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Parasites: Symptoms, Testing, Treatment & Prevention (A Complete Guide)

Read time: ~10–12 minutes

Educational only — not a substitute for medical advice. If you suspect a parasitic infection or have severe symptoms, contact a licensed healthcare professional.

What Are Parasites?

A parasite is an organism that lives on or inside a host and relies on it for survival. Parasites range from microscopic single-celled organisms to visible worms and external pests. Many are harmless to humans, but some can cause mild to severe illness depending on the species, the part of the body affected, and your overall health.

Major Categories of Human Parasites

  • Protozoa (single-celled) — Often spread through contaminated food or water. Examples include Giardia, Cryptosporidium, and Entamoeba histolytica.
  • Helminths (worms) — Multicellular organisms such as:
    • Nematodes (roundworms) — e.g., pinworm, hookworm.
    • Cestodes (tapeworms) — typically acquired from undercooked meat or fish.
    • Trematodes (flukes) — often linked to freshwater exposures.
  • Ectoparasites (external) — Live on the skin, like lice and mites (scabies).

While media often focuses on dramatic cases, most parasitic infections are preventable and treatable. Early recognition and appropriate care usually lead to full recovery.

How Do Parasitic Infections Happen?

Understanding how parasites spread helps you reduce your risk. Transmission often involves ingesting microscopic eggs or cysts, skin contact with larvae, or close contact with an infected person or animal.

Contaminated Food & Water

  • Unwashed produce, undercooked meat or fish, or unpasteurized beverages.
  • Untreated water from lakes, streams, or improperly maintained wells.

Travel & Environment

  • Visiting regions where specific parasites are more common.
  • Exposure to contaminated soil or freshwater.

Person-to-Person Spread

  • Close contact in households, dorms, schools, or daycares (e.g., pinworm).
  • Skin-to-skin contact for ectoparasites like scabies.

Pets & Livestock

  • Handling pet waste or failing to deworm animals on recommended schedules.
  • Farm environments with frequent soil or animal exposure.

Outdoor Activities

  • Swimming in or swallowing untreated freshwater.
  • Gardening or walking barefoot in contaminated soil.

Signs & Symptoms of Parasites

Symptoms vary by parasite type and location in the body, and many overlap with other conditions. The presence of one or more symptoms doesn’t automatically mean you have a parasitic infection; proper testing is essential.

Digestive Symptoms

  • Diarrhea or loose stools, sometimes alternating with constipation
  • Gas, bloating, cramping, or abdominal discomfort
  • Nausea or decreased appetite
  • Unexplained changes in weight

Skin & External Symptoms

  • Itching or rash (common with scabies or lice)
  • Visible “nits” in hair (lice)
  • Anal itching, especially at night (pinworm)

Systemic Symptoms

  • Fatigue, low energy, or sleep disturbance
  • Anemia or nutrient deficiencies (some parasites compete for nutrients)
  • Fever, chills, or night sweats in certain infections

If symptoms are severe, persistent, or accompanied by blood in stool, high fever, significant dehydration, or intense abdominal pain, seek medical care promptly.

Common Myths vs. Facts

  • Myth: “Everyone has parasites.”
    Fact: Many people never develop parasitic infections. Risk depends on exposure and hygiene practices.
  • Myth: “A ‘cleanse’ is all you need.”
    Fact: Some infections require prescription medication. Over-the-counter or herbal remedies are not universally effective and may be unsafe for some people.
  • Myth: “Weight loss always means parasites.”
    Fact: Many conditions can cause weight changes. Testing is key to the correct diagnosis.
  • Myth: “If symptoms improve, you’re cured.”
    Fact: Follow-up testing is sometimes needed to confirm eradication and prevent recurrence.

Who Is Most at Risk?

Anyone can be affected, but risk increases with:

  • International travel, especially to regions with limited sanitation
  • Young children, caregivers, and daycare settings
  • Campers, hikers, and swimmers using untreated freshwater
  • Pet owners and farm workers
  • People with weakened immune systems or chronic illnesses
  • Those consuming undercooked meat or fish, or unwashed produce

How Are Parasites Diagnosed?

Accurate diagnosis prevents unnecessary treatment and targets the right organism. Your clinician will review your history, travel, diet, and exposures, then order appropriate tests.

Common Diagnostic Methods

  • Stool tests (ova & parasites, antigen testing, or PCR panels)
  • Tape test for pinworm (performed at home first thing in the morning)
  • Blood tests for certain parasites or complications (e.g., anemia)
  • Skin scraping for scabies; visual inspection for lice
  • Imaging in complex cases to evaluate organ involvement

How to Prepare for Your Appointment

  • Document symptoms (timing, triggers, travel, diet changes)
  • List medications and supplements, including recent antibiotics
  • Note exposures (pets, freshwater swimming, undercooked foods)

Treatment Options

The best therapy depends on the specific parasite and your medical history. Do not self-treat with prescription drugs or high-dose herbs without professional guidance.

Prescription Antiparasitics

Clinicians may prescribe antiprotozoals for protozoa, or anthelmintics for worms. Treatment regimens differ by species and may involve single or multi-day dosing, sometimes with repeat testing to confirm clearance.

Supportive Care

  • Hydration and electrolytes for diarrhea or vomiting
  • Nutrient repletion if labs show deficiencies
  • Skin care and environmental decontamination for scabies or lice

Follow-Up

Some infections require repeat testing to ensure eradication, particularly in household or daycare outbreaks where reinfection risk is high.

Evidence-Informed Home & Lifestyle Support

Lifestyle measures can reduce risk, support recovery, and help prevent recurrence. These approaches do not replace medical treatment when prescription therapy is indicated.

Food Safety Basics

  • Cook meat and fish to safe internal temperatures; freeze high-risk fish before consuming raw (per local guidance).
  • Wash produce under running water; peel or cook when appropriate.
  • Avoid cross-contamination: separate raw and ready-to-eat foods.

Water & Hygiene

  • Use safe drinking water; consider filtration or boiling during travel or camping.
  • Practice diligent handwashing, especially after bathroom use, diaper changes, animal contact, and before meals.
  • Shower after swimming in untreated freshwater.

Household Measures (Pinworm & Ectoparasites)

  • Daily morning bathing; change underwear and sleepwear.
  • Frequent laundering of bedding and towels on hot cycles.
  • Vacuum soft surfaces; follow clinician instructions for topical treatments.

About “Parasite Cleanses” & Supplements

Some herbs and nutrients are traditionally used for digestive support. Evidence quality varies, and certain products may interact with medications or be unsafe in pregnancy, breastfeeding, or for children. Always consult a qualified clinician before starting any cleanse or supplement protocol.

Important: Natural ≠ risk-free. Verify product quality and dosing with your healthcare provider.

Prevention Checklist

  • Wash hands regularly; keep nails short for children.
  • Cook meat and fish thoroughly; avoid cross-contamination.
  • Drink treated or bottled water; use filters when appropriate.
  • Peel or wash produce; avoid unpasteurized products.
  • Wear footwear outdoors; avoid contact with contaminated soil.
  • Keep pets on routine deworming schedules; handle waste safely.
  • For swimmers and travelers: avoid swallowing water; follow local health advisories.

Frequently Asked Questions

How do I know if I have parasites?

Symptoms alone are unreliable. Your clinician may order stool tests, blood work, or skin evaluations depending on your presentation and travel or exposure history.

Can parasites go away on their own?

Some mild infections may resolve, but many require targeted treatment. Delaying care risks complications or transmission to others.

Are “natural cleanses” effective?

Efficacy varies by product and parasite. Some cleanses lack rigorous evidence and may be inappropriate for certain people. Seek professional guidance before starting any protocol.

How can I prevent reinfection in my household?

Treat all affected individuals as advised, emphasize hand hygiene, wash bedding and clothing frequently, and complete the full treatment course. Follow up with your clinician if symptoms persist.

Is it safe to travel to areas where parasites are common?

Yes, with precautions: consume safe water and well-cooked foods, avoid raw or undercooked meat/fish, and follow local health recommendations. Consider a pre-travel consultation.

When to Seek Immediate Care

  • High fever, severe dehydration, blood in stool, or intense abdominal pain
  • Persistent vomiting, inability to keep fluids down, or signs of shock
  • Rapidly worsening rash, difficulty breathing, or signs of an allergic reaction
  • Symptoms in infants, older adults, or individuals with compromised immunity

Summary & Next Steps

Parasitic infections are a global reality, but most are preventable and treatable. Smart hygiene, food and water safety, and prompt testing when symptoms arise make a powerful difference. If you’re experiencing persistent digestive issues, unexplained fatigue, skin itching, or have recent travel or exposure risks, connect with a qualified clinician for evaluation and a personalized plan.

Ready to take the next step? Consider the following:

This article is for informational purposes and does not diagnose, treat, or cure disease. Always work with a licensed healthcare professional for individualized care.

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