Giardiasis

What is Giardiasis?

Giardiasis is a common disease of the gastro-intestinal-tract with the flagellated parasite, namely the Giardia lambila which is often found in the tropical continent. There have some chances of misdiagnosis and so it is requires adequate attention of the physician concerned. In other cases indistinguishable gastro intestinal complaints are described as the symptoms of giardiasis.



What about Giardia lamblia?

Giardia lambila

Giardia lambila

This symmetrical pear shaped parasite has both trophozoite and cystic forms. The length of the trophozoite is 10 to 25 mm, it is rounded anteriorly and tapered posteriorly. At its flattend ventral side there is a shallow sucking disk on the anterior portion. It has two oval nuclei and four pairs of flagella. Cyst measured 8 mm in length., oval or ellipsoid, contents two to four nuclei and four pairs of bristleshaped curved axonemes containing retractile flagella.

Clinical manifestations of Giardiasis: –

i) When the infection of Giardiasis is light, the patient may remain without any symptom at all.
ii) In moderate infestation the following symptoms may occur:
a) Chronic recurrent nausea.
b) Mild cramp in the abdomen.
c) Flatulence.
d) Mild diarrhoea. There may be two to ten motions per day. The faeces may contain mucus, but no blood and pus are present.
iii) In severe infection of Giardiasis, in addition to the above said symptoms vomiting and fever occur. Patient suffering from chronic Giardiasis may lose weight. Other symptoms of mal-absorption may supervene. Persons, who are suffering from hypo-gama globunopathies are susceptible to Giardia lamblia infection. Giardia is the most common cause of diarrhoea, steatorrhoea and morphological abnormalities of the small intestine in these patients. The parasites can attack gall bladder.

Diagnosis and Prognosis of Giardiasis: –

Patient of Giardiasis

Patient of Giardiasis

When diarrhoea or mal-absorptions are unexplained, Giardiasis should be excluded first. As it has been pointed out, in some persons infection may not produce any symptom. In other cases there may be waxying and waving of the symptoms. Treatment may cure 90% of the infections and sometime more than one course of treatment is required.Patients and at-risk individuals should be instructed regarding appropriate hygiene methods and signs/symptoms of infection. Emphasis should be placed on measures such as careful hand washing after changing diapers. Day-care workers should use meticulous hygiene and careful hand washing to reduce spread between children and to staff. Personal hygiene education to minimize person-to-person transmission in high-risk settings such as residential institutions is helpful.



Prevention from Giardiasis: –

i) No protective immunity of Giardiasis develops.
ii) Re-infection is not a rare case.
iii) Prophylactic medicine is not recommended in usual process.
iv) Proper treatment of the infected person is necessary.
v) Maintain of personal Hygiene is must.
vi) Cleanliness of home should be maintained.
vii) Environmental hygiene should be maintain adequately.

Homeopathic therapeutic hints for Giardiasis:

i) For persistent or chronic cases of Giardiasis a great remedy is Sulphur. In this case the tenesmus continues, the stools are slimy, and there is frequent and sudden urging to stool.
ii) When the stools are of a jelly like mucous, and covered with slimy white mucous and accompanied by griping in the epigastric region, the medicine is Aloes.
iii) When tearing pains down the thighs as an accompaniment of Giardiasis you may use Rhus tox.
Magnetic therapy may be same as the treatment of Dysentery.