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Tapeworm infection - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2498 Questions
User :   hi
User :   does this work at all?
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query
User :   I have tapeworms and
Doctor :  
ok
User :   I took niclosomide but
User :   am not cured yet
User :   the dosage was
Doctor :  
how did you find out? did you see them when passing stools?
Doctor :  
or did you find out after stool test?
User :   saw it passing on stool
Doctor :  
ok
Doctor :  
how many days did you take the treatment?
Doctor :  
was it self treatment? or a prescription given to you?
User :   I took 2 on saturday and 2 on monday
User :   it was self treatment I would say
Doctor :  
ok
Doctor :  
usually Niclosamide is the drug of choice and a single dose is enough to treat it
Doctor :  
what makes you say that you are not cured still?
User :   b/c i didnt see the tape worm out
User :   and I am feeling some feelings
Doctor :  
its not that you will see it to come out
Doctor :  
the bits of it come in stolls during active infection
Doctor :  
which is nothing but a part of it that gets dislodges from main body and comes out
Doctor :   what symptoms are you feeling now?
User :   I feel some burning or a kind of feeling of hungry
User :   even if i ate
User :   and i am guessing may be it may have something to do with z drug
Doctor :  
that is common to feel after treatment because the body tries to replenish al that it is lacking making you to feel hungry more often
Doctor :  
just make sure that you dont eat anything spicy
Doctor :  
avoid keeping stomach empty for more than 3 hours
Doctor :  
sometimes re-infection can happen very soon, due to again ingestion of the eggs or contaminated food which usually happens due to lack of proper hygiene
Doctor :  
in case the hygiene and sanitation is a problem in your area, then keep getting dewormed every 3-6 months
User :   ok
Doctor :  
take iron and multivitamin supplements along with the usual food you take to have increased immunity.
Doctor :   avoid eating undercooked food, especially meat
User :   but now I am not seeing any of the parts in my stool, but I have seen the whole tape worm came out too, so how can i say if I am cured or not?
Doctor :  
usually a single dose of drug is enough to kill teh worm and it will get passed out
User :   single dose?
Doctor :  
incase it does not, then possibility are that it will get mixed with the stool matter and come out partially digested
Doctor :  
if in more doubt you can do a stool routine and microscopic test
Doctor :  
to look for the eggs in them
Doctor :   because if adult worm is still present inside, it will release eggs
User :   yeah
User :   what do you mean by a single dose?
Doctor :  
so wait for a week time, maintain proper hygiene levels in and around you
Doctor :  
be sure to eat good hygienic food
Doctor :  
single dose means ONE SINGLE DOSE of the drug of choice for tapeworm infection
Doctor :  
you told me you have taken Niclosamide which is one of the drugs used to treat it
User :   yeah
Doctor :  
and a single oral dose of the adult tablet is enough to treat the infection
User :   usually 4 tablets are taken at same time
User :   but I found out that I can also take 2 tablets on dayone and the other 2 on the third day
User :   so I used the second choice
Doctor :  
ok
User :   what do you think?
Doctor :  
i wil explain
Doctor :  
it depend on the type of tapeworm infecting you
User :   oh
Doctor :  
if infected with beef tapeworm, a one-tablet dose of 2 grams will clear up the infection
User :   my case is definetly beef tape worm
Doctor :   if dwarf tapeworms are suspected, the 2-gram tablets must be taken once a day for a full seven days even if symptoms begin to fade
Doctor :  
did you take tablet of 2 grams strength?
User :   yeah total
User :   but with a gap
Doctor :  
do you mean to say you took 2 grams on Day1 and 2 grams on Day3?
Doctor :  
or a total of 2 grams on day1+day 3?
User :   yeah
Doctor :  
please tell me clearly which option i should consider? you took 2 grams on Day1 and 2 grams on Day3? or a total of 2 grams on day1+day 3?
User :   oh sorry
User :   the second option
Doctor :   a total of 2 grams on day1+day 3?
User :   a total of 2 grams on day1+day 3?
Doctor :   ok
User :   yeah
Doctor :  
then the dose is not sufficient
Doctor :  
wait for a week
Doctor :  
and repeat the treatment
Doctor :  
with 2 grams on Day1 and 2 grams on Day3?
User :   oh, ok
Doctor :   only 2 grams on Day 1 is enough
User :   i think so
Doctor :  
but to avoid complete elimination of parasite the repeat dose is suggested to be taken on Day3
Doctor :  
Common side effects of abdominal pain, anorexia, and diarrhea can occur which are self limiting, and not worrysome.
Doctor :  
have you followed what i have said?
User :   yeah
User :   thanks,
User :   it is really a great help
Doctor :   avoid self medications totally as the correct dose and strength can be mistaken like what happened in your case
Doctor :  
always go for a doctor to give you prescription and then buy teh correct dose
Doctor :  
and take it in a proper way
User :   ok
Doctor :  
Niclosamide works by killing the tapeworms on coming in contact with them
Doctor :  
so the correct strength matters a lot
User :   i understood now
Doctor :  
The killed worms sometimes may not be seen to come out with stools as the chances of them getting destroyed and mixed with other fecal matter is high especialy if the worm is residing in the upper small intestine
Doctor :  
so now have you understood the importance of avoiding self medication and also the correct way the medicine has to be taken?
Doctor :  
please get back to me if having any doubts
User :   ya I have understood it very well doctor, thanks!
Doctor :  
Is there any thing else I can help you with?
User :   for now this is all I have
User :   thanks
Doctor :   Please fill the feedback form, and comment box, and say done when done
User :   i did
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   ok
User :   bye
Doctor :   bye
Question is related to
Drug/Medication
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