Ascariasis Roundworm Blood Test

What is Ascariasis?

Ascariasis is a parasitic intestinal infection that affects millions of people worldwide, particularly in areas with poor sanitation. It is caused by the roundworm Ascaris lumbricoides, which infects the intestines after a person ingests its eggs from contaminated food, water, or soil. The Ova & Parasites with Giardia Antigen (Stool) test is the most important test for diagnosis because it directly detects roundworm eggs in stool samples, confirming active infection.

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What causes ascariasis?

Ascariasis is caused by swallowing the eggs of Ascaris lumbricoides roundworms, which are found in contaminated soil, water, or food. These microscopic eggs enter the body when people consume unwashed fruits and vegetables, drink contaminated water, or touch their mouth with dirty hands that have been in contact with infected soil. Once swallowed, the eggs hatch in the intestines, and the larvae migrate through the bloodstream to the lungs before returning to the intestines where they mature into adult worms that can grow up to 12 inches long and reproduce by laying thousands of eggs daily.

What is the best test for ascariasis?

The Ova & Parasites with Giardia Antigen (Stool) test is the most important test for ascariasis because it directly detects the eggs (ova) of Ascaris lumbricoides roundworms in your stool sample. This comprehensive stool analysis can identify the characteristic barrel-shaped eggs with thick, bumpy shells that are uniquely produced by these roundworms, confirming an active infection. The test is highly reliable because adult female worms lay thousands of eggs daily, making detection straightforward in most cases. Finding these eggs in your stool means the worms are actively reproducing in your intestines and require antiparasitic treatment to eliminate the infection.

When should I get tested for ascariasis?

You should get tested if you experience unexplained abdominal pain, nausea, diarrhea, or visible worms in your stool, especially if you have recently traveled to areas with poor sanitation or consumed potentially contaminated food or water. Testing is also recommended if you develop respiratory symptoms like coughing or wheezing along with digestive issues, as migrating larvae can pass through the lungs. Children who show signs of malnutrition, growth delays, or unexplained intestinal discomfort should be tested, particularly if they have been playing in soil or living in areas where ascariasis is common.

What are the symptoms of ascariasis?
Many people with ascariasis have no symptoms, especially with light infections. When symptoms do occur, they typically include abdominal pain or discomfort, nausea, vomiting, diarrhea, and loss of appetite. During the larval migration phase through the lungs, you might experience coughing, wheezing, shortness of breath, or bloody sputum. In heavy infections, you may notice visible worms in stool or vomit, weight loss, malnutrition, and intestinal blockage causing severe abdominal pain and swelling. Children with chronic infections may experience growth delays and cognitive impairment due to nutrient malabsorption.
Who is at risk for ascariasis?
People living in or traveling to tropical and subtropical regions with inadequate sanitation systems face the highest risk for ascariasis. Children are particularly vulnerable because they often play in soil and are less likely to practice good hand hygiene. Farmers, gardeners, and others who work with soil regularly have increased exposure to roundworm eggs. Communities without access to clean water, proper sewage treatment, or who use human feces as fertilizer (night soil) experience higher infection rates. Poor hygiene practices and consuming raw or unwashed produce from contaminated areas significantly increase your risk of infection.
What happens if ascariasis is left untreated?
Untreated ascariasis can lead to serious complications, particularly with heavy worm burdens. Intestinal blockage occurs when masses of adult worms obstruct the intestines, causing severe abdominal pain, vomiting, and potentially life-threatening bowel perforation requiring emergency surgery. Worms can migrate to other organs, blocking bile ducts, pancreatic ducts, or the appendix, causing acute inflammation. Chronic infections cause malnutrition, vitamin deficiencies, impaired growth in children, and cognitive development delays due to reduced nutrient absorption. In rare cases, worms can migrate to the throat and cause choking, or enter the lungs causing severe respiratory distress.
Can ascariasis be diagnosed with a blood test?
Ascariasis is not typically diagnosed with a blood test because stool testing is much more accurate and direct for detecting this infection. The Ova & Parasites stool test can identify the actual eggs of Ascaris lumbricoides worms, providing definitive proof of infection. Blood tests may show increased eosinophils (a type of white blood cell) during the larval migration phase, but this finding is nonspecific and can occur with many other conditions. Stool testing remains the gold standard because it directly visualizes the parasite eggs under a microscope, allowing for accurate identification of the specific roundworm species causing infection.
How is ascariasis treated?
Ascariasis is treated with antiparasitic medications that kill the adult worms in the intestines. Albendazole and mebendazole are the most commonly prescribed single-dose or short-course treatments that are highly effective, with cure rates exceeding 95 percent. Ivermectin is an alternative option for certain cases. These medications work by preventing the worms from absorbing glucose, causing them to die and pass out of the body in stool. Follow-up stool testing may be recommended several weeks after treatment to confirm that all worms and eggs have been eliminated. In cases of intestinal blockage or worm migration to other organs, surgical intervention may be necessary.
How can I prevent ascariasis?
Preventing ascariasis requires strict hygiene practices and careful food handling. Always wash your hands thoroughly with soap and water before eating, after using the bathroom, and after working with soil. Wash all fruits and vegetables thoroughly under running water, peel produce when possible, and avoid eating raw vegetables in areas where ascariasis is common. Drink only bottled or properly treated water when traveling to endemic regions. Ensure proper disposal of human waste and avoid using untreated human feces as fertilizer. Teach children about hand hygiene and supervise their handwashing, especially after playing outdoors. Wearing shoes when walking on soil reduces exposure to roundworm eggs.
What can I do at home for ascariasis?
While home remedies cannot cure ascariasis and prescription antiparasitic medication is necessary, supportive measures can help manage symptoms during treatment. Stay well-hydrated and eat a nutritious diet rich in fruits, vegetables, and protein to support your immune system and replace nutrients lost during infection. Garlic, papaya seeds, and pumpkin seeds have traditional antiparasitic properties, though scientific evidence for their effectiveness against ascariasis is limited. Maintain excellent hygiene by washing hands frequently, changing bed linens and underwear daily, and keeping fingernails short and clean. Avoid scratching the anal area to prevent reinfection. Always consult a healthcare provider for proper diagnosis and prescription treatment rather than relying solely on home remedies.
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If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
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What this means

Your test came back negative, meaning no Giardia parasites were detected in your stool sample. This is the expected and healthy result, indicating that Giardia is not the cause of any digestive symptoms you may be experiencing.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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Ova & Parasites w/Giardia Antigen (Stool)
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No need to visit a doctor
Private & confidential
No insurance needed
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No extra fees paid at the lab

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