If you have band 23 positive, then YES you either do or did have Lyme. Did you have Lyme or Lyme like symptoms in the past? If not, then I would guess it may be a recent infection.
Your symptoms are a little unusual, which makes me think some other things are present besides Lyme (borrelia). Tick bites can cause alpha-gal which is a potentially deadly allergy to certain meat. Here’s some information on that:
https://alphagalinformation.org/diagnosis-and-testing/Ticks transmit many infections - bacterial, viral, and parasitic. Suggest you see a very experienced LLMD who follows ILADS guidelines.
You could have intestinal parasites, too. They also cause hives.