Xiao Wang suffered from abdominal pain and diarrhea for more than 2 months. Recently, he had to undergo a gastroenteroscopy examination. The doctor found a peristaltic white “knife-cut noodles” in his large intestine. Worm – part of the tapeworm. Xiao Wang recalled his medical history and believed that the most likely reason for his infection with tapeworms was that he had eaten sashimi many times.
For more than 2 months, Xiao Wang has been awakened by mild abdominal pain and diarrhea two or three nights a week. Recently, he went to the Department of Gastroenterology and Endoscopy of Fujian Provincial Hospital for Geriatrics. “Under the colonoscopy, I saw a white flake about 3 cm long in his large intestine, which looked like a knife-cut noodles. At first I thought it was food scraps, but when I used the camera to provoke it, it actually started to slowly wriggle. I quickly clipped it out of the body with biopsy forceps, and after identification by parasite experts, it was confirmed that it was a segment with tapeworms.” said Qiu Feng, the deputy chief physician who performed gastroenteroscopy for Xiao Wang.
Qiu Feng introduced that adult tapeworms are milky white and ribbon-shaped, with suckers on the head segment, which are generally absorbed in the small intestine. The total length of the worm can reach five or six meters, and the small intestine of an adult is generally 5 to 7 meters long. The adult worm body can be composed of 700~1000 segments, and the segments can fall off the worm body like a link in a chain, adsorb on the intestinal tract to absorb nutrients, and have certain mobility.
Qiu Feng speculates that the reason why the segment he took under the colonoscopy this time entered the large intestine may be the help of Xiao Wang taking laxatives before the gastroenteroscopy, and it is not ruled out that Xiao Wang’s small intestine There are still longer worms in it, and deworming drugs must be taken as soon as possible to completely deworm the worms.
“In the past, the living conditions were poor, and the probability of infection with roundworms was high. Now, tapeworm disease caused by eating raw food is more and more common.” Qiu Feng said that with the growth of tapeworms in the body and the parasitic parts of the Different, patients may have abdominal pain, diarrhea, anemia, intestinal obstruction, anal itching, headache and other symptoms.
Qiu Feng said that if you especially like to eat raw fish, you should first freeze the raw fish to about -4°C for low temperature disinfection. The beef, mutton, and fish that are scalded in hot pot generally need to be scalded for more than 15 seconds to kill parasites. (Reporter Zhu Danhua Correspondent Zhong Yijing)