A patient
had been prescribed a dose of albendazole, who complained of pain in the sides
of upper abdomen followed by a pinching pain in the throat for quite some time.
She also gave the history of passing worms. An endoscopy, revealed a live round
worm in the next day morning.
Round worm,
Ascaris lumbricoides is a helminth, gains access to human through faeco-oral
route in an egg form. After developing to adult worm, usually, resides in the
intestine feeding on the nutrients.
It can cause
malnutrition, iron deficiency anemia and sometimes intestinal obstruction. Very
rarely, it can cause obstructive jaundice gaining access to the biliary
channel and gall bladder. It may also cause eosinophilic lung disease.
It is
usually treated by 400 mg. of single dose albendazole in adults and children
above 2 years of age. Sometimes, it gets irritated by the drug and come up to
the stomach. Also, as such, it may come up and gets vomited out or may pass
down to get evacuated in stool.
Albendazole
paralyses the worm. A little and important advice, many times not passed to the
patient is that the drug should be taken in the evening in empty stomach and
the night’s meal thereafter. That eases the paralyzed worms to pass out along
with the morning evacuation of bowel.
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