Alternatively, Michigan Department of Health and Human Services can also identify the tick(s) at no cost (see below). If you have the tick that was attached to you, bring it with you to your appointment as the physician may be able to properly identify it. If you believe you may have Lyme disease, consult with a healthcare provider for evaluation and diagnosis. What should I do if I think I might have Lyme disease? Signs and symptoms of untreated Lyme disease Shooting pains, numbness, or tingling in the hands or feet.Inflammation of the brain and spinal cord.Episodes of dizziness or shortness of breath.Heart palpitations or an irregular heart beat (Lyme carditis).Intermittent pain in tendons, muscles, joints, and bones.Arthritis with severe joint pain and swelling, particularly the knees and other large joints.Facial palsy (loss of muscle tone or droop on one or both sides of the face).Additional EM rashes on other areas of the body.Later Signs and Symptoms (days to months after tick bite) Does not always appear as a “classic” erythema migrans rash.Sometimes clears as it enlarges, resulting in a target or “bull’s-eye” appearance.May feel warm to the touch but is rarely itchy or painful.Expands gradually over several days reaching up to 12 inches or more (30 cm) across.Begins at the site of a tick bite after a delay of 3 to 30 days (average is about 7 days).Occurs in approximately 70 to 80 percent of infected persons.Fever, chills, headache, fatigue, muscle and joint aches, and swollen lymph nodes may occur in the absence of rash.Early Signs and Symptoms (3 to 30 Days After Tick Bite) These include fever, rash, facial paralysis, and arthritis. Untreated Lyme disease can produce a wide range of symptoms, depending on the stage of infection.
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