White Lines in Stool: Parasites or Hemorrhoids? - Gastroenterology and Hepatology

White lines in stool (2)

Hello Dr.
Chen: I am the gentleman who previously inquired about the white lines in my stool.
Thank you very much for your response.
Today, I noticed that there are no obvious white lines in my stool, but I am experiencing significant itching and slight swelling on the right side of my anus.
While this could be a symptom of hemorrhoids, I am also concerned about the possibility of a parasitic infection (such as pinworms or roundworms).
Therefore, I would like to ask Dr.
Chen: 1.
Is it possible to go directly to a local pharmacy and purchase antiparasitic medication? I have heard that some people take antiparasitic medication regularly (every six months or annually), regardless of whether they have parasites in their bodies.
In my case, since I suspect a parasitic infection, can I take antiparasitic medication directly? 2.
If I take antiparasitic medication but do not actually have any parasites in my body, could this have any adverse effects on my health? Thank you for your guidance, Dr.
Chen.

Nìmíng, 30~39 year old female. Ask Date: 2015/05/13

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, the Ascaris lumbricoides (roundworm) is larger when seen in feces, while Enterobius vermicularis (pinworm) is much smaller.
Typically, antiparasitic medications are broad-spectrum, effective against common parasites, and have minimal side effects, so they are sometimes recommended for direct use.
However, because pinworms have a high potential for household transmission, it is necessary for everyone in the household to take the medication simultaneously.
Wishing you safety and health.
Sincerely, Dr.
Chi-Feng Chen, Attending Physician, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/05/13

More Info

Hello, thank you for your inquiry regarding the presence of white lines in your stool and the associated symptoms you are experiencing. It’s understandable to be concerned about potential causes, such as parasites or hemorrhoids. Let’s address your questions one by one.

1. Can you buy deworming medication over the counter?
While it is true that some individuals take deworming medications as a preventive measure, it is not advisable to self-medicate without proper diagnosis. Over-the-counter deworming medications are typically designed for specific types of parasites, such as pinworms (Enterobius vermicularis) or roundworms (Ascaris lumbricoides). If you suspect you have a parasitic infection, it is best to consult a healthcare professional who can provide a proper diagnosis through stool tests or other examinations. They can determine the specific type of parasite, if any, and recommend the appropriate treatment. Self-medicating without a confirmed diagnosis may not only be ineffective but could also lead to complications.

2. Are there any adverse effects of taking deworming medication if no parasites are present?
Taking deworming medication without having a confirmed parasitic infection can lead to unnecessary side effects. Common side effects of these medications may include nausea, vomiting, diarrhea, and abdominal pain. Additionally, some medications can interact with other medications you may be taking or exacerbate underlying health conditions. Therefore, it is crucial to avoid taking these medications without medical guidance.

Regarding your symptoms of itching and swelling near the anus, these could indeed be indicative of hemorrhoids, which are swollen veins in the lower rectum and anus that can cause discomfort, itching, and bleeding. Hemorrhoids can be caused by various factors, including straining during bowel movements, prolonged sitting, or increased pressure during pregnancy. If you are experiencing persistent symptoms, it is advisable to consult a healthcare provider for a thorough examination. They can confirm whether you have hemorrhoids or if there is another underlying issue, such as a skin condition or infection.

In summary, while it may be tempting to self-treat with over-the-counter deworming medications, it is always best to seek professional medical advice. A healthcare provider can help you determine the cause of your symptoms and recommend the most effective treatment plan. If you suspect you have a parasitic infection or are experiencing significant discomfort, please make an appointment with a healthcare professional for further evaluation.

Lastly, maintaining good hygiene practices, such as washing your hands regularly and ensuring proper sanitation, can help prevent parasitic infections. If you have any further questions or concerns, please feel free to reach out. Thank you for your understanding, and I hope you find relief from your symptoms soon.

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