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Suggest treatment for presence of roundworm in stool

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Posted on Tue, 28 Jun 2016
Question: I found a roundworm in my stool. I went to the emergency room and they prescribed me albendazole, after they repeatedly told me this doesn't happen in the United states. How does it work? What can I expect to happen to me in the next few days? How easily is roundworm transmitted, I have a 2 year old and a 1 week old baby. I'm driving myself crazy trying to figure out where I got it from.
doctor
Answered by Dr. Shoaib Khan (23 minutes later)
Brief Answer:
List of suggestions, along with plausible scenarios for you to understand

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Well your medical team was right in saying that is in uncommon in the USA, it being a developed nation. Roundworm infections are more common in developing or under-developed countries, but that doesn't mean it cannot be present in the US.

Let me describe certain instances to you for your information and imagination:

1. Man working in the kitchen of a restaurant is an immigrant, and is a resident of a developing or under-developed nation. He visits his family during the holidays, and unfortunately gets infected by the roundworm.

Being an individual belong to the lower middle class or less privileged class he cannot afford to skip work despite being sick. So he takes regular toilet breaks, but due to the shortage in time and increased workload in the kitchen, he skips paying as much attention to hygiene as should be given. Resulting in transmission of the eggs through the food he is handling

2. Soil in some regions is treated with human faeces (used as a fertiliser in some regions); you could have come in contact with this soil anytime.

and so on.

It doesn't matter how you got it now, all that matters is that you do not transmit it to your children, so here are a few tips:

1. Do not use the same toilet your children use

2. Do not handle food at all

3. Clean your hands thoroughly after visiting the toilet

4. Maintain good hygiene throughout this ordeal

5. Take your medications well enough

6. Avoid washing your hands elsewhere in the house, and only use your own toilet

7. Carry a hand sanitiser at all times on yourself, and use it generously before coming in contact with your children

8. Boil all water to be used for cooking and drinking at home

9. Do not eat from places that cannot be trusted

In the next few days, you will have to follow my above mentioned suggestions and also continue to take extreme care until you can return to the medical centre to retest your stool to make sure you are rid of the roundworm.

I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shoaib Khan (27 minutes later)
I was obviously pregnant while I had the roundworm, did this get transmitted to my baby while i was carrying him? I was also breastfeeding before i discovered the round worm, can he get it through that? I was told by the doctor in the emergency room that i can breastfeed again once the medication is out of my system, is this possible?
doctor
Answered by Dr. Shoaib Khan (10 minutes later)
Brief Answer:
No, No, and Yes ma'am :)

Detailed Answer:
Hello once again ma'am.

1. No ma'am, roundworm cannot be transmitted from mother to fetus in utero

2. No ma'am, your child cannot get the roundworm from drinking the infected mothers breast milk

3. Yes ma'am, you most certainly can continue to breastfeed your child once the medication is out of your system as the breastmilk has absolutely to risk for transmission of the roundworm :)

I hope this clears things up for you, but please do not think twice before writing to me about anything, always here to help. :)

Wishing you loads of luck :)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shoaib Khan (23 minutes later)
Since i took the albenazole, what can i expect to happen to me physically? Should i see the worms when i go to the bathroom? I haven't seen any yet. If i dont see anything, should i be worried that the medicine didn't kill them?
doctor
Answered by Dr. Shoaib Khan (17 minutes later)
Brief Answer:
All queries addressed ma'am :)

Detailed Answer:
Hello once again ma'am.

Physically nothing really, all should go as it usually does. If you had symptoms like diarrhoea or abdominal pain or increased gas, your symptoms should slowly subside.

You may or may not be able to see the worms in your stool, but they will be leaving your body through the stool in the form of fully grown worms or eggs (not visually seen).

Albendazole is a one dose medication that usually works wonders in killing them all especially from mild to moderate cases, but very rarely if they do not leave your system we do choose to shift to another medication, but that is very rarely required.

But please note that you not seeing them in your stool is not a sign of the medication not working, I am sure it will soon enough.

Best wishes. :)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (3 hours later)
I've been reading up on the lifecycle of the roundworm and it describes how he larvae migrate to your lungs and then you swallow them, thats when they grow to mature adult worms in your intestines. Does albendazole kill them in all their various stages? Larvae in your lungs or bloodstream?
doctor
Answered by Dr. Shoaib Khan (9 hours later)
Brief Answer:
Yes ma'am, albendazole should work to kill them in all stages :)

Detailed Answer:
Hi ma'am.

Yes, the albendazole kills them in all stages ma'am, it just takes some time for them to be excreted, so don't worry about that. Rarely when the albendazole does not suffice, we give other modalities of treatment, but I don't think it should be required in most cases.

Best wishes. :)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest treatment for presence of roundworm in stool

Brief Answer: List of suggestions, along with plausible scenarios for you to understand Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. Well your medical team was right in saying that is in uncommon in the USA, it being a developed nation. Roundworm infections are more common in developing or under-developed countries, but that doesn't mean it cannot be present in the US. Let me describe certain instances to you for your information and imagination: 1. Man working in the kitchen of a restaurant is an immigrant, and is a resident of a developing or under-developed nation. He visits his family during the holidays, and unfortunately gets infected by the roundworm. Being an individual belong to the lower middle class or less privileged class he cannot afford to skip work despite being sick. So he takes regular toilet breaks, but due to the shortage in time and increased workload in the kitchen, he skips paying as much attention to hygiene as should be given. Resulting in transmission of the eggs through the food he is handling 2. Soil in some regions is treated with human faeces (used as a fertiliser in some regions); you could have come in contact with this soil anytime. and so on. It doesn't matter how you got it now, all that matters is that you do not transmit it to your children, so here are a few tips: 1. Do not use the same toilet your children use 2. Do not handle food at all 3. Clean your hands thoroughly after visiting the toilet 4. Maintain good hygiene throughout this ordeal 5. Take your medications well enough 6. Avoid washing your hands elsewhere in the house, and only use your own toilet 7. Carry a hand sanitiser at all times on yourself, and use it generously before coming in contact with your children 8. Boil all water to be used for cooking and drinking at home 9. Do not eat from places that cannot be trusted In the next few days, you will have to follow my above mentioned suggestions and also continue to take extreme care until you can return to the medical centre to retest your stool to make sure you are rid of the roundworm. I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I am always here to help. Best wishes.