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Detect and protect your puppy from worms with our expert tips
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Intestinal parasites, such as worms, are common in dogs and puppies, especially if they spend time outside. There are four different types of worms that your puppy might have and each presents with different symptoms and potential health problems. [1] But by watching for the signs and symptoms of worms and getting veterinary testing, you can know if your puppy has worms and get her timely treatment.

Things You Should Know

  • Signs of roundworm in your puppy include diarrhea, vomiting, weight loss, dull fur, potbelly, a cough, and white, several inch-long worms in your puppy’s feces.
  • Hookworms can lead to malnutrition and death, as they cause excessive diarrhea and weight loss.
  • Your puppy can pick up Tapeworms from mice and fleas and cause symptoms such as skin irritation, rice-like tapeworm segments in your puppy’s feces, weight loss, and vomiting.
Part 1
Part 1 of 3:

Watching for Symptoms of Worms

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  1. Almost all dogs, including puppies, will get roundworms at some point in their lives because they are the most common parasitic worm in dogs. Puppies are especially vulnerable to roundworm infections from their mother’s either through transmission in utero or through her milk. However, eating other small animals such as mice can give your puppy roundworms. Although many dogs don’t have any symptoms of roundworms, the following signs can indicate a severe case of roundworms in your puppy:
    • Diarrhea
    • Vomiting
    • Weight loss
    • Dull fur or hair
    • Potbelly
    • Cough, which indicates the roundworms have moved into your puppy’s lungs
    • Worms of white or light brown color up to several inches long in your puppy’s feces. [2]
  2. This parasite, which “hooks” itself onto the lining of your puppy’s intestines by ingestion of larvae or eggs in the soil or through routine licking and cleaning, is also relatively common. [3] Hookworms can lead to malnutrition and death, especially in puppies, so it’s very important to watch for signs of infection and get treatment immediately. Unlike roundworms and tapeworms, it’s difficult to see hookworms in your puppy’s stool. However, you can detect hookworms by looking for other symptoms or signs such as:
    • Diarrhea
    • Weight loss. [4]
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  3. Just like hookworms, whipworms burrow into the intestine of your puppy and suck on her blood after she ingests their eggs in soil or other substances such as feces. [5] However, they do not cause serious blood loss unless your puppy has a large number of them, which can also cause death. Your puppy can get whipworms from contaminated soil or grooming. Many dogs won’t have signs of whipworms, but bloody diarrhea may be a sign of a severe infection and you should seek treatment immediately. [6]
    • Be aware that your vet will check your puppy for whipworms and other worms as a part of any checkup.
  4. Puppies can get tapeworms from a variety of sources such as eating a mouse or flea infected with tapeworms. This can happen when she is outside or through the course of daily grooming. Tapeworms live off of food in your puppy’s intestine and can break off, which makes them easy to spot either in your puppy’s feces or on her anus. [7] Tapeworms are generally not harmful, but may cause weight loss if your puppy has a bad case. [8] Look for these typical signs of tapeworms in your puppy:
    • ”Rice-like” segments of tapeworms around your puppy’s rectum or on top of her feces. [9]
    • Skin irritation, which might cause your dog to scoot her anus across the ground or another rough surface like a rug
    • Licking or biting the area
    • Portions of the worm in vomit
    • Weight loss. [10]
  5. Puppies can get heartworm through mosquito bites, which cause the worms to travel through the bloodstream and infect the heart and lungs. Heartworms, which are harmful to a dog no matter its age, can be costly to treat and even fatal. However, they are preventable with affordable medication. Many dogs will show no symptoms in the early stages of heartworm infestation because it takes six months for the worms to develop into adulthood, but the following signs may appear after your puppy is six months old:
    • Mild persistent cough
    • Reluctance to exercise
    • Fatigue after moderate activity
    • Decreased appetite
    • Weight loss
    • Swollen belly from excess fluid in the belly
    • Heart failure. [11]
  6. Worms, which are an intestinal parasite, are very common in puppies, especially if they spend time outdoors. Knowing your puppy’s risk for worms, especially harmful heart- and hookworms can help you watch for the signs of infection. Puppies are often infected with worms by:
    • Ingesting the eggs or larvae of worms from soil or routine cleaning
    • Eating birds, rodents, or other dead animals
    • Having fleas
    • Getting worms from their mother in utero [12]
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Part 2
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Preventing Worms

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  1. The primary goal with worm infestations is prevention. Giving your pet monthly medications can go a long way in keeping your puppy happy, healthy and worm free.
    • Be aware that most heartworm preventative medications contain general de-wormers, so this may help prevent and control other types worms such a hook-, whip-, and tapeworms. [13] You’ll need a prescription from your vet for heartworm medications, but these are relatively inexpensive and can keep your puppy from requiring expensive treatments for heartworm or other worms. [14]
    • Make sure to give your puppy her medication every month at the same time. If you find that you can’t afford the medication talk to your vet about a possible payment plan. If you forget to give her the medication, administer it as soon as you remember.
  2. Keeping your puppy and her environment clean is another key component of prevention. [15] Picking up your puppy’s stool and keeping common and yard areas clean can help minimize the risk of worm infestations.
    • Remove and seal your puppy’s feces in a plastic bag. Dispose of the waste in a place that other animals or children can’t access.
    • Clean any common areas where your puppy or other pets defecate, such as a litter box or when an animal has had an accident.
    • Avoid dead or wild animals and their excrements. Try and keep your pet from eating wild and/ or dead animals, such as mice, raccoons, or deer because these can carry worms. [16] Keep your puppy away from other animals’ feces, too, as this can also carry worms.
    • Consider hiring a professional company to clean your yard of feces if you do not want to do this.
  3. Worms are a common result of flea infestations on your pet. Find solutions to control fleas in both indoor and outdoor areas to promote your pets health and prevent worms. [17]
    • Administer topical or oral products to your pet to control fleas on their body. You can use prescription treatments from your vet or buy one over-the-counter at a pet store.
    • Clean your home thoroughly by vacuuming and spraying insecticides on furniture, baseboards, windowsills, and carpeted areas.
    • Realize that outdoor treatments generally aren’t necessary if you control the indoor environment. If you do have a bad flea infestation outside, consider hiring a professional to remove them. [18]
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Part 3
Part 3 of 3:

Treating Worm Infestations

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  1. In addition to yearly checkups that can detect worm infestations, it’s very important see your vet if you suspect or detect any signs of worms in your puppy. Your vet can definitely diagnose what type of worms your puppy has and give her proper and timely treatment before the infestation leads to more serious conditions.
    • Call your vet’s office if you have any questions about worms. If your dog has had prior worm infestations, let the office staff know that you’ve noticed the signs again.
    • Remember that some worm infestations, especially heartworm and hookworm, can be fatal to puppies, so don’t wait to see your vet for treatment.
    • Be aware that although there are many over-the-counter de-wormers, many won’t kill worms such as tapeworms. Treatment thus requires a prescription from your vet. [19]
  2. Depending on the diagnosis, your puppy will most likely need a medicated de-wormer to get rid of her worms. Follow the instructions of your vet to ensure that you completely knock out the infestation. In addition, your puppy may get:
    • Heartworm preventative medication that also containers a general de-wormer. [20]
    • Combination parasite medications, such as Sentry HC, that can treat tapeworm, hookworm, roundworm, and whipworm in one tablet.
    • Oral or injected praziquantel for tapeworms. [21]
  3. Unlike other worm infestations, heartworm often requires more in depth treatment than a medication. Although prevention is the best way to control heart worm, your puppy’s vet may prescribe the hospitalization and the following to stabilize and treat your puppy for heartworm:
    • Restricted exercise, to minimize the rate of damage to the heart and lungs
    • Treatment for related conditions
    • Surgery
    • Medication, including pain relievers
    • Repeat testing after treatment
    • Preventative medication. [22]
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Expert Q&A

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  • Question
    Can a pregnant dog pass worms in her poop?
    Pippa Elliott, MRCVS
    Veterinarian
    Dr. Elliott, BVMS, MRCVS is a veterinarian with over 30 years of experience in veterinary surgery and companion animal practice. She graduated from the University of Glasgow in 1987 with a degree in veterinary medicine and surgery. She has worked at the same animal clinic in her hometown for over 20 years.
    Veterinarian
    Expert Answer
    Yes. Pregnancy is a strain on the immune system, and is a common time for worms that are dormant in the body to hatch out. However, not all wormers are safe for pregnant dogs, as effects on the unborn puppies are not known, and the possibility of birth defects cannot be ruled out. Speak to your vet, who can supply a safe wormer.
  • Question
    I gave my puppy an OTC worm medicine, but it didn't work. What can I do?
    Pippa Elliott, MRCVS
    Veterinarian
    Dr. Elliott, BVMS, MRCVS is a veterinarian with over 30 years of experience in veterinary surgery and companion animal practice. She graduated from the University of Glasgow in 1987 with a degree in veterinary medicine and surgery. She has worked at the same animal clinic in her hometown for over 20 years.
    Veterinarian
    Expert Answer
    Most OTC worm medications are effective against common worms, such as roundworms. They tend not to be work against tapeworms and certain other worms. It sounds like you need a broad-spectrum wormer that is effective against tapeworms, which your vet can supply.
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