Seizures and headaches are the most common symptoms. However, confusion, lack of attention to people and surroundings, difficulty with balance, excess fluid around the brain (called hydrocephalus) may also occur. The disease can result in death.
If the larval worm enters the nervous system, including the brain, it can result in a condition known as neurocysticercosis. Infection of this kind can often cause epilepsy once inside the brain.
Sometimes worms are visible in the anal area, on underwear, or in the toilet. In stool, they look like small pieces of white cotton thread.
It's important to note that some tapeworm infections don't require treatment. Sometimes, the tapeworm leaves the body on its own. This is why some people never have symptoms or only have mild symptoms. If a tapeworm doesn't leave your body, your doctor will recommend a treatment based on the type of infection.
Management and Treatment
You can easily kill tapeworms with anthelmintic drugs, including praziquantel (Biltricide®), albendazole (Albenza®) and nitazoxanide (Alinia®). Healthcare providers usually recommend praziquantel because it also paralyzes the worm, forcing it to dislodge from your intestinal wall.
Once inside the body, the tapeworm head attaches to the inner wall of the intestines and feeds off the food being digested. Pieces of the tapeworm break off and come out of the body in feces (poop), along with the eggs they contain.
Any worms in your gut will eventually pass out in your poo. You may not notice this. To avoid becoming infected again or infecting others, it's very important during the weeks after starting treatment to wash your hands: after going to the toilet.
It's rare in the United States but may occur in the rural Southeast. Infection occurs from contaminated food or water. Adult worms can grow more than a foot long. Usually, they don't cause symptoms.
Signs and Symptoms
Parasites can live in the intestines for years without causing symptoms.
Once in the body, the worms find their way to the small intestine and lay eggs. Those eggs hatch before they are pooped out and the worms may infect someone else. Often there aren't any symptoms, but the worms can cause: Belly pain.
If left untreated, the intense itching and scratching associated with these infections will result in secondary bacterial infections. Some of these may be difficult to treat. Untreated people can continue to infect other people.
The infection is treated with albendazole or praziquantel (drugs used to treat parasitic worm infections, called antihelminthic drugs). However, if a person has many cysts, antihelminthic drugs may kill many organisms, causing the brain to swell significantly.
If an annelid is cut in two, they can regenerate to some degree, and in some species you can even end up with two worms. The common earthworm, however, will only regenerate from the tail end; the head end always dies.
The Spirometra tapeworm can live in humans for up to 20 years. A man in China experienced seizures and other mysterious symptoms for years before doctors finally found the cause: He had a rare parasite living in his brain, which had likely been there for more than a decade, according to news reports.
The signs of a parasite are often caused by the toxins that it releases into the human bloodstream. Here are the most common symptoms: Unexplained constipation, diarrhea, gas, bloating, nausea or other symptoms of Irritable Bowel Syndrome. You traveled internationally and got diarrhea on your trip.
Other intestinal worm infections are also treated with medicines that kill the parasite without harming the person, such as albendazole, mebendazole, ivermectin and praziquantel. Your doctor or a gastroenterologist will advise on the appropriate medicine and the dose. The worms are then usually passed out of the body.
The worms will die after 6 weeks so provided you do not swallow any new eggs then no new worms will grow to replace them. Strict attention to hygiene should be sufficient. Piperazine (Pripsen) is a different medicine, and can be used in children under 2 years (but over 3 months).
About half the world's population (over 3 billion people) are in infected with at least one of the three worms forming what Columbia University parasitologist Dickson Despommier calls the "unholy trinity"—large roundworm, hookworm and whipworm.
Worms are mainly spread in small bits of poo from people with a worm infection. Some are caught from food. You can get infected by: touching objects or surfaces with worm eggs on them – if someone with worms doesn't wash their hands.
For most, it's a short stay, with the immune system evicting the worms in days or weeks and leaving no trace that the parasites were ever there. In a small percentage of people and other animals, though, the worms gain a permanent mouth-hold and can stick around the intestines for years.
If you have a tapeworm infection, you may not have any symptoms. But some people have nausea, stomach pain, weakness, or diarrhea. You might notice a change in appetite (eating more or less than usual). And since the tapeworm keeps your body from absorbing nutrients from food, you may lose weight.
Many times, people can be infected for long periods of time without even knowing they have a tapeworm infection. While viral or bacterial infections can disappear in a matter of days or weeks, a tapeworm could be with you for years.