It Could Be Bartonella or Babesia: The Symptoms and Signs.

Your source for quality supplements

Shop Now

How to diagnose bartonella and babesia in Lyme disease image by Marty Ross MD

In this article I describe how to diagnose Bartonella and Babesia. Testing is not perfect, so I diagnose these two Lyme co-infections based on the symptoms.


The tests for babesia and bartonella are unreliable. For instance, by some estimates there are 30 strains of bartonella like organisms and we have antibody detection for up to two different strains depending on the lab. For babeisa there are 15 to 20 strains with antibody testing for 2 of the strains. So like many LLMDs I treat by symptoms and physical exam findings. I do not suggest testing.

Bartonella Symptoms & Signs

Symptoms and signs of bartonella are: day sweats, ongoing anxiety, pain on the soles of the feet, swollen lymph nodes, a rash that looks like stretch marks, severe cognitive dysfunction, neurologic symptoms of numbness or sharp, shooting, stabbing or burning pain, abdominal pain for which there is not an identifiable cause, bladder symptoms of pain, urgency or burning, and psychiatric problems.

Babesia Symptoms & Signs

Symptoms and signs of babesia are: night sweats, temperature fluctuations, panic anxiety attacks, frontal headaches, feeling off balance while walking, air hunger, racing or skipping of the heart, red blood colored spots small spots on the skin and regular de ja vu experiences.

Figuring It Out

Figuring out if a person has bartonella or babesia as part of Lyme disease is like putting together the pieces of a puzzle. If there are enough (but not all) of signs or symptoms of these or one or both of these coinfections, I treat for them. Each of these co-infections requires a separate antimicrobial approach which is different than the antimicrobial approach for Lyme.

Get the Free Reports

Subscribe to the Treat Lyme newsletter and receive two FREE reports: How to Beat Herxheimer Reactions and How to Treat Persister Lyme.  Plus updates, special offers and more.