Conversation: The conversation between human and AI assistant.
[|Human|] I think I may have lyme disease. I have been treated for vertigo, inner ear infection, fluid behind left ear drum, tingling and numbness in my feet and legs, severe headaches, dizziness, back pain along my spine and in back of my neck...dx as being arthritis, I feel depressed, and fatiqued, and my B-12 is very low and was my Vit. D...I have been told that low b-12 can also be a sign of Lyme Disease. I do live in the country. I have felt bad and been sick for several months, made many trips to the Dr. Still feel horrible. Thanks Gwen
[|AI|]  Regardless of your symptoms, I recommend that a few lab tests should be done to confirm Lyme disease. a. Serology: screening ELISA for anti-Lyme antibody with positive titles confirmed by Western blot. b. PCR for Cordelia burgdorferiIf you have any history of tick bite, followed by erythema migrant, you can get started for treatment of Lyme disease without waiting for the serology results. Doxycycline or Amoxicillin PO for 28 days should treat Lyme disease. If arthritis persists, IV Ceftriaxone for 2 weeks is recommended.