Understanding Intestinal Parasitic Worms

A Comprehensive Guide to Parasitic Worm Infections in Humans

Gastroenterology

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Last updated: Mar 24, 2025

Overview

Parasitic worms (helminths) are organisms that can live and feed in the human intestines. These infections affect millions of people worldwide and can cause various health complications if left untreated.

Common Types of Parasitic Worms

1. Roundworms (Nematodes)

  • Ascaris lumbricoides: Most common type
  • Pinworms: Frequent in children
  • Hookworms: Enter through skin contact

2. Tapeworms (Cestodes)

  • Taenia solium: From undercooked pork
  • Taenia saginata: From undercooked beef

3. Flukes (Trematodes)

  • Primarily from contaminated water or fish

Signs and Symptoms

Common Symptoms

  • Abdominal pain
  • Diarrhea or constipation
  • Nausea and vomiting
  • Weight loss
  • Fatigue
  • Itching around anal area (especially with pinworms)

Diagnosis

  • Stool examination
  • Blood tests
  • Tape test for pinworms
  • Imaging in some cases

Treatment Options

Medications

  1. Albendazole
  2. Mebendazole
  3. Praziquantel
  4. Ivermectin

Prevention

Key Prevention Strategies

  1. Regular hand washing
  2. Proper food preparation
  3. Clean drinking water
  4. Good sanitation practices
  5. Regular deworming in endemic areas

When to Seek Medical Care

  • Persistent abdominal pain
  • Unexplained weight loss
  • Blood in stool
  • Visible worms in stool

Long-term Management

  • Regular medical check-ups
  • Family screening when necessary
  • Maintaining good hygiene practices

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