Identifying and Treating Intestinal Worms: A Guide for Homeowners

Regarding fecal (worms)

I live on the 4th floor with a private bathroom.
Recently, I discovered what appears to be leech-like worms in the toilet, approximately 2mm in diameter, about 4 of them.
Upon closer inspection today, I found 3 more that are about 0.5mm in diameter (I use well water to flush the toilet, and there are no signs of worms in the toilets on other floors).
Could these worms originate from my body (since there is little chance of outside contamination on a high floor)? How should I handle this situation? Today, I went to the pharmacy and bought a medication (Deworming tablets) containing Mebendazole 100mg, a total of 6 tablets to be taken twice daily.
Is this effective? Thank you!

Mr. A, 40~49 year old female. Ask Date: 2008/10/28

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, in Taiwan, parasitic infections are currently not common.
The worms you mentioned, if they are from within the body, would typically be seen after using the restroom.
If there is a parasitic infection, the presence of worms would be significant enough to be visible in the toilet, and symptoms such as diarrhea and abdominal pain would likely be quite pronounced.
It may be more related to issues with the toilet and septic tank.
Generally, common parasites can be effectively treated with Mebendazole.
Wishing you good health.
Sincerely, Dr.
Chen Qifeng, Taoyuan Hospital, Department of Health.

Reply Date: 2008/10/28

More Info

Identifying and treating intestinal worms can be a concerning issue for homeowners, especially when unusual creatures are found in the toilet. Based on your description of the worms resembling leeches, measuring approximately 2mm in diameter, and the presence of smaller ones at 0.5mm, it is crucial to approach this situation with caution and thoroughness.

Firstly, it is important to determine the origin of these worms. Given that you live on the fourth floor with an independent bathroom and have not observed similar issues in other units, it is less likely that these worms are coming from external sources. However, it is still possible for certain types of worms to enter through plumbing systems, especially if there are any leaks or openings that allow for their migration.
The worms you described could potentially be a type of intestinal parasite, but without a visual identification or further examination, it is difficult to ascertain their exact nature. Common intestinal parasites include roundworms, tapeworms, and flatworms, which can sometimes be found in human waste. If these worms are indeed originating from your body, it would indicate a parasitic infection that requires medical attention.

Regarding the treatment you have initiated with Mebendazole (commonly known as Vermox), it is an effective medication for treating various types of intestinal worms, including roundworms and whipworms. The dosage you mentioned (100mg twice daily for three days) is a standard treatment regimen for many intestinal parasites. However, it is essential to follow the instructions provided by a healthcare professional or the medication's packaging.
In addition to taking medication, here are some steps you should consider:
1. Consult a Healthcare Provider: It is advisable to see a doctor for a proper diagnosis. They may recommend a stool test to identify the specific type of worm and confirm the diagnosis. This is crucial because different parasites require different treatments.

2. Maintain Hygiene: Ensure that you practice good hygiene, such as washing your hands thoroughly after using the bathroom and before handling food. This can help prevent the spread of any potential infection.

3. Monitor Symptoms: Keep an eye on any symptoms you may experience, such as abdominal pain, diarrhea, weight loss, or fatigue. If you notice any worsening of symptoms or new symptoms, seek medical attention promptly.

4. Check Water Supply: Since you mentioned using well water, it is essential to have your water tested for contaminants, including parasites. Well water can sometimes harbor harmful organisms if not properly treated.

5. Environmental Cleaning: Regularly clean your bathroom and any areas where you suspect contamination. This includes disinfecting surfaces and ensuring that your plumbing is in good condition to prevent any potential infestations.

6. Follow Up: After completing the medication course, follow up with your healthcare provider to ensure that the treatment was effective. They may recommend a repeat stool test to confirm that the worms have been eradicated.

In summary, while Mebendazole is a good starting point for treating intestinal worms, it is crucial to consult with a healthcare professional for a definitive diagnosis and tailored treatment plan. Additionally, maintaining hygiene and monitoring your health will be vital in managing this situation effectively.

Similar Q&A

Can You Get Parasitic Infections from Handling Water Plants?

Due to the need for fish farming, I manually pulled aquatic plants from a field ditch. After pulling them out, I washed my hands, and once they were dry, I ate some mint candy. Later, I discovered some worms in the aquarium that seem to be schistosomes. Is there a possibility of ...

Dr. Liao Zhongxin reply Internal Medicine
Dear readers: Regarding <Parasites...> the response is as follows: A: You can refer to the CDC website at http://www.cdc.gov.tw/diseaseinfo.aspx? 1. Overview of Common Intestinal Parasitic Diseases: Intestinal parasitic diseases are prevalent in tropical and subtropical ...

Understanding Trichuris Infection: Treatment and Prevention Guide

My family's caregiver has recently been diagnosed with an infection of whipworm (Trichuris trichiura). What medication should I give her? Is this a treatable condition? What are the modes of transmission? Do general hospitals have medication to treat her? I hope to receive a...

Dr. Yang Guojun reply Internal Medicine
Whipworm infects the human colon and can release up to 5,000 eggs daily. However, it must grow in the soil for 3 weeks before it can infect others again. Treatment can include Vermox (mebendazole) 100 mg twice daily for 3 days, but this medication is not recommended for children ...

How to Check for Parasites in Your Body: Symptoms and Testing Options

If you suspect that you may have a parasitic infection, it is advisable to visit a healthcare provider, specifically a gastroenterologist, who specializes in digestive system disorders. They can conduct a comprehensive evaluation, which may include a thorough medical history, phy...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: 1. If there are unidentified objects in the stool and you are concerned about parasites, you can visit a hospital and consult with a gastroenterologist, general internist, or family medicine physician to have your stool examined for the presence of eggs and parasites. 2. T...

How to Handle Your Child's Pinworm Infection: Essential Tips and Treatments

Hello Dr. Lin, I apologize for the interruption! I would like to ask what to do if my elementary school daughter has a pinworm infection. The other night, she woke up in the middle of her sleep complaining of itching around her buttocks. Upon checking, I found a small white worm,...

Dr. Lin Wuxuan reply Internal Medicine
The treatment methods for different intestinal parasitic infections vary, and it is recommended to take children to a healthcare provider for diagnosis and to use antiparasitic medications as prescribed by the physician. Family members living in the same household usually need to...