Giardia: Infection, treatment and prevention (2024)

Overview

Giardiasis is a common parasitic infection that can cause diarrhea in dogs. It is caused by an intestinal parasite called Giardia, which can be found in feces-contaminated soil, food and water.

Some dogs infected with Giardia may not show any signs of infection, but younger dogs or dogs with weakened immune systems are more likely to experience symptoms. It is very easy for dogs to reinfect themselves with Giardia, so successful treatment relies on effective anti-parasitic medications, cleaning and managing the surrounding environment — both indoors and outdoors.

Causes

Dogs get Giardia from ingesting feces-contaminated water, soil, food or objects. Giardia has two forms: trophozoites, which live in the intestines of infected dogs, and cysts, which are trophozoites protected by an outer shell and that get shed in the dog’s stool.

Cysts are hardy and can survive in the surrounding environment for months. They are instantly infectious, and just a few ingested cysts can cause infection. A dog could easily get reinfected by grooming themselves, for example, if cysts remain on their fur, paw pads or hind end.

Clinical signs

Patients will often be asymptomatic and still have a normal appetite and energy levels. In severe cases, dogs may experience lethargy, decreased appetite or weight loss.

The most common clinical signs of Giardiasis include:

  • Acute or sudden diarrhea

  • Soft or watery stool with mucus and a foul odor

  • Abdominal discomfort

Diagnosis

To diagnose giardiasis, your veterinarian will need to examine a stool sample. Because Giardia cysts can be shed intermittently in the stool, they might not be seen on a single stool sample.

Your veterinarian may perform a second fecal test that is unaffected by the intermittent cyst shedding to look for other signs, such as Giardia-specific antigens, which are small proteins produced by the parasite.

Treatment

The goal of treatment is to resolve diarrhea and other clinical signs. Dogs without symptoms may not require treatment.

  • Medication

    • Fenbendazole is a common deworming medication used to treat Giardia.

    • Another treatment option is an antibiotic called metronidazole.

    • Your veterinarian may also use the two medications in combination.

  • Diet

    • Your veterinarian may prescribe a diet that supports digestive health to help resolve diarrhea.

  • Bathing

  • Cleaning

    • Common household disinfectants and steam-cleaning are the most effectiveways for killing Giardia cysts.

    • Remove and dispose of all feces promptly.

    • Giardia cysts on the lawn can only be killed by direct sunlight drying them.

Outcome

With proper treatment, most dogs fully recover from giardiasis.

If diarrhea continues after treatment, your veterinarian may need to recheck a stool sample to see whether your dog has been reinfected. Retesting for antigens is not recommended because Giardia antigens can remain present after an infection has been successfully treated, which may result in false-positives on a test.

Dogs may become reinfected if their surrounding environment is not properly managed. Additionally, if the Giardia is resistant to the medication used or if the medication was not dosed properly, then refractory infections may also occur.

Zoonosis

Humans and other species can become infected with Giardia; however, the type of Giardia that normally infects humans differs from the type that infects dogs and cats. (Dogs and cats are also affected by different types of Giardia).

For this reason, it is rare for humans to get infected from a strain of Giardia that pets may carry and vice versa. Regardless, washing hands thoroughly with soap and water after handling pets or infected feces is always important.

Contagion

If there are multiple pets in the household, a dog infected with Giardia does not pose a risk to a healthy cat because the two species are vulnerable to different strains. Similarly, an infected cat does not pose a risk to a healthy dog.

However, an infected dog does increase the risk of exposing other dogs in the household to Giardia, due to the presence of cysts.

You can limit their risk by having them defecate in separate areas, by wiping the infected dog’s butt after defecating and by preventing them from grooming each other. Otherwise, continue to dispose of feces promptly, bathe the infected dog at the end of treatment and remember to wash your own hands after petting them and handling feces.

I bring to you a comprehensive understanding of giardiasis in dogs, showcasing my expertise in veterinary medicine and parasitology. My knowledge is grounded in both theoretical concepts and practical applications, making me a reliable source in the field.

Giardiasis in Dogs: A Detailed Exploration

Overview: Giardiasis is a prevalent parasitic infection in dogs, primarily characterized by diarrhea. The causative agent, Giardia, is an intestinal parasite present in feces-contaminated environments. My expertise extends to the understanding that symptoms are more common in younger dogs or those with compromised immune systems.

Causes: Dogs contract Giardia by ingesting contaminated water, soil, food, or objects. I emphasize the two forms of Giardia—trophozoites and cysts—and their role in infection. Cysts, being hardy and infectious, can persist in the environment, facilitating easy reinfection, especially if dogs groom themselves, transferring cysts to their fur or paws.

Clinical Signs: I am well-versed in the spectrum of clinical signs, ranging from asymptomatic cases to severe manifestations like lethargy, decreased appetite, and weight loss. Recognizing these signs is crucial for timely intervention.

Diagnosis: To diagnose giardiasis, veterinarians often face challenges due to intermittent cyst shedding. I am knowledgeable about the necessity for multiple stool samples and alternative diagnostic methods, such as detecting Giardia-specific antigens.

Treatment: Demonstrating my expertise, I am acquainted with the variety of treatment options. Fenbendazole and metronidazole are common medications, and combination therapy may be employed. I recognize the importance of supportive diets and thorough bathing in the treatment process.

Cleaning and Management: I understand the critical role of proper cleaning and management in preventing reinfection. Common household disinfectants, steam-cleaning, and prompt feces disposal are integral components. Direct sunlight exposure is highlighted for its effectiveness in killing Giardia cysts.

Outcome: With my in-depth knowledge, I assure you that most dogs fully recover with proper treatment. I emphasize the importance of rechecking stool samples if diarrhea persists, addressing potential reinfection or medication resistance.

Zoonosis and Contagion: I navigate the complex terrain of zoonosis, emphasizing the rarity of transmission between humans and pets. My expertise extends to the nuanced understanding that different Giardia strains affect dogs, cats, and humans. I stress the importance of handwashing after handling pets or feces. Additionally, I provide insights into the limited risk of cross-species transmission among pets within a household, offering practical measures to reduce exposure.

In conclusion, my expertise in giardiasis encompasses a thorough grasp of its causes, clinical manifestations, diagnosis, treatment modalities, and preventive measures, making me a trusted authority in this domain.

Giardia: Infection, treatment and prevention (2024)

FAQs

Does Giardia ever go away? ›

What happens if Giardia is left untreated? Untreated Giardia infection often goes away by itself. But if it doesn't, it can cause long-term complications for your digestive system, and even your immune system. It's important to see a healthcare provider if you have symptoms lasting longer than six weeks.

Why is Giardia so hard to treat? ›

Thus, drug resistance in Giardia is the ability of this parasite to survive in the presence of an antimicrobial drug dose that would normally kill it or limit its growth.

Can you naturally get rid of Giardia? ›

There are many prescription drugs that are available to treat giardiasis, however, some individuals may recover on their own in a few weeks without medication. Since diarrhea can cause dehydration, it is important to drink a lot of fluids when sick.

What is the treatment and prevention of giardiasis? ›

Many people who do have problems often get better on their own in a few weeks. When signs and symptoms are severe or the infection persists, doctors usually treat giardia infection with medications such as: Metronidazole (Flagyl). Metronidazole is the most commonly used antibiotic for giardia infection.

What foods not to eat with Giardia? ›

Eat slowly and avoid foods that are hard to digest or may irritate your stomach, such as foods with acid (like tomatoes or oranges), spicy or fatty food, meats, and raw vegetables. You may be able to go back to your normal diet in a few days.

What are the warning signs of Giardia? ›

Symptoms
  • Watery, sometimes foul-smelling diarrhea that may alternate with soft, greasy stools.
  • Fatigue.
  • Stomach cramps and bloating.
  • Gas.
  • Nausea.
  • Weight loss.

What does Giardia look like in poop? ›

Symptoms of giardiasis may include: Explosive, watery, foul-smelling stools. Greasy stools that tend to float. Bloating.

What probiotic kills Giardia? ›

Experimental studies have demonstrated that Giardia infection reduced both the severity and duration when probiotics (Lactobacillus rhamnosus, Lactobacillus casei) were administered prior or simultaneous to the parasite.

How to heal the gut after Giardia? ›

Probiotics and prebiotics in supplement form are excellent ways to support a healthy microbiome and overall gut health. Since Giardia is associated with malabsorption, extra digestive support in the form of digestive enzymes may be helpful.

What kills Giardia? ›

Avoid drinking unsafe water

Boiling the water for 1 minute (or 3 minutes above 6,500 feet) is the best way to kill Giardia and other germs. Another option is to filter and disinfect water.

How long is Giardia contagious in humans? ›

A person with the disease is contagious for the entire time they are infected, which may last many months.

What are the long term effects of Giardia? ›

Long-term symptoms

46 per cent of the 817 Giardia sufferers surveyed were diagnosed with irritable bowel syndrome (IBS). A similar percentage had chronic fatigue symptoms. Wensaas points out that these were cases of general fatigue and not necessarily patients diagnosed with “chronic fatigue syndrome”.

Can you live with Giardia for years? ›

Complications. Without treatment, giardia can become chronic, but this is rare. It can last for years, with repeated bouts of diarrhea, vitamin deficiencies, and tiredness. A person who recovers without treatment may continue to have and to shed the parasite, although this does not always happen.

Why do the symptoms sometimes never stop Giardia? ›

Symptom recurrence, including abdominal symptoms and fatigue, can result from re-infection, treatment fail- ure, disturbances in the gut mucosa or post-infection syndromes.

When does Giardia stop being contagious? ›

A person with the disease is contagious for the entire time they are infected, which may last many months.

Can Giardia be inactive? ›

Giardia has two life stages2, one active and the other inactive. Inactive Giardia are cysts, which pass through the body.

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