It is important to distinguish between detectable antibodies (serological positivity) and active infection. The fact that Borrelia antibodies have been detectable for years does not in itself mean that the bacteria are continuously present or “hiding” in the body – antibodies can remain persistent even after the infection has run its course.
If you are symptom-free after several years of treatment, this is more likely to indicate that the infection has run its course. Bladder problems are much more often caused by urological or other reasons than by active Lyme infection. Not all new or persistent symptoms can be automatically attributed to Borrelia infection.
The healing process is very complex and involves a struggle between the immune system and the bacteria that can last for several months or even years. The presence of Borrelia in low concentrations does not automatically mean Lyme disease. Genetic PCR tests, for example, can detect very low levels of Borrelia genetic material (not the living bacteria) primarily in urine, joint fluid or cerebrospinal fluid (liquor). There are many other direct tests that are not clinically validated and only detect one or a few pathogens. It is advisable to choose a clinically validated direct test and to consider not only the presence of the pathogen, but also the “diagnostic value” of the test result (positive or negative). Action to be taken: it is advisable to have bladder problems examined (by a general practitioner or urologist) and to perform a direct diagnostic Lyme test, which is recommended.
What to do: it is advisable to have bladder complaints examined separately (by a GP or urologist) and to perform a direct diagnostic Lyme test, which detects the pathogen itself, so you can be sure that it is an acute infection.
If the result is positive, or if several Lyme symptoms return, even in a milder form, it may be worth consulting a doctor who is familiar with Lyme disease.
(C) Lyme Borreliosis Foundation
