Can Deworming Medication Completely Eliminate Intestinal Parasites? - Gastroenterology and Hepatology

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Can deworming medication completely eliminate parasites?


Hello Doctor: I have been experiencing diarrhea for over two months now.
Initially, I thought it was just a change in my body due to pregnancy, so I didn't pay much attention.
However, even after giving birth, I still have watery stools every day, occasionally with soft stools.
A few nights ago, I felt itching around my anus, so I went to the bathroom to scratch the area, and I found a thin white worm still wriggling.
The next day, I immediately went to the hospital for a consultation, but I have to wait a week for the test results.
Yesterday, I noticed some small black specks in the toilet after having diarrhea, but I didn't dare to look closely.
Today, I saw those black specks again in my watery stool, and upon closer inspection, they turned out to be worms.
Can I go to the pharmacy and buy anti-parasitic medication without waiting for the test results? (I previously asked about taking anti-parasitic medication and its effects on breastfeeding.) Also, after taking the anti-parasitic medication, can I completely eliminate the worms? Furthermore, can having worms in the body for a long time lead to colon cancer? Lastly, why does my stomach often make gurgling noises? For your information, I have to go to the bathroom at least 10-20 times a day, and it's often a rush.
Thank you for your response, Doctor!

Niming, 10~19 year old female. Ask Date: 2015/12/18

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: Common parasites can generally be effectively treated with standard antiparasitic medications.
Intestinal parasites are not related to colorectal cancer.
Dr.
Chi-Feng Chen, Attending Physician, Department of Gastroenterology and Hepatology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/18

More Info


Deworming medications can be effective in eliminating intestinal parasites, but their success depends on several factors, including the type of parasite, the dosage and duration of treatment, and the individual’s overall health. In your case, it sounds like you have been experiencing significant gastrointestinal distress, including diarrhea and the presence of visible worms in your stool. This situation warrants immediate attention.

First, it’s crucial to understand that different types of intestinal parasites require specific treatments. Common parasitic infections include those caused by pinworms (Enterobius vermicularis), roundworms (Ascaris lumbricoides), and tapeworms (various species). Medications like mebendazole and albendazole are commonly used to treat these infections. If you suspect you have a parasitic infection, it is advisable to consult a healthcare professional before self-medicating. While over-the-counter deworming medications are available, they may not be suitable for all types of parasites, and incorrect usage could lead to ineffective treatment or potential side effects.

Regarding your concern about breastfeeding, certain deworming medications can be passed through breast milk, which may affect your infant. Therefore, it’s essential to discuss this with your healthcare provider to determine the safest course of action for both you and your baby.

As for the question of whether deworming medications can completely eliminate intestinal parasites, the answer is generally yes, but with some caveats. Successful eradication of parasites often requires adherence to the prescribed treatment regimen, which may include multiple doses or follow-up treatments. Additionally, maintaining good hygiene practices, such as washing hands regularly and ensuring proper food handling, can help prevent reinfection.

You also expressed concern about the long-term effects of having parasites in your system, particularly regarding the risk of developing colorectal cancer. While the presence of intestinal parasites is typically associated with gastrointestinal symptoms and discomfort, chronic infections can lead to complications. For example, certain parasites can cause inflammation and damage to the intestinal lining, which may increase the risk of secondary infections or other gastrointestinal disorders. However, the direct link between intestinal parasites and colorectal cancer is not well-established. It is more critical to address the current infection and any associated symptoms.

The frequent gurgling sounds in your abdomen, known as borborygmi, can be attributed to various factors, including increased intestinal motility due to irritation or inflammation caused by the parasites. This symptom, combined with your diarrhea, suggests that your gastrointestinal tract is reacting to the presence of the parasites, which can disrupt normal digestive processes.

Given your symptoms and the presence of worms, it is advisable to follow up with your healthcare provider as soon as possible. They can provide a definitive diagnosis through stool tests and recommend the appropriate treatment. In the meantime, focus on staying hydrated, as diarrhea can lead to dehydration. If you experience severe symptoms, such as high fever, severe abdominal pain, or blood in your stool, seek medical attention immediately.

In summary, while deworming medications can effectively eliminate intestinal parasites, it is essential to consult a healthcare professional for proper diagnosis and treatment. Self-medication may not be the best course of action, especially considering your recent pregnancy and breastfeeding. Addressing your symptoms promptly will help ensure your health and the well-being of your child.

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