Risks of Eating Undercooked Meat: Can Deworming Pills Help? - Gastroenterology and Hepatology

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The risk of contracting parasites from consuming undercooked food?


Hello, doctor.
The day before yesterday, I was eating pork and realized it was undercooked.
The next day, I took a 500mg dose of flubendazole.
I read online that consuming raw meat or unwashed salad can expose one to tapeworm eggs, which can lead to cysticercosis.
If I indeed consumed food contaminated with tapeworm eggs and then took the deworming medication thirty hours later, will it prevent the eggs from hatching and migrating through the bloodstream to other parts of my body?

A Yan, 20~29 year old female. Ask Date: 2018/04/16

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: For the treatment of tapeworms, the recommended dosage is 200 mg orally, twice a day, for three consecutive days.
It is not advisable to self-medicate before confirming an infection.
If you have concerns, you can consult an infectious disease specialist for examination.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2018/04/16

More Info


Eating undercooked meat, particularly pork, poses certain health risks, including the potential for parasitic infections. The concern primarily revolves around parasites such as Trichinella spiralis, which can cause trichinosis, and various species of tapeworms, including those that can lead to cysticercosis. When pork is not cooked to the recommended internal temperature of at least 145°F (63°C) followed by a three-minute rest time, there is a risk of ingesting these parasites.

In your case, consuming undercooked pork raises the question of whether taking a deworming medication like flubendazole can mitigate the risks associated with potential parasitic infections. Flubendazole is an anthelmintic medication primarily used to treat infections caused by certain types of worms, including roundworms and tapeworms. However, it is important to note that flubendazole is not effective against all types of parasites, and its efficacy can depend on the specific type of worm involved.

When you consume undercooked meat that may contain parasite eggs or larvae, the timing of taking the deworming medication is crucial. If you ingested the contaminated meat and then took flubendazole approximately 30 hours later, the medication may not prevent the eggs from hatching or the larvae from migrating into your bloodstream. The life cycle of many parasites involves a period during which they can establish themselves in the host's intestines or tissues before the medication can take effect.
For instance, Trichinella larvae can penetrate the intestinal wall and enter the bloodstream within a few days after ingestion, leading to systemic infection. Similarly, tapeworms can attach to the intestinal lining and begin to grow, producing segments that can release eggs into the host's feces. Therefore, while flubendazole may help eliminate existing worms, it may not be effective if the larvae have already established themselves in your body.

If you are experiencing any symptoms such as abdominal pain, diarrhea, nausea, or any unusual gastrointestinal issues, it is advisable to seek medical attention promptly. A healthcare provider can perform appropriate tests to determine if you have a parasitic infection and recommend the best course of treatment. Additionally, they can provide guidance on whether further deworming treatment is necessary.

In summary, while taking flubendazole may help in some cases, it is not a guaranteed solution to prevent parasitic infections from undercooked meat. The best approach to minimize the risk of parasitic infections is to ensure that all meats are cooked thoroughly and to practice good food hygiene, including washing vegetables and avoiding cross-contamination in the kitchen. If you have concerns about your health after consuming undercooked meat, do not hesitate to consult a healthcare professional for personalized advice and treatment options.

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