How it all started – nausea, stomach pains, light fever, and resistant “pinworms”
February 2007 was the beginning of my journey with health troubles, that started being seemingly innocent but would become scary as time advanced.
I started feeling very nauseous, and had stomach pains, bloating, and light fever (specially at night) for months. At the same time, I had an itchy butt and tremendous wiggling feeling in the rectum area (specially at night too, but also during the day). At that moment, small worms (like tiny rice) were clearly visible in my stools. Even my mom, who would later think I was delusional, recognized them as clear worms.
At that time, I thought I had pinworms, as I was familiar with the itchiness and wiggling feeling from other times I had been infected, as a kid, and also once, as an adult (and yes, I am a clean person). To that day, I felt that I was prone to getting these infections.
I have to say, though, that pinworms had never made me sick, and I didn’t make any correlation between the infection and my other digestive symptoms, till I went to the gastroenterologist, who told me that these were probably related. I remember that in this first visit, she told me that worms could be difficult to get rid of and cause significant problems, though in the future she would ignore my complaints.
I took mebendazole, I think correctly (two rounds as established for pinworms). It killed them but they came back in 2-3 weeks. They weren’t visible in stool anymore, but all my symptoms continued (note: pinworms are usually not visible in stool, and regular diagnosis is done through Graham test). So, I took it again. This time it didn’t work at all. (Looking back, I don’t know if that initial infection was caused by pinworms or something else… When my symptoms started, I had been dating my current boyfriend for just a few months, and his family had a cat that wasn’t regularly dewormed… I used to stay at his house every weekend; most times, cat included.)
I went back to the gastroentorologist and told her that mebendazole was no longer working. At this point she already looked at me awkwardly because “mebendazole should work”, she said. She run 3 stool tests and a gastroscopy, due to my nauseating, bloating, and stomach ache. No pinworms came back in the stool test, but Blastocystis Hominis came back, in one of the samples. Gastroscopy showed mild gastritis, mild inflammation of the duodenum, and a proliferation in a certain type of lymphocytes, that are found in coeliac patients (although I did not have a high enough number to consider coeliac disease; so, at this point, coeliac was ruled out).
As the quantity of B. Hominis in samples “did not seem high or serious”, and, according to the doctor, B. Hominis is “more of a commensal than a parasite” in most cases, she decided not to treat it for now (I think this was actually better in my case, because I was about to initiate the candida journey and Flagyl, which is usually prescribed for B. Hominis, would have probably made things worse).
Three months later, none of my symptoms had disappeared.
Re: your paragraph on B. Hominis, your sample "did not seem high or serious”, and, according to the doctor, B. Hominis is “more of a commensal than a parasite”
What did she mean by that? Surely, without treatment, it would only get worse.
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