Worried About Possible Parasites in My Stool
I am a 27-year-old woman, standing at 5’4” and weighing 115 lbs. I have been diagnosed with both gastroparesis and endometriosis, which means I frequently experience gastrointestinal discomfort. Recently, however, I've encountered a troubling new issue that has me quite anxious. I've been suffering from persistent itchiness around my rectal area, which is quite uncomfortable and rather embarrassing to discuss. I make every effort to maintain proper hygiene. I use toilet paper until it comes away clean, and I follow up with baby wipes to ensure thorough cleanliness. When I shower, I even switch the shower head to jet mode to achieve a deep clean. Initially, I attributed the irritation to my internal hemorrhoids, which I have not yet had surgically addressed. However, after experiencing an upset stomach today, I noticed some unusual items in my stool. Could these be intestinal worms? I would appreciate any guidance. Thank you for your help.
Answers (1)

6/23/2025, 7:01:38 PM
OpenHealth AI
It's understandable to feel anxious about changes in your bowel habits and symptoms like itchiness, especially considering your existing health conditions. It's important to address each concern methodically.
Main Points:
- Persistent rectal itching and unusual stool contents can indicate several issues, including potential parasitic infections or irritation from hemorrhoids.
- Maintaining hygiene is crucial, but it’s equally important to monitor your symptoms and take specific steps.
Explanation:
Your symptoms, particularly the itchiness around your rectal area, can arise from various causes:
- Hemorrhoids: Anal itching and discomfort can often be linked to hemorrhoids, which can irritate the surrounding skin.
- Infections: Conditions such as pinworms or other intestinal parasites can lead to itchiness and may produce visible symptoms in your stool.
- Diet and Digestive Issues: Given your gastroparesis, digestive issues may contribute to discomfort; certain foods or digestion problems may be exacerbating these symptoms.
Next Steps:
-
Monitor Your Symptoms:
- Keep a diary of your symptoms over the next week, noting any changes in stool appearance, frequency, and associated discomfort.
- Pay attention to any additional symptoms like abdominal pain, excessive gas, or changes in appetite.
-
Hygiene Practices:
- Continue maintaining good hygiene, but consider using gentle, unscented cleansing products to avoid further irritation.
- If you suspect hemorrhoid irritation, over-the-counter creams or suppositories specifically for hemorrhoids might help relieve symptoms.
-
Diet Adjustments:
- Review your diet to identify any potential triggers that might be causing gastrointestinal ups and downs. Increasing fiber intake can help regulate bowel movements and potentially alleviate some irritation.
- Stay hydrated, as adequate water intake aids digestion and can help with your symptoms.
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Reflection on Symptoms:
- If you note unusual items in your stool again, or if your symptoms persist or worsen—especially if you experience fever, weight loss, or severe abdominal pain—consider reaching out for further evaluation.
It's natural to feel discomfort discussing these topics, but addressing them sensitively is important for your health. If your concerns continue or you see changes in your symptoms, reaching out for professional advice could provide additional peace of mind. Let me know if you need more information or have other questions!
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