http://www.thehumansideoflyme.net/viewarticle.php?aid=62 ~ a comprehensive overview of what Lyme can do to the GI tract. A quote from the above link:
"Another borrelial cause of massive increases in abdominal girth associated with "gasless" bloating may cause diagnostic confusion. Unrelated to gut symptoms from Lyme's disruption of the body's internal "wiring," Bb-inflicted polyradiculopathies of T7- 12 (nerve root inflammations) may result in paralysis of external abdominal muscles such as the rectus abdominus. This in turn can also lead to the appearance, not the reality, of extensive bloating. No exercise "crunches" will alleviate this distention even for a previously well-toned individual. Antibiotic treatment for borreliosis may resolve this symptom (45, 46)."
If there is gas with the abdominal distention, it is likely due to bacterial dysbiosis in the small intestine, probably caused by Lyme-related gastrointestinal dysmotility and/or antibiotics. Probiotics are necessary to remedy this issue.
I've read that the EM rash can pop up at any time during the course of Lyme Disease, and that when it does, it can occur in more than one spot (i.e., multiple bull's eyes at the same time). I don't remember where I read this, though...
Chronic Lyme Disease, Gluten & Sulfite Sensitivity, Many Food/Inhalant/Medication/Chemical Allergies & Intolerances, Asthma, Gut issues (dysmotility, non-specific inflammation), UCTD ("Secondary Lupus-Like Syndrome"), Osteoporosis, Pancytopenia, chronic malabsorption/malnutrition, etc.; G-Tube; Currently TPN-dependent.
Meds: Zofran, Pulmicort, Heparin (to flush PICC line), Claritin, Colloidal Silver (used topically), IV Milk Thistle, probiotics.