I will be discussing the case of a 65-year-old woman with abdominal pain, ileus/pseudo-obstruction and constipation due to Lyme disease.

This article was written by Zulfiqar and colleagues in the journal  Community Hosp Intern Med Perspect.

The doctors  initially hospitalized her for a suspected stroke based on her 7th nerve palsy, sometimes called Bell's Palsy. The brain CT and MRI were negative. They next suspected herpes zoster infection.

She was eventually diagnosed with Lyme disease based on her exposure, rash, Bell's palsy, positive tests, and abnormal spinal tap.

She gastrointestinal issues related to her Lyme disease.  I also see gastrointestinal issues in Lyme disease patients that appear to be related to autonomic dysfunction.  Autonomic dysfunction is better know as POTS.

1.         Zulfiqar S, Qureshi A, Dande R, Puri C, Persaud K, Awasthi S. The many manifestations of a single disease: neuroborreliosis. J Community Hosp Intern Med Perspect. Jan 26 2021;11(1):56-59. 

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 Dr. Cameron is a Lyme disease expert and the author "Inside Lyme: An expert's guide to the science of Lyme disease." He has been treating adolescents and adults for more than 30 years.

Please remember that the advice given is general and not intended as specific advice as to any particular patient. If you require specific advice, then please seek that advice from an experienced professional.