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HAS THIS EVER HAPPENED TO ANYONE?


WEAK NIGGUH

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YESTERDAY MORNING I WAS HAVING A BOWEL MOVEMENT AND MY FECES HAD THIS OPAQUE WHITE STRINGY STUFF ALL OVER THE OUTSIDE AND ON ONE PART THERE WAS A BIG BUNDLE OF IT. IT ALMOST LOOKED LIKE REALLY THIN WHITE WORMS BUT THEY WEREN'T MOVING OR ANYTHING. I DON'T KNOW WHAT I COULD EAT THAT WOULD PASS THORUGH LIKE THAT.

 

I ALSO TRIED TO GOOGLE THIS BUT ALL THAT CAME UP WAS STUFF ABOUT FISH.

 

HAS THIS HAPPENED TO ANYONE HERE?

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Emergency Department Care: Unless the parasite is detected (eg, presence of eggs, worm segments, cysts), definitive therapy in the ED is unlikely. Stabilization of any patient in the presence of a systemic disease or organ failure is essential.

 

* Intestinal T solium infections

 

o In cysticercosis, if the patient is asymptomatic with calcified soft tissue or neural lesions, no treatment is required.

 

o For symptomatic patients with neurocysticercosis, the neurologic manifestations may indicate a need for antiepileptics or antibiotics. These medications may resolve some of the symptoms or discomfort. However, once the definitive diagnosis has been confirmed, the treatment is praziquantel or albendazole. These agents can provoke an inflammatory response in the central nervous system. Thus, if either drug is given, the patient must be started on high-dose glucocorticoids.

 

o Effectiveness of therapy can be monitored via radiographic imaging. The size of the active lesions should decrease within 3-6 months.

 

o Ocular, ventricular, and spinal lesions are subject to irreversible drug-induced inflammation, which may require surgical treatments.

 

* T saginata, Diphyllobothrium, and D caninum (similar to intestinal T solium infections) infections can be treated with niclosamide or praziquantel (see Medication). Niclosamide is the drug of choice in these infections, with cure rates of 95%. Administer parenteral vitamin B-12 if evidence of vitamin B-12 deficiency occurs with Diphyllobothrium infections.

 

* The drug of choice against Hymenolepis is praziquantel because it is effective against both the adult and the cysticercoids in the intestinal villi. A 95% cure rate has been reported. Alternatively, consider niclosamide, which has a cure rate of 75%. Niclosamide must be given over 1 week because it is ineffective against the cysticercoids stage.

 

* Since determining whether all cestode tissue has been removed surgically is impossible, the World Health Organization (WHO) recommends that patients receive postoperative chemotherapy with benzimidazole derivatives (ie, mebendazole and albendazole) for 2 years after surgery.

 

o Cysts with homogenously calcified cyst walls are not likely to require therapy since spontaneous inactivation of larvae tissue has probably occurred.

 

o Medical therapy consists of albendazole for 28 days, repeated 1-8 times, and separated by 2-3 weeks of drug-free intervals.

 

o According to the WHO, chemotherapy for these infections should be reserved for patients with inoperative disease or after incomplete surgery. Chemotherapy is also indicated to prevent secondary echinococcosis after spontaneous or traumatic (perioperative) rupture of cysts.

 

* Echinococcosis treatment is surgical with perioperative use of albendazole, the most cost-effective and principle definitive treatment.

 

* Sparganosis and coenurosis treatment involves surgical excision for localized infections.

 

Consultations:

 

* An infectious diseases specialist can secure the tracking and reporting of important epidemiologic and epidemic patterns.

 

* Gastroenterologist and/or primary care physician

 

o Most patients' symptoms hasten the physician to notify the gastroenterologist for evaluation of their source of symptoms.

 

o After treatment, the passage of segments and eggs may continue for several days. Treatment is reevaluated for success by examining the stool at intervals allowing regrowth of worms: 3 months for Taenia species and 1 month for Hymenolepis, Diphyllobothrium, and other species. The difficulty arises with H nana, which can result in reinfection through internal autoinfection, causing patients to appear as though treatment has failed. Fortunately, the medications will reduce the worm burden, and the infections in children are usually spontaneously resolved in adolescence.

 

* In the presence of apparent cysts in the brain, meninges, or spinal cord, consultation with a neurologist may be indicated. Aspiration may be needed for diagnostic purposes and for relief of compression that may cause severe or discomforting symptoms.

 

* Surgery

 

o Some cestode infections require surgery not only for diagnostic purposes but also for therapy.

 

o Patients with hydrocephalus due to cysticercosis require placement of a ventricular shunt. This is needed prior to any recommended drug therapies because drug therapies typically result in further increases in intracranial pressures. In patients with neurocysticercosis, the rate of shunt dysfunctions requiring frequent revisions is high. These patients high mortality rate (50% in 2 y) is directly related to the number of surgeries involving their shunt.

 

o Symptomatic echinococcosis infections require surgical treatment with perioperative medical interventions. Surgical excision of the complete alveolar echinococcosis lesion is the only possible curative therapy. The surgical resections that are usually performed have an operative mortality rate that has dropped from about 7-23% before 1980 to 0-5% in more recent years. Palliative use of surgery is not indicated because most local complications can be treated by nonsurgical interventional techniques.

 

o The puncture of cysts percutaneously, aspiration of fluid, introduction of protoscolicidal agent, and reaspiration method, also known as the PAIR method, has been described as an alternative treatment for hepatic cysts. Currently, however, the efficacy and safety of the PAIR method has not been confirmed. Therefore, the PAIR method cannot be regarded as an established alternative to surgery.

 

o The only treatment for sparganosis and coenurosis is surgical excision of the localized infections.

 

 

 

 

this is pretty much what will happen if you go to the doctor and you have a form of tapeworm. Taking a massive doseage of b-12 and a few other drugs and have to watch what your poo looks like will probably be better than letting this infestation go until you pretty much die.

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Originally posted by Zack Morris@Sep 10 2005, 08:38 PM

* T saginata, Diphyllobothrium, and D caninum (similar to intestinal T solium infections) infections can be treated with niclosamide or praziquantel (see Medication). Niclosamide is the drug of choice in these infections, with cure rates of 95%. Administer parenteral vitamin B-12 if evidence of vitamin B-12 deficiency occurs with Diphyllobothrium infections.

 

 

 

Ok that's it! I'm done eating sushi! Here goes my hypochondria again, I need to talk to the doctor about this.

 

And WEAK NIGGUH, you need to see the doctor too before you literally become a WEAK NIGGUH.

 

Apparently this can be asymptomatic depending on the tapeworms location in the body. It can migrate ANYWHERE!

 

Damn this shit gives me the heebeegeebees.

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