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
Look up a symptom: Losing weight without trying · Stomach pain · Worms, or rice-like pieces, in the stool
When to get medical care
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:
| Medicine | Helps with | Good 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.