Roundworm Symptoms


A comprehensive overview of roundworm covering subjects like cure, treatment, symptoms, diagnostics, research, causes and pictures
Roundworm Symptoms

Roundworm symptoms


     Roundworm symptoms depend on the stage and the intensity of the infection.

     In the pulmonary phase:

  • Loeffler syndrome
  • hemorrhage and exudates in the lung alveoli
  • mild or dry cough
  • pneumonia with cough and dyspnea
  • chest pain behind the sternum
  • moderate fever

     During larval migration it can be observed:

  • increase in liver volume
  • pain and signs of abdominal discomfort
  • feverish
  • arthralgia
  • rash
  • pruritus
  • sweating

     The intestinal phase:

  • bowel disorders
  • diarrhea
  • constipation
  • vomiting
  • anorexia

     The initial roundworm symptoms during the respiratory migration:

  • Cough, wheezing
  • Expectoration of sputum with blood, and maggots
  • Dizziness, tachypnea, urticaria
  • Chest pain
  • Pneumonia, fever.

     The intestinal location of the roundworm may cause:

  • Abdominal pain, distension
  • Weight loss, anorexia
  • Elimination of worms by vomiting or by nasal way
  • Elimination of worms and eggs in the feces
  • Nausea and vomiting
  • Dizziness, irritability
  • Intermittent diarrhea.

     The complications involve:

  • Appendix-blocking appendicitis
  • Biliary tract blockage-mechanical jaundice, pruritus, vomiting bilious (yellow)
  • Pancreatic-duct-blocking acute pancreatitis
  • Stature-weight-deficiency in children
  • Vitamin-deficiency for vitamin C, A, protein-albumin.


     Early clinical roundworm symptoms of the migration phase of the roundworms are subject to allergic changes of the body. Patients may accuse general weakness, sweating, headache, fatigue, inability to work. The temperature can be raised or feverish. In some patients appear multiple eruptions of "hives" on their body, which are accompanied by a pronounced itching skin. For the clinical migratory phase, is characteristic the roundworm complex of symptoms of impaired lung. In some patients appear the asthmatic cough, sometimes with sputum and a sanguinolent look, dyspnea, chest pain. In some patients it develops an exudative pleurisy with an accelerated result. Some eosinophilia migratory outbreaks of infiltration are detected in lungs, which are accompanied by eosinophilia in the peripheral blood.

     The late period of intestinal roundworm is also characterized by a polymorphous clinical picture. Most frequently encountered are the gastrointestinal syndromes and fatigue. The patients have disturbed appetite, nausea occur, vomiting, abdominal pain more frequently. In some patients occurs diarrhea or constipation with enteritis enterocolitis phenomena. The asthenia syndrome is described by general weakness, dizziness, malaise, moderate headache, sleep disorders, decreased work capacity.

     Children become capricious, cowardly, can not concentrate, sleep is disturbed for them, and they are worried. For children there is a restraint in the mental development, intellect is diminishing, in some of them some seizures were recorded, meningitis and other disorders. In the intestinal phase some intestinal and extra-intestinal complications may occur. One of the most common is the intestinal obstruction made by a bunch of more roundworms. A spastic bowel occlusion may occur produced by the excitation of the parasites. On entering the roundworm in the gallbladder and into the biliary tract, in patients develop a mechanical jaundice, while the parasite in these ways brings additional bacterial infection that can cause purulent holangita, multiple liver abscesses, peritonitis and sepsis.

     The roundworm penetration in the pancreatic channel favors the development of acute pancreatitis and the appendix - acute appendicitis. Sometimes to the appearance of the bowel movements and repeated vomiting, the roundworm can reach the esophagus, pharynx and then into the airways, causing asphyxia that may have a tragic end. The literature describes unusual cases of roundworm screening: the nasal cavity, nasal-tear canal, middle ear, etc. It is important to mention that roundworm complications frequently are encountered in children.