Ehrlichia - A Lyme Co-Infection
Dr. Miranda Hill • 16 November 2023
What is Ehrlichia?
Ehrlichia is a small round bacteria, transmitted from insects and animal reservoirs, that can cause the disease ehrlichiosis. The most commonly recognized strain of Ehrlichia is Ehrlichia chaffeensis. Ehrlichia is commonly transmitted through tick bites, which makes it a possible Lyme co-infection. It is also possible to be exposed to Ehrlichia through blood transfusions and organ transplants.
Symptoms of Ehrlichia:
Acute Ehrlichia Infection Symptoms:
- Fever
- Chills
- Flu-like symptoms
- Headache
- Confusion
- Muscle aches
- Skin rash
- Abdominal pain
- Nausea
- Vomiting
Chronic Ehrlichia Infection Symptoms:
- Chronic fatigue
- Brain fog / memory loss
- Anxiety
- Depression
- Joint swelling
- Muscle / joint pain
- Nerve pain
- Headaches / migraines
- Dizziness / lightheadedness
- Tremors
- Constipation
- Skin rash
- Anemia
- Recurrent fevers
Testing for Ehrlichia:
Conventional blood testing for Ehrlichia centers around the species Ehrlichia chaffeensis. The sensitivity of blood PCR testing ranges between 60-85% for this specific strain. This means that it catches Ehrlichia chaffeensis 60-85% of the time in individuals carrying the infection. The sensitivity for other strains of Ehrlichia is unknown. Since Ehrlichia can be a persistent chronic infection, it does not always show up on laboratory testing. Laboratory results largely depend on the location and activity of the infection.
The other caveat of laboratory testing is the possibility of cross-reactivity with other persistent infections, which would result in false positive testing. Other persistent infections, including Lyme disease, EBV, rickettsia, and anaplasma among others can result in false positives.
Dr. Miranda utilizes Cellular Photonics to test patients for Ehrlichia and other chronic infections. From clinical experience, Dr. Miranda has found testing with Cellular Photonics to be a useful tool to identify infections and other substances in the body that blood testing cannot identify. Read more about Cellular Photonics here.
Chronic Ehrlichia Treatment:
Treatment for chronic Ehrlichia is based upon the state of the infection and the total toxic load in the patient’s body. Ehrlichia is commonly associated with other chronic infections, which have to be treated simultaneously. Dr. Miranda uses alternative therapies to treat chronic infections, including herbs, supplements, diet, and IV therapy / UBI ozone.
Conventional medicine often dismisses chronic persistent infections. Often times when chronic infections are treated through conventional care, prolonged courses of antibiotics are prescribed. The chronic use of antibiotics damages many organ systems in the body, including the microbiome. Typically chronic infections become resistant to prescription antibiotics. Dr. Miranda’s approach is different: chronic infections are treated with alternative therapies specific to each infection.
Schedule an appointment with Dr. Miranda here for chronic infection assessment.
What Is SIBO: SIBO stands for small intestinal bacterial overgrowth and occurs when bacteria, both friendly and unfriendly strains, overgrow in the small intestine. Overgrowth of bacteria in the small intestine can lead to many adverse gastrointestinal symptoms. Symptoms of SIBO: Abdominal bloating, especially after eating Burping Gas Indigestion Reflux / GERD Nausea Abdominal pain Constipation and/or diarrhea Undigested food in stool Food intolerances / sensitivities Environmental allergies Anemia - iron deficiency anemia, vitamin B12 deficiency anemia, or anemia of unknown origin Fatigue Brain fog Poor concentration Anxiety Depression Joint pain, usually in combination with gastrointestinal symptoms Muscle pain, usually in combination with gastrointestinal symptoms ADD / ADHD Skin conditions - rashes, eczema, psoriasis, rosacea Itching Changes in weight - weight loss or weight gain May be asymptomatic Causes of SIBO: It is commonly believed that SIBO occurs when bacterial species in the colon overgrow in the small intestine; however, this is not always the case. Other factors that may contribute to the formation of SIBO, some of which include the following: Oral antibiotics Other acute or chronic microbial imbalances in the gastrointestinal tract (bacteria, viruses, parasites) Food poisoning Low gastrointestinal immune function Poor drainage of the intestines Delayed gastrointestinal motility Constipation Gastric bypass surgery Drinking chlorinated water Long-term use of antacids or proton pump inhibitors Certain medications Smoking Pesticides Types of SIBO: Small intestinal overgrowth is differentiated into methane, hydrogen, and/or hydrogen sulfide positive SIBO based on the types of gases produced during SIBO diagnostic tests. Conventional SIBO Diagnosis: The gold standard for diagnosing SIBO is a jejunal aspirate, which is highly invasive, expensive, and has limited ability to assess the entire small intestine. Breath tests are the most common conventional method used to diagnose SIBO. Patients must follow a specific bland diet for multiple days leading up to the breath test and fast the day of the test. The morning of the breath test, a single dose of liquid lactose, fructose, or glucose is ingested. A series of breath samples are taken throughout the day and then sent to a lab for gas analysis. Positive SIBO breath tests occur when bacteria ferment the ingested sugar solution and produce methane, hydrogen, and/or hydrogen sulfide gas. The accuracy of SIBO breath tests is highly limited and prone to user error. False-positive tests may result in certain cases of large intestine bacterial overgrowth, rather than bacterial overgrowth occurring in the small intestine. In many cases, SIBO extends beyond the parameters of conventional testing. It is possible for species other than those that give off methane, hydrogen, or hydrogen sulfide gas to be overpopulated in the small intestine and produce the symptoms of SIBO. Conventional SIBO Treatment: The conventional approach to SIBO treatment includes oral antibiotics with or without a low-FODMAP diet. A low-FODMAP diet involves eliminating foods high in certain fermentable sugars that feed many types of bacteria. Many individuals with SIBO experience adverse symptoms, such as abdominal bloating, pain, brain fog, etc. after eating foods high in FODMAPs. Eliminating or minimizing foods containing FODMAPs can help reduce the severity of symptoms while treating SIBO. Antibiotics that may be used to treat SIBO include, rifaximin, neomycin, metronidazole, and others. The use of antimicrobial herbs to treat SIBO has become more popular due to the ineffectiveness of oral antibiotics to completely eradicate SIBO. SIBO Testing & Treatment at Restorative Medicine: Dr. Miranda Hill utilizes a form of applied kinesiology known as Cellular Photonics to test and formulate treatment plans for SIBO. Dr. Miranda Hill utilizes various forms of therapies to treat SIBO, including herbs, supplements, enzymes, binders, homeopathics, PEMF therapy, and/or medications. Dietary modifications are individualized based on each patient’s case. Following a low-FODMAP diet is not required in every case of SIBO. Dr. Miranda Hill specializes in supporting the immune system and other areas of the body while treating SIBO. Treatment plans are comprehensive and inclusive to the whole person. Contact our office for more information about scheduling an appointment with Dr. Miranda Hill. References: Simrén M, Stotzer PO. Use and abuse of hydrogen breath tests. Gut. 2006;55(3):297-303. doi:10.1136/gut.2005.075127 Lim J, Rezaie A. Pros and Cons of Breath Testing for Small Intestinal Bacterial Overgrowth and Intestinal Methanogen Overgrowth. Gastroenterol Hepatol (N Y). 2023;19(3):140-146.
What is Homeopathy? Homeopathy is a form of medicine that uses very dilute substances at low and ultra low doses to stimulate healing within the body. Homeopathic medicine has been used for hundreds of years. National health systems of Brazil, Chile, Cuba, India, Mexico, Nigeria, Pakistan, South Africa, and Switzerland regularly use homeopathy as part of healthcare. Traditional homeopathic remedies contain nanoparticles (very small particles) of the original substance from which the medicine is derived from. In the body, homeopathic nanoparticles can treat acute and chronic infections, support optimal organ and immune function, correct dysfunctional cellular patterns, and promote drainage. Homeopathy can also be prepared through electromagnetic imprinting of alcohol or water. This form of homeopathy works by shifting the positive and negative charges lining cells throughout the body, supports detoxification, increases drainage, improves immune function, and can directly treat acute and chronic infections. Homeopathics may be prepared from plants, minerals, vitamins, microorganisms, animal derivatives, root canals post extraction, hormones, peptides, etc. Dr. Miranda utilizes homeopathy with patients to address underlying causes and to treat many conditions. Homeopathy is a very gentle form of medicine that is dosed based on the condition and the state of the body. Dr. Miranda Hill personalizes each homeopathic blend and sources homeopathics from around the world. Homeopathy May Be Used For The Following Indications: Detoxification Optimizing digestion - treating constipation, diarrhea, abdominal pain, bloating, etc. Regulating organ function Drainage of body systems - lymphatics/spleen, liver, gastrointestinal tract, cardiovascular system, etc. Treatment of acute or chronic infections - bacteria, viruses, and parasites Balancing of the immune system Regulating hormones Alleviating acute or chronic pain Treatment of many dental conditions Aid healing of tissues - post surgery, wounds, cuts, lacerations, trauma, bites, etc. Supporting emotional health Improving sleep Traditional Homeopathic Dosages: Dr. Miranda Hill utilizes a variety of homeopathic dosages as a part of a comprehensive treatment plan. Homeopathics vary in dilution and strength. The following is a key to the numeric homeopathic dosage system: A homeopathic remedy with a number followed by “X” or “D” is diluted based on a 1:10 ratio A homeopathic remedy with a number followed by “C” or “cK” is diluted based on a 1:100 ratio A homeopathic remedy with a number followed by “M” is diluted based on a 1:1,000 ratio A homeopathic remedy with a number followed by “LM” is diluted based on a 1:50,000 ratio The first number in the ratio refers to the original substance, while the second number refers to the alcohol or water base used to prepare the homeopathic remedy. Homeopathics are made by preparing a mother tincture out of the raw material (e.g. plant material) and then taking one drop of the mother tincture and combining it with alcohol or water - nine drops for a X remedy, 99 drops for a C remedy, 999 drops for a M remedy, or 49,999 drops for a LM remedy. This would produce a 1X, 1C, 1M, or 1LM homeopathic depending on the relative amount of alcohol or water used. The dilution process continues until the number of dilutions coincides with the respective number on the homeopathic. For example, five more dilutions would occur from a 1X preparation to produce a 6X remedy. Some homeopaths believe that beyond a potency of 12C, such as 30C, 200C, 1M, or higher dilutions, molecules of the original substance are no longer present in the homeopathic. Studies have shown nanoparticles of the original substance to persist in homeopathic medicines of high dilution. A commonly held belief in homeopathy is that highly dilute homeopathics, such as 1M, are stronger than less dilute homeopathics, such as 6X. The strength of a homeopathic remedy does not always depend on the number of dilutions. Homeopathic potency depends on multiple variables within the body, the quality of the remedy, and how the remedy is prepared. Factors That Alter How Homeopathics Work In The Body: Genetics The state of liver detoxification and total body burden The state of the immune system at the time of taking a homeopathic Allergies Hormonal fluctuations Cellular membrane integrity The amount of inflammation in the body (acute vs. chronic inflammation) Specific toxins in the body, such as environmental chemicals, heavy metals, mycotoxins, biotoxins, etc. Chronic infections Quality of the homeopathic remedy Alcohol vs water base of the homeopathic (alcohol preserves homeopathics better than water) The source and quality of the original substance used to prepare the homeopathic Form of homeopathic used - liquid vs. pellets / dissolvable tablets Individualized Homeopathy At Restorative Medicine: Dr. Miranda Hill utilizes many homeopathics as part of a comprehensive treatment plan with patients. Dr. Miranda Hill sources homeopathics from around the world. Homeopathics help condense the number of therapies in a treatment plan since they are diverse and broad in action. Homeopathic medicine can expedite treatment and reduce the severity of symptoms. Inquire about homeopathic medicine by contacting Restorative Medicine’s office. References: Vassighi N. Homeopathy Basics. 2020. Chikramane PS, Suresh AK, Bellare JR, Kane SG. Extreme homeopathic dilutions retain starting materials: A nanoparticulate perspective. Homeopathy. 2010;99(4):231-242. doi:10.1016/j.homp.2010.05.006