Whipworm Follow-up

Updated: Apr 10, 2018
  • Author: Shipra Gupta, MD; Chief Editor: Russell W Steele, MD  more...
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Follow-up

Further Outpatient Care

Reexamination of stool specimens 2 weeks after therapy to determine whether the worms have been eliminated is helpful for assessing therapy. Retreatment may be necessary if symptoms persist 2-3 weeks after initial therapy.

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Deterrence/Prevention

Proper disposal of fecal material is indicated. Mass treatment of infected school-aged populations can reduce whipworm transmission in communities with endemic infection.

Some clinicians have suggested periodic deworming programs for children in endemic areas. [11]

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Complications

Rectal prolapse, dysentery, anemia, malnutrition, and growth retardation all can complicate heavy infections.

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Prognosis

With treatment, prognosis is typically excellent.

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Patient Education

Emphasize good hygiene and avoidance of pica. Proper disposal of fecal material needs to be emphasized.

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