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Hello ! I Have Qestion About Opisthorchis - As I

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Posted on Thu, 23 Jun 2022
Question: Hello !
I have qestion about Opisthorchis - As i travel to Regions where Opisthorchis is common as Russia
Of cores i love fishing -
and sometimes i visit some people and we eat a fish -and i dont know weather it is good cooked

So i understand Opisthorchis is rather hard to diagnose - And it is very rare in my country - so it will be harder to diagnose

https://www.cdc.gov/parasites/opisthorchis/diagnosis.html

So I should get prophylactic treatment of Praziquantel

https://pubmed.ncbi.nlm.nih.gov/0000/

As it is effective and avoid siros complications !

Thak you very much

doctor
Answered by Dr. Dr.P.Ratnakar Kini (10 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

There are no prophylactic treatment guidelines (with medications) for Opisthorchis infection.
Praziquantel is only used to treat the infection.
Moreover, there is always a chance of reinfection even if you treat it.
Opisthorchis infection can be prevented only by ensuring the fish that is consumed is cooked properly.
Deep freezing of fish at 20 degrees C for at least 48 hours also eliminates it.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (2 days later)
Than you

In Thailand - Praziquantel give as mass drug administration to avoid health problems in future Opisthorchis

and if i think that i have risk - but if i think i have risk i can take drug and treat possible infection

As in literature it is said :

The World Health Organization (WHO) advises that universal treatment with praziquantel should be adopted annually in regions where the prevalence of O. viverrini exceeds 20%, and biennially in regions where prevalence is less than 20%v

https://www.cell.com/trends/parasitology/fulltext/S1471-4922(20)30362-7


So i can go to doctor and ask for Praziquantel ?

Than you !

doctor
Answered by Dr. Dr.P.Ratnakar Kini (12 hours later)
Brief Answer:
Yes

Detailed Answer:
Hi,
Yes you can go ahead and ask your doctor to prescribe you Praziquantel.
Regards,
Dr.R.K.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

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Hello ! I Have Qestion About Opisthorchis - As I

Brief Answer: Answer given below Detailed Answer: Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. There are no prophylactic treatment guidelines (with medications) for Opisthorchis infection. Praziquantel is only used to treat the infection. Moreover, there is always a chance of reinfection even if you treat it. Opisthorchis infection can be prevented only by ensuring the fish that is consumed is cooked properly. Deep freezing of fish at 20 degrees C for at least 48 hours also eliminates it. Regards, Dr.R.K.