Cold feet worse after starting Bartonella treatment. Anyone have this issue?

It's possible that the Bactrim stirred up more protozoans than Bart. It is actually a very effective anti-protozoan med. Since protozoans cause the red blood cells to cling to the lining of the blood vessels (endothelium cells/tissue), a die-off may be reducing/blocking blood circulation in the capillaries, causing cold feet and nerve issues.

Something that dilates the blood vessels may give you more relief than anything I would think. The only thing coming to my mind right now is cayenne pepper. I would suggest talking to your doc about something like this that stimulates and helps circulation.

Just a thought. Hope it improves for you!

I have the cold feet issue and only recently connected it to bart running across a list of symptoms for bart.

When the temp goes down to the lower 70s my feet are so cold they hurt. Sometimes I take a hot bath to warm up. The rest of my body is fine, but all I can think of is my feet!

I don't think it's circulation, because I'm participating in a heart study and my pulses in ankles are very good.

I was on rifampin long ago, but couldn't finish because couldn't sleep. But I was getting stabbing pains in my feet then and figured it was knocking it out. Sorry I couldnt finish.

Do you get the classic sore soles in the morning? I never do.

For the first 2 yrs (which went undiagnosed), my feet were miserable. Couldn't tolerate temps below 70, felt like walking on a pin cushion and marbles, constant burning and tingling. Once diagnosed with lyme, i spent a yr and a half trying to find the right dr. Once i found him last Fall and started addressing yeast issues and started abx, my feet sensitivities improved, but were still an issue. I could tolerate temps in the 50's, but still had tingling and skin sensations. I havent addressed Bartonella at all until now. No one picked up on it. Now after starting the Bactrim 5 wks ago, my feet almost feel as bad as they did in the beginning 4 yrs ago. I'm hopeful this is a good sign that the Bactrim is working, the flare is just hanging on longer than usually. I normally get a feet flare when i start a new med., but it usually only lasts 2 wks or so. Just trying to find something to give me relief til it calms down (hopefully).