How is strongyloid infection treated?

Question

Hello doctor,

I have been dealing with a parasitic infection for six months. It has caused a lot of bloating, food allergies, chronic bowel issues, rashes, and aches and pains in my spine. My primary care physician suspects it might be strongyloid larvae cysts in my body and gut.

I have now been diagnosed with a strongyloid infection. I am currently on a treatment plan that includes taking Doxycycline and Ivermectin paste. Blood tests and stool examinations have been conducted, and they also showed the presence of yeast. I even have pictures of the worms in my stools.

I would appreciate any guidance or advice on how to effectively treat this infection, considering that it appears to be systemic.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have addressed your concern and will answer you.

As per your physician's diagnosis, you have been confirmed to have a Strongyloides infection, which is curable. The recommended drug of choice for your case is Ivermectin, with a treatment effectiveness rate of up to 94-100%. Additionally, Albendazole is also known to work well in treating this infection. It is essential to be fully investigated for other possible worms since they might be present alongside Strongyloides, and it is crucial to eradicate all of them. After completing the treatment, you will need follow-up examinations at 6 and 12 months to ensure the effectiveness of the Strongyloides treatment and to confirm that you are clear of the infection. Serial stool examinations will be conducted to monitor your progress accurately.

To provide more tailored advice, I would need the following information from you:

Stool examination results.
Your latest stool samples.
Information on whether you are immunocompromised.
The dates you used the medications (Ivermectin and Doxycycline) mentioned in your previous query.

If you are still undergoing treatment, that is positive news. I suggest you follow up with your healthcare provider to confirm that you are clear of the infection. However, if you have completed the treatment and still experience symptoms, I would suggest you to undergo follow-up examinations to rule out Strongyloides recurrence or other worm infections.

I hope I have answered your concern.

I am here for your help anytime.

Thank you