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Intestinal worms (roundworm or tapeworm)

Also called: Intestinal worms, roundworm, tapeworm

Worms living in the gut, from contaminated food, water, soil, or undercooked meat. Medicines clear them.

TreatmentAntiparasitic pills

Overview

Roundworms come from soil contaminated with stool; tapeworms come from undercooked pork, beef, or fish.

Many people have no symptoms.

Symptoms

Common signs:

  • Worms in stool
  • Worms, or rice-like pieces, in the stool

Less common

  • Belly pain
  • Weight loss

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todaySevere belly pain.
See a doctor soonWorms seen.

Causes

Contamination.

Does it spread or run in families?

  • Yes, it can spread from person to person.
  • How it spreads: germs from poop getting into the mouth, soil, undercooked pork, or going in through bare skin.
  • Washing hands often and staying home when sick help protect others.

Who is more likely to get it

  • Travel

Diagnosis

Stool tests.

Treatment

Treat and prevent.

Self-care

  • Wash hands
  • Cook meat well

Medicines

Medicines that may help:

MedicineHelps withGood to know
Antiparasitic
Worms

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

  • Handwashing

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to a gastroenterologist (stomach and gut doctor).

Back to school, work, or sports

  • Stay home until 2 days after vomiting and diarrhea stop, especially if you work with food, children, or patients.
  • Wash hands well after using the toilet.

Children, pregnancy, and older adults

  • Travelers: Higher risk.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Some infections can pass to the baby during pregnancy or birth. Tell your provider if you've been exposed.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Curable.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

  • A list of your medicines and supplements
  • Notes on when symptoms started and what makes them better or worse

Questions to ask

  • Should my family be treated?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Intestinal worms (roundworm or tapeworm)

Sources

Last updated 2026-11-12.