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Dr. Andrew Rynne

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Does Ivermectin need to be taken to control Strongyloides?

Dear Doctor, I'm a female, age 66, 140 lbs weight and from Jamaica. I was diagnosed with strongyloides 22 years ago after 6 weeks of continuous diarrohea. For the last 3+ years I discovered Ivermectin thru' the internet and obtained same and have taken the tablets, 2 each 3mg every month. I've been doing very well until recently I had gastrointeritis and in a stool sample, was discovered an unidentified worms looking like a pinworm that appeared to have two tails. I've not taken any Ivermectin since April am and currently out of stock. I was given Amoebriz. I have been experiencing stomach pains since yesterday, taken Baralgin and Zantac - it helps. Stool sample tested recently [27\09] did not show any parasite. Question: do I need to continue taking Ivermectin every month to control the regermination of the Strongyloides? Your answer[s] will be greatly appreciated, with thanks. AllieMc
Fri, 8 May 2015
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Infectious Diseases Specialist 's  Response
Hello dear,

Thank you for your contact to health care magic.

I read and understand your concern.

I am Dr Arun Tank answering your concern.

First of all you should diagnose the parasite.

Haphazard and blind taking of ivermectin won't give you good response.

So in my advice you should first diagnose as what is the parasite that has makes you ill and accordingly we can take the treatment.

Different parasite requires different mode of therapy.

Strongyloides usually infects immunocomprmise patient. So if you are not of that category person you are probably not infected with the strongyloides and the coming out parasite is something different.

As you have taken this much of antiparasitic drugs in my advice you should take the further drugs under clinical and laboratory diagnosis.

Please adopt good hygienic practice. Good hand washing, do not walking on bare foot, eating hygienic only foods etc. This will be the supportive measures that can be helpful.

I will be happy to answer your further concern on bit.ly/DrArun.

Thank you,
Dr Arun Tank
Infectious diseases specialist,
HCM.
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Dear Doctor, I'm a female, age 66, 140 lbs weight and from Jamaica. I was diagnosed with strongyloides 22 years ago after 6 weeks of continuous diarrohea. For the last 3+ years I discovered Ivermectin thru' the internet and obtained same and have taken the tablets, 2 each 3mg every month. I've been doing very well until recently I had gastrointeritis and in a stool sample, was discovered an unidentified worms looking like a pinworm that appeared to have two tails. I've not taken any Ivermectin since April am and currently out of stock. I was given Amoebriz. I have been experiencing stomach pains since yesterday, taken Baralgin and Zantac - it helps. Stool sample tested recently [27\09] did not show any parasite. Question: do I need to continue taking Ivermectin every month to control the regermination of the Strongyloides? Your answer[s] will be greatly appreciated, with thanks. AllieMc