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Suggest Treatment For Chronic Lyme Disease

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Posted on Tue, 25 Apr 2017
Question: I have chronic Lyme disease. Recently I have noticed that I have a sudden need to pee and cannot make it to the bathroom in time at times. This is new to me and want some advice
doctor
Answered by Dr. salah saad shoman (1 hour later)
Brief Answer:
Bladder neuropathy

Detailed Answer:
Dear sir, chronic Lyme disease can cause urinary urgency due to bladder neuropathy. this will require treatment by an anti muscarinic medication as oxybutinine . This is a perscribtion medication that will require that you get back to your doctor for the perscribtion .
you also need to exclude the presence of a urinary tract infection by a urine analysis
you also need to exclude the presence of prostatitis by pelvic ultrasound
I hope I answered your question. if you don't have any other clarifications then please close the discussion.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. salah saad shoman (1 hour later)
Thank-you for your reply. I've had periodic prostatitis since I've had Lyme. It's been treated by anti-biotics if I have an accompanying fever. But the antibiotics worsen the Lyme. So it's a balancing act
doctor
Answered by Dr. salah saad shoman (15 minutes later)
Brief Answer:
Currently no need for antibiotics

Detailed Answer:
Dear sir, since you do not have fever then there will be no need to antibiotics unless you are diagnosed with a urinary tract infection. but you need to follow up on your prostatitis as long standing inflammation of the prostate may lead to prostatic hyperplasia which is enlargement of the prostate . I hope I answered your question. if you don't have any other calcification then please close the discussion
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. salah saad shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 3150 Questions

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Suggest Treatment For Chronic Lyme Disease

Brief Answer: Bladder neuropathy Detailed Answer: Dear sir, chronic Lyme disease can cause urinary urgency due to bladder neuropathy. this will require treatment by an anti muscarinic medication as oxybutinine . This is a perscribtion medication that will require that you get back to your doctor for the perscribtion . you also need to exclude the presence of a urinary tract infection by a urine analysis you also need to exclude the presence of prostatitis by pelvic ultrasound I hope I answered your question. if you don't have any other clarifications then please close the discussion.