Concerns About Undercooked Pork and Parasite Risks After Traveling to Korea - Gastroenterology and Hepatology

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Eating pork that is uncertain whether it is fully cooked raises concerns about parasitic infections?


About two weeks ago, I traveled to South Korea, where I consumed raw beef, grilled pork belly, and grilled eel.
While eating the grilled pork belly, I noticed that the pork was slightly pink in the middle, indicating it was not fully cooked (the restaurant claimed the pork was aged for two weeks, so it had not been frozen, only refrigerated).
I also recall eating raw beef and live eel (which was grilled immediately after being caught), and I am somewhat concerned that they may not have been fully cooked.
Since returning home, I have experienced occasional mild abdominal pain and a dull ache, along with diarrhea occurring about twice a day.
I have seen news reports about infections from eating raw pork leading to severe consequences, such as blindness from pork tapeworms or even death from brain infections, which has made me quite fearful.
I would like to know if it is possible to contract a parasitic infection under these circumstances.
Is pork in South Korea considered safe? This situation is really concerning.

Niming, 20~29 year old female. Ask Date: 2023/08/29

Dr. Chen Shidian reply Gastroenterology and Hepatology


Sustain observation; if there is unexplained gastrointestinal bleeding or weight loss, seek medical evaluation.

Reply Date: 2023/08/29

More Info


When traveling to countries like Korea, where culinary practices may include consuming undercooked or raw meats, it is essential to be aware of the potential health risks associated with such foods. Your concerns about undercooked pork and the possibility of parasite infections are valid, especially given the symptoms you are experiencing upon returning home.

Firstly, undercooked pork can pose a risk of infection from various parasites, the most notable being Trichinella spiralis, which causes trichinosis. This parasite can be present in undercooked or raw pork, and symptoms of trichinosis can include abdominal pain, diarrhea, fever, and muscle pain. However, it is important to note that the risk of contracting trichinosis from pork has significantly decreased in many countries due to improved farming and food safety practices. In South Korea, pork is generally considered safe, but the risk is not entirely eliminated, especially if the meat is not cooked to the recommended internal temperature of 145°F (63°C) followed by a three-minute rest time.

Regarding your experience with the pink pork, it is crucial to understand that pork should be cooked thoroughly to kill any potential parasites or bacteria. If the pork was indeed undercooked, there is a possibility of infection, but it is not guaranteed. The symptoms you describe, such as abdominal pain and diarrhea, could be indicative of a gastrointestinal infection, which may or may not be related to the pork you consumed. Other potential causes could include foodborne illnesses from other foods you ate, such as the raw beef or the grilled eel.

In addition to trichinosis, consuming undercooked or raw meats can expose you to other pathogens, including bacteria like Salmonella, E. coli, and Listeria, which can also lead to gastrointestinal symptoms. The fact that you are experiencing intermittent abdominal pain and diarrhea suggests that your body may be reacting to something you ingested.

If you are concerned about the possibility of a parasitic infection or foodborne illness, it is advisable to consult a healthcare professional. They may recommend tests to determine if you have contracted any infections, including stool tests to check for parasites or bacteria. It is also essential to monitor your symptoms. If they worsen or if you develop additional symptoms such as fever, severe abdominal pain, or prolonged diarrhea, seek medical attention promptly.

To alleviate your fears about the reliability of pork in Korea, it is worth noting that the country has stringent food safety regulations. However, as with any country, the risk of foodborne illness can vary based on specific restaurants or food handling practices. It is always a good practice to ensure that meat is cooked thoroughly and to be cautious when consuming raw or undercooked foods, especially in unfamiliar settings.

In summary, while there is a potential risk of parasitic infection from undercooked pork, the actual likelihood depends on various factors, including the specific food handling practices at the restaurant you visited. Given your symptoms, it would be prudent to seek medical advice to rule out any infections and to ensure your health and safety.

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