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Once they're on the antibiotics the symptoms disappear very quickly. It's fairly common for just one course of the antibiotics to not be enough, so keep an eye out for symptoms again soon after he's finished the antibiotics. If you do see symptoms again very soon after he's done with the antibiotics just call the vet and they'll probably have him do a second course and that should take care of it. Apparently, doxycycline seems to work better than other antibiotics, but he may also have a bit of tummy trouble with them.
Be prepared for a lifetime of possible joint problems though especially on very humid or rainy days. Arthritis may set in at a young age, too. Glucosamine and Chondroitin supplements do a really good job of helping out with this though it takes about a month to see any difference. If you notice any joint stiffness or soreness as he goes through life, the sooner you have him taking the supplements the better, and it's a good idea to keep them on them always. You might notice that he walks fine on grass or dirt but not so well on pavement. If that happens then he's getting joint problems. That's one of the first things I noticed with my dog long after he got the disease was that he seemed perfectly fine walking on grass or dirt but suddenly seemed just a wee bit gimpy on pavement... it was most noticeable when he made a quick transition from grass to pavement and vice versa.
Lyme also makes them a bit more susceptible to joint injuries throughout their life, so make sure he never gets overweight and try to curb too much jumping or pivoting moves.
Unfortunately, Lyme is one of those "gifts that keep on giving". Hopefully, because of his youth he'll bounce back better for the remainder of his life.
One of the best things for him for the rest of his life is hydrotherapy. Start teaching your dog to enjoy swimming and baths. Just standing in a full tubby of warm water can help a lot. If you have a shower massager having them in the tub and squirting all their joints especially the legs would be great. Swimming is really the best though, so if you have access to a lake or creek or even a baby pool in the warmer months that would be awesome. I was very fortunate that when my previous dog got Lyme that he loved baths and water in general, so I had him in the tubby for a soak and a squirt with the shower massager once a week or so. Unfortunately, since I lived in an apartment I didn't have anywhere to set up a little pool, but about a half a block away was a creek that he loved to play in and just enjoy standing in up to his belly for ages in the current. A lot of times I brought a book to read because he'd stand or lay down in the water forever, but I didn't care because it was so obvious that it helped him... the look on his face was just "aaaaaaaaaahhhh".
I really feel for you. Lyme symptoms come on so suddenly and they're so debilitating. One moment the dog is fine and a couple hours later they can barely move and you wonder it they had a stroke or something. Pretty scary.
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