Helminthiasis is the most common parasitic infection that affects people of any age. Doctors cannot provide accurate statistics on the number of cases, because many do not turn to a specialist when they discover alarming symptoms, but prefer to treat themselves. This approach can lead to serious complications becauseeven broad-spectrum drugs may be ineffective against certain types of helminthic infestations, for example, filariasis - infection with filamentous nematodes.
In total, more than 400 types of helminths are known that can parasitize the human body, and it is possible to accurately determine which of them caused the disease only after a laboratory examination of the stool. It is necessary to consult a doctor (general practitioner, proctologist or infectious disease specialist) if any signs of helminthic infestation are detected. The difficulty of timely diagnosis in almost half of the cases lies in the absence of symptoms typical of helminthosis, so it is important to know which signs can be indirect manifestations of helminthosis. Adults are recommended to have a preventive examination of the stool, as well as a scraping for enterobiosis, at least once a year.
How can you get infected?
Most patients believe that helminthic infestation is a "disease of dirty hands". This statement is only half true. Some types of worms, for example cestodes and other flatworms, can actually live in the soil and sand, so in the absence of sufficient hand hygiene, a person can become infected with helminthosis, but this route of transmission is typical mainly for children in the younger age group (from 1 to 6 years). In adults, the main source of infection is poor-quality food (dairy products that have expired, poorly processed meat, stale eggs) and tap water.
How does a worm infection occur?
You can get infected with worms in open rivers and reservoirs. In rare cases, while swimming, a person can become infected with leeches - representatives of the class of annelids that cause hirudinosis. Pathology is quite difficult, because the main food for leeches is blood and its components, which leads to damage to blood vessels, rapidly progressing anemia and blood poisoning against the background of systemic intoxication of the body. To avoid this, you should not swim in areas that are not equipped with "Swimming Allowed" signs. Soil/water samples are periodically taken at specially designated locations in the summer and the risk of infection in such places is several times lower.
Other sources of infection for humans may include:
- street and domestic animals (it is necessary to clean the pet's tray only with gloves, and the animal itself should be bathed regularly and treated with anthelmintic drugs 2 times a year);
- contaminated air;
- blood-sucking insects (mosquitoes, ticks);
- dust (including house dust that accumulates on soft toys and upholstered furniture).
Note!Some types of worms can enter the human body through the skin, so physical contact with a person diagnosed with helminthiasis should be limited as much as possible.
Helminths spread rapidly throughout the body.
Acute infection in adults: symptoms and signs
At home, it is possible to independently diagnose or suspect helminthic infestation only during the acute and subacute course of the disease. Depending on the type of worms, their number and the state of the immune system, it can last from 1 week to 4 months. The symptoms of the pathology are most pronounced in this period, so the chances for timely treatment and reducing the risk of complications in the acute form are maximum.
The main symptoms of acute helminthosis are disturbances in the function of the intestines. Functional bowel disorders occur in patients in the form of diarrhea or long-term absence of stool (constipation is 4 times less common than diarrhea syndrome). The consistency of the stool when infected with worms is thin, watery, sometimes with the addition of foam. The smell is foul-smelling, pungent. The color can vary, but in most patients the stool becomes lighter and pale yellow in color. If there is a heavy worm infestation, the droppings may be brown or green. Sometimes they contain traces of mucus and blood, which is released as a result of damage to blood vessels and capillaries located in the intestinal mucosa by worms.
Among other signs from the gastrointestinal tract, the patient may have abdominal pain, causeless, sudden vomiting, loss of appetite against the background of constant nausea. Many patients lose weight during this period: weight loss can be up to 10% within 2-4 months from the onset of the disease. The skin turns pale and a polymorphic rash appears on it in the form of vesicles or nodules filled with exudate. The same rash can also occur on the mucous membranes of the genitals, oral cavity and internal organs. Approximately 10-20% develop acne, ulcers and comedones during this period. A precise red rash may appear on the skin of the abdomen and elbows.
Other signs of acute infection in adults include:
- inflammation of the conjunctiva of the eye (parasitic conjunctivitis);
- swelling of the face, limbs, neck (may be accompanied by watery appearance of internal organs);
- febrile condition;
- fever and chills against the background of a periodic increase in temperature up to 38°C and more.
Important!Anal itching, which is considered the main symptom of helminthosis, is characteristic mainly of enterobia - pinworm infection. It occurs as a result of skin irritation in the anorectal area with secretions secreted by female pinworms at night. For other acute forms of helminthic infestation, such a clinical picture is not considered typical.
Chronic infestation: what symptoms should you pay attention to?
The chronic form of helminthiasis is a very common pathology that develops in the absence of timely treatment in the acute period. Most of the clinical symptoms recede and lose intensity during this period, but do not disappear completely. A person may periodically feel mild abdominal pain, nausea and possible vomiting immediately after eating or 1-2 hours after eating. The skin rash usually lasts. If the reaction is severe, the patient may experienceangioedema is a fatal condition accompanied by spasm of the larynx and bronchospasm.
One of the main signs of chronic helminthic infestation (as well as its complications) is anemia. It manifests as unnatural pallor, asthenia (chronic fatigue syndrome) and weakness. The person's activity decreases, he becomes lethargic and emotional lability can be observed.
If the hepatobiliary system is affected
The hepatobiliary system, which includes the liver, gallbladder and bile ducts, is the main target of parasite attack. Worms can feed on liver parenchyma cells, blood, components of bile and bile acids. This form of pathology is manifested by severe pain localized under the right rib in the upper part of the abdomen. The pain can be stabbing, cutting, or stabbing in nature, so many people mistake it for an attack of biliary colic (this situation is especially typical for patients with chronic diseases of the gallbladder and pathways).
Obstructive jaundice is another sign that requires immediate diagnosis. Yellowing of the skin and whites of the eyes can be a manifestation of dangerous liver diseases (hepatitis, cirrhosis) or symptoms of organ tissue damage by parasites.
Important!Hepatobiliary helminthiasis is one of the most difficult types of pathology. In the absence of adequate and timely therapy, the patient may die from acute intoxication and necrosis of the liver tissue.
Clinical indicators - signs of helminthic infestation
A doctor may suspect parasitic infections if the results of three blood tests confirm that the patient has anemia - a low level of hemoglobin. For an adult, the hemoglobin norm is from 120 to 140 g/l. In some cases, for example, during pregnancy, this figure can be slightly lower - up to 110 g/l. But the amount of hemoglobin should not fall below these values. Anemia in patients with helminthiasis develops quickly, because almost 90% of parasites feed on human blood and damage small blood vessels.
Another constant clinical sign of long-term helminthiasis iseosinophilia - an absolute or relative increase in the level of eosinophils in the blood. This is a type of granulocytic leukocyte mass, which is the main indicator of the body's readiness for allergy. When it is infected with parasites, it is always combined with skin itching and a polymorphic rash.
How to protect yourself from worm infection?
The basic rule that helps protect the body from the penetration of worms is strict adherence to hygiene - above all, hand hygiene. For washing, it is better to use soap with antibacterial components or natural laundry soap with a fatty acid concentration of at least 72%. Laundry soap has a pronounced disinfecting and antimicrobial effect and provides excellent prevention of infectious diseases. If you cannot stand the smell of laundry soap, you can use a product with added aromatic additives.
Food must be prepared in accordance with hygienic and thermal processing standards. It is recommended to rinse vegetables and fruits with boiling water or wash them with soap, and to fry or cook meat at a high temperature for at least 30-40 minutes. The minimum time for cooking eggs is 20 minutes. It is important to monitor the quality and freshness of the product and carefully check the expiration dates. If the product does not have the necessary information and label, it is better to refuse the purchase.
If there are pets in the house, it is necessary to carry out a course of deworming twice a year, even if the pet does not go outside, because worm eggs can be brought into the apartment on outer shoes and clothes. The safest dewormer for cats and dogs is chicken flavored tablets.
What to take for helminthosis?
Treatment of helminthiasis should only be prescribed by a doctor, because all anthelmintic drugs are very toxic and have a negative effect on the state of the liver. The table lists the most commonly prescribed drugs with a wide range of effects, as well as their dosage, but they can only be used after laboratory diagnosis and consultation with a specialist.
Signs, treatment and symptoms of adult intestinal worms
About 250 types of worms live in the body of an adult, and they arise as a result of parasitic worms entering the human body, causing various diseases.
The presence of helminths in the intestines of people is masked under the guise of other diseases.
A person can be treated for years for a disease without knowing that there are worms in his body. And only after treatment for helminths will he feel much better.
Classification of helminths
Parasites are divided into 3 groups:
- round worms;
- flatworms;
- flukes.
Groups of helminths also differ according to biological characteristics:
- Biohelminths- tapeworms, pork and beef. During development into adulthood, they change their hosts, starting with insects and eventually migrating to humans.
- Geohelminths— roundworms, whipworms and many other parasites immediately penetrate the body of an adult and begin their development from the initial stage.
- Contact- pinworms, dwarf tapeworms. Entry comes from an infected person.
Where can helminths live?
Parasites primarily infect the intestines of adults. But not everyone knows that there are species that can live in other organs:
- Tapeworms, nematodes and whipwormsthey live in the large intestine.
- Termatodes- enter the liver and gallbladder.
- Pork tapewormlives in any organ of an adult.
Types of microorganisms that live in the body of an adult
In the body of an adult, helminths such as roundworms, pinworms and tapeworms are predominantly present. They actively absorb nutrients from the body of an adult, after which metabolic disorders, anemia, severe weight loss and other types of diseases occur.
Helminths in humans:
- roundworms:Infection occurs after eating unwashed vegetables and fruits.
- wide band:When you eat raw fish.
- Pinworms:in contact with other persons who are already infected with parasites and using the same dishes and bedding.
Helminths develop in a certain period of time, which generally lasts from 15 to 60 days, after which the chronic phase of the disease occurs.
After moving into the chronic phase, the person's immunity decreases. The inflammation begins immediately against the background of the weakening of the organism.
Causes of worms
Helminths in humans cause severe poisoning of the organism. If worms appear in an adult, the symptoms depend on the type of parasite, the habitat and the number of parasites, which multiply several times and even several thousand times every day.
How long does it take for the first signs to appear?
For example, for roundworms, two to three days are enough to notice a bad condition. Most often, infection with other types of parasites occurs in adults, the first signs appear after 2-3 weeks, but the first symptoms of filariasis can be expected from 6 to 18 months.
The danger is that in some cases the disease with worms occurs without visible symptoms. Signs may appear after the parasite reaches an enormous size.
- Pinworms— The main signs of the presence of these parasites in the body of an adult are itching, which intensifies at night. The frequency may last from one to two days, and then it will not bother you for several weeks. And if the infection is severe, itching can appear quite often.
- Trichocephalosis— a sign of infection with this type of helminth is the development of anemia. Nausea, dizziness, abdominal pain, constipation, diarrhea and severe weight loss may occur.
- Roundworms- rash appears all over the body, but it can also be on different parts of the body, nausea, stomach pain, weight loss. If this parasite is not detected in time, the integrity of the intestine can be compromised. If roundworms enter the appendix, serious inflammation of this organ can develop.
If the number of helminths has increased several times, a high temperature may appear. But in rare cases, parasite infection is asymptomatic. But basically, helminth infection occurs with signs that are not difficult to notice.
In the initial stage of the appearance of worms, it is necessary to start proper comprehensive treatment so that this disease does not develop into a chronic one.
How parasites enter the human body. Infection
There are four ways in which parasite infection occurs.
- Through land and water with egg worms. Through communication with animals and when eating food and products on which a fly with helminth eggs has landed. Every time you touch the ground, you should wash your hands thoroughly. Vegetables and fruits collected from the site should be washed with water using a special scraper or sponge. You should not drink water from the spring, because parasite eggs usually live in water. You should not swallow water when swimming in ponds, rivers or other bodies of water.
- From a person suffering from parasites, such as pinworms. Reproduction occurs at night. The female crawls out of the intestine and lays one or more eggs on the folds of the anal passage, after which itching naturally occurs, the person scratches, and the helminth eggs remain on underwear, hands and surrounding objects. Without proper hand washing, infection occurs by taking pinworm eggs into the mouth. This is the most common way of getting infected with parasites.
- When eating undercooked and raw meat, and over raw fish.
- Through mosquito bites, flies and so on.
When helminths enter the body, two stages of development can occur: acute and chronic.
The acute phase begins from the moment the helminths enter the human body and can last from two weeks to 2 months.
The second stage begins after the person does not get rid of the worms and lasts a lifetime. When worms enter the body, poor absorption of nutrients occurs.
Where can helminths live?
Parasites primarily infect the intestines of adults. But not everyone knows that there are species that can live in other organs:
- Tapeworms, nematodes and whipwormsthey live in the large intestine.
- Termatodes- enter the liver and gallbladder.
- Pork tapewormlives in any organ of an adult.
Types of microorganisms that live in the body of an adult
In the body of an adult, helminths such as roundworms, pinworms and tapeworms are predominantly present. They actively absorb nutrients from the body of an adult, after which metabolic disorders, anemia, severe weight loss and other types of diseases occur.
Helminths in humans:
- roundworms:Infection occurs after eating unwashed vegetables and fruits.
- wide band:When you eat raw fish.
- Pinworms:in contact with other persons who are already infected with parasites and using the same dishes and bedding.
Helminths develop in a certain period of time, which generally lasts from 15 to 60 days, after which the chronic phase of the disease occurs.
After moving into the chronic phase, the person's immunity decreases. The inflammation begins immediately against the background of the weakening of the organism.
Causes of worms
Helminths in humans cause severe poisoning of the organism. If worms appear in an adult, the symptoms depend on the type of parasite, the habitat and the number of parasites, which multiply several times and even several thousand times every day.
How long does it take for the first signs to appear?
For example, for roundworms, two to three days are enough to notice a bad condition. Most often, infection with other types of parasites occurs in adults, the first signs appear after 2-3 weeks, but the first symptoms of filariasis can be expected from 6 to 18 months.
The danger is that in some cases the disease with worms occurs without visible symptoms. Signs may appear after the parasite reaches an enormous size.
- Pinworms— The main signs of the presence of these parasites in the body of an adult are itching, which intensifies at night. The frequency may last from one to two days, and then it will not bother you for several weeks. And if the infection is severe, itching can appear quite often.
- Trichocephalosis— a sign of infection with this type of helminth is the development of anemia. Nausea, dizziness, abdominal pain, constipation, diarrhea and severe weight loss may occur.
- Roundworms- rash appears all over the body, but it can also be on different parts of the body, nausea, stomach pain, weight loss. If this parasite is not detected in time, the integrity of the intestine can be compromised. If roundworms enter the appendix, serious inflammation of this organ can develop.
The first symptoms of worms in humans appear as follows:
- skin rash that causes constant itching;
- swelling, both on the whole body and in places;
- cough, choking;
- lymph node inflammation;
- weakness, fatigue;
- pain in joints, lower abdomen;
- serious illnesses;
- diarrhea, constipation, flatulence, pain in the intestines;
- damage to the central nervous system.
If the number of helminths has increased several times, a high temperature may appear. But in rare cases, parasite infection is asymptomatic. But basically, helminth infection occurs with signs that are not difficult to notice.
In the initial stage of the appearance of worms, it is necessary to start proper comprehensive treatment so that this disease does not develop into a chronic one.
Tests to detect parasites in adults
To diagnose the presence of worms in the body of an adult, a stool sample is taken for research. Additional tests are collected for some types of helminths:
- shavings of the anal canal are collected for the presence of egg worms in an adult;
- in women, shavings are collected from the vagina, navel and inguinal folds;
- perform an immunological test;
- urine and blood tests are collected.
If there are individual helminths in the body, then the symptoms appear unnoticed by an adult. If there is a large number of parasites in the body, then the symptoms appear in a rather complex way. Especially with a certain type of worm, people suffer in the evening and at night.
To remove parasites from the human body, the doctor prescribes an individual treatment.
Treatment of helminthic infestations
In the modern world, there are many preventive measures and treatment methods, which have their own specialization for the treatment of various types of parasites.
There are about 70 types of helminths in our country. Only after examining the tests, the precise treatment and drugs are prescribed, because the drugs are very toxic. In addition, appropriate treatment is prescribed for all types of parasites.
The course of treatment can be repeated because there is a risk of re-infection.
ethnoscience
Treatment can also be carried out using traditional methods. Time-tested methods are considered effective. This includes eating pumpkin seeds and the tansy plant.
In the modern world, it is believed that pumpkin seeds are best eaten in the morning on an empty stomach. In an hour you have to eat 300 grams of seeds. It is recommended to grind and add honey. Do not eat anything for four hours and clean your stomach with a laxative and an enema.
Repeated treatment is recommended after two weeks. Carrots or carrot juice are also believed to help against parasites. A decoction of the wormwood plant will help to get rid of the problem, it must be used orally or as an enema.
Prevention of worms. what is it for?
You must lead a healthy lifestyle, drink purified or boiled water, use personal hygiene products and your own dishes, bed linen and other personal items.
All pet vaccinations must be done on time. Before consumption, it is necessary to wash vegetables and fruits well, and heat meat and fish. For prevention, take antiparasitic drugs. You should not eat raw, dried or cured fish from freshwater bodies. To avoid infection with helminths, you just need to follow the rules of prevention.