There is no definitive test for Lyme. On some more accurate tests, it shows up as different bands on a chart. The test I had, it showed up as long term, chronic Lyme.
One way to know for sure is if you have one of the known 5 coinfections. Since I also had Babesia, which mimics Malaria symptoms, the doctor was 100% sure I had Lyme.
For the Babesia I took Mepron, for 2 weeks, off 2 weeks while I was taking a not her Malaria med, then 2 weeks of Mepron. Since then I have tested negative for Basesia.
Lyme is a prehistoric microbe, which is in the form of a "spirochete" or cork screw. Over the millenia it has developed the ability to go into hiding - in the form of an indestructible, hard cyst form - When it senses danger from antibiotics. Once it senses it is safe the cyst opens up & FIVE spirochete come out. Unlike most microbes, it has the ability to go across the blood brain barrier, where it can cause brain fog, confusion & fatigue. It can also get into muscles, joints and/or cartilage, causing inflammation & pain.
Nyboy is right, that many people don't know they have it. I didn't. I had to go to The doctor & tell him I had it, after learning The symptoms of Lyme. The probelm with Lyme is the symptoms mimic so many other diseases.
I took rotating antibiotics for six months, because it was thought (and probably still is thought) that by changing antibiotics every two weeks, they can fool the spirochete & kill most of them off.
I now know that the best way to put Lyme into remission (which is the only way to treat it - it is impossible to irradicate it), is to build up the immune system. By doing that the body is able to fight the spirochete on a higher level.
I wish I hadn't taken 6 months of heavy duty antibiotics for 2 reasons:
1. It destroyed my immune system, making it harder for my body to fight the Lyme.
2. Antibiotics can cause tinnitus. I now have constant high pitched buzzing in both ears. It is louder at some times (usually when I am alone). But, it is constant - never goes away. I hate it! It seems to get worse every time I take a course of antibiotics. I don't ever want to take them again!
@Nyboy, you are lucky that you caught it early. The earlier it is treated, the less severe the symptoms. Although the joint pain, & some of the other symptoms can return as a person ages & their immune system isn't as robust as in their youth.
My son was bit by a deer tick, with the classic bulls eye rash, when he was 15 & went on a white water rafting trip in Wisconsin. We caught it early. He had 3 weeks of antibiotics & felt better.
He is now 39 & starting to have symptoms - especially joint pain.
If you want more information about Lyme, you can check out this site:
http://www.ilads.org