Question: I was writing again with another question concerning my 18-year-old son. He has been treated for Lyme Disease by a Lyme Disease Specialist since last October. Before that, he was being treated by a regular disease specialist since XXXXXXX for lyme disease. He has had symptoms for it since last March but wasn't diagnosed until XXXXXXX His symptoms have never gotten better, stayed the same the whole time. He still is lethargic with a low-grade headache that never leaves. I'm also concerned now because the whites of his eyes are looking yellow. He said seven people at college commented about it also. His last blood test, his Bilirubin total was 2.2. The Glucose Serum said 61 and indicated that was low. He is getting a blood test every two to three weeks due to the amount of medicine he's taking. We don't know what to do next. Nothing seems to be working. If there's anything in his diet that he should also include to help with his liver and eyes, please let me know. Below are his current prescriptions:

Dear Dr. Biswas,
Thank you so much for all of your helpful information. This has been such a stressful year with XXXXXXX not feeling like himself and trying to get good grades while away at college. His SGOT was 19 and his SGPT was 15. He has been on constant antibiotics since last XXXXXXX with symptoms starting in March but not diagnosed for three and a half months. He started out with Doxycyline, 100 milligrams, twice a day for two months, and didn't help. The doctor then ordered a spinal to take fluid out of spine to test for lyme. The result came back a mild positive for lyme from the fluid. He then told us he didn't know what to do next. That's when we took him to lyme specialist. XXXXXXX started there with high dose of Amoxycillin and 1/2 tablet Azythromycin each day, along with probenacid to keep the antibiotic in his system longer. After that, he took Cefdinar for about a month with Azythromycin. Then she added the mepron. He's also taking the supplements. Nothing seems to take the headache away and is still tired. His doctor is wanting to keep him on the Doxycycline and Azythromycin through his spring semester. And then when he comes home, if still not better, to start the IV treatment. As he plays golf, she didn't think he could have an iv line in his arm. I'm wondering if he should stop the antibiotics since they are not helping and then wait until this summer for the IV treatment or get several doses of IV treatment now and see if that helps. He is also taking Mepron, which I'm wondering if that is causing more problems with his liver than helping. I just don't see the benefit of taking antibiotics for such a long period of time. But if he stopped them, would the infection get worse? Lyme Disease is such an unknown disease, it seems. Also, is there anything he should be doing for the mild jaundice? I apologize for this lengthy question but your answer was very helpful. Thank you so much for the time and thought you have taken to help us. It means more than you know.
XXXXXXX

Dear Dr. Biswas,

Thank you so much for your answer. You have been the most helpful so far. Because of his elevated liver enzymes and yellowish eyes, should he just stop the mepron and keep taking the doxycycline? Or just stop the oral therapy for now and see about the next step for IV treatment? Would he need to be admitted into the hospital for 14-28 days or can he go to the hospital for the IV treatment and then return home each day? Do you know if any hospital can give that type of treatment? There is one there in Elkins, WV, where he goes to school. Thank you again for your help as we try to figure out what we should do next to help our son.
XXXXXXX