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clear and comprehensive breakdown of the treatment options for Amoebic Liver Abscess, Ascariasis, and Giardiasis—three common parasitic infections that affect the gastrointestinal and hepatic systems: 🦠 1. Amoebic Liver Abscess Caused by Entamoeba histolytica, this condition involves pus formation in the liver due to parasite invasion. 🔹 Treatment Options: Metronidazole or Tinidazole: First-line antibiotics to kill the parasite in the liver2 Luminal agents (e.g., Paromomycin, Diloxanide furoate): Used after initial treatment to clear parasites from the intestine and prevent recurrence Therapeutic aspiration or catheter drainage: For large abscesses or risk of rupture Surgery: Rare, reserved for complicated or ruptured abscesses 🪱 2. Ascariasis Caused by the roundworm Ascaris lumbricoides, often acquired through contaminated soil or food. 🔹 Treatment Options: Anthelmintic medications: Albendazole (single dose) Mebendazole (3-day course) Ivermectin (alternative in some cases)4 Symptomatic treatment: For abdominal pain, nausea, or respiratory symptoms during larval migration Surgical intervention: Rare, but may be needed for intestinal obstruction or biliary complications 🧫 3. Giardiasis Caused by Giardia lamblia, a protozoan parasite spread through contaminated water or food. 🔹 Treatment Options: Metronidazole: Most commonly used antibiotic; taken for 5–7 days Tinidazole: Single-dose alternative with similar efficacy Nitazoxanide: Especially useful in children due to liquid formulation Supportive care: Hydration and nutritional support for diarrhea and malabsorption Avoidance of alcohol: Especially with metronidazole or tinidazole due to disulfiram-like reactions 🧠 Summary Table Condition First-Line Treatment Additional Measures Amoebic Liver Abscess Metronidazole/Tinidazole Luminal agents, drainage if needed Ascariasis Albendazole/Mebendazole Symptom relief, surgery if obstructed Giardiasis Metronidazole/Tinidazole/Nitazoxanide Hydration, avoid alcohol, hygiene advice #Ascariasis #amoebiasis #Giardiasis