hepatitis (though less common) in the early stage of infection but no hepatic involvement is known in Late Infection: Stage 3 (Persistent Infection) as it seems to be in your case.
Liver function tests and serum ammonia level will be useful .
Ammoniacal smell of stool is not related to Lyme disease but more with regular use of enema(indication you have not clearly mentioned).
Regards
Dr. T.K. Biswas M.D. XXXXXXX


Lyme disease
Detailed Answer:
Use of coffee enema to cleanse up the rectum and large intestines is controversial.You may not continue it.More than 90% of patients whose Lyme
disease is treated with the regimens including oral and or IV antibiotics has satisfactory outcomes.Hopefully you will fully recover.
Regards
Dr. T.K. Biswas M.D. XXXXXXX

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