| These factors increase the risk for tick bites: |
Have you had many of the following symptoms? |
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1. Unexplained fevers, sweats, chills, flushing |
| Visiting tick-infested area |
2. Unexplained weight change (loss or gain) |
| Frequent outdoor activities |
3. Fatigue, tiredness, poor stamina |
| Hiking |
4. Unexplained hair loss |
| Fishing |
5. Swollen glands |
| Camping |
6. Sore throat |
| Gardening |
7. Testicular pain / pelvic pain |
| Hunting |
8. Unexplained menstrual irregularity |
| Ticks noted on pets |
9. Unexplained milk production or breast pain |
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10. Irritable bladder or bladder dysfunction |
| Risk of Lyme increases if you: |
11. Sexual dysfunction or loss of libido |
| Remember being bitten by a tick |
12. Upset stomach or abdominal pain |
| Have or have had a bull’s eye rash |
13. Change in bowels (constipation or diarrhea) |
| Have any other suspect rash |
14. Chest pain or rib soreness |
| Have other household members |
15. Shortness of breath, cough |
| who developed Lyme Disease |
16. Heart palpitations or pulse skips |
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17. History of heart murmur or prolapsed valve |
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18. Joint pain or swelling of joints |
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19. Stiffness of joints or back |
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20. Muscle pain or cramps |
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21. Twitching of the face or other muscles |
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22. Headache |
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23. Neck creaks and cracks, neck stiffness or pain |
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24. Tingling and numbness, burning/stabbing pain |
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25. Skin hypersensitivity |
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26. Facial paralysis (Bell’s Palsy) |
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27. Ears buzzing, ear pain, sound sensitivity
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28. Double vision, blurry vision, light sensitivity |
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28. Motion sickness, vertigo, poor balance |
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29. Lightheadedness, unavoidable need to sit or lie |
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30. Tremor |
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31. Confusion, difficulty thinking |
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32. Difficulty with concentration and reading |
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33. Forgetfulness, poor short-term memory |
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34. Disorientation and getting lost |
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35. Difficulty with speech or writing |
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36. Mood swings, irritability, depression |
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37. Disturbed sleep (too much or too little) |
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38. Fractionated sleep, early awakening |
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39. Exaggerated symptoms from drinking alcohol |
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