Category: Acidity/ Heartburn

Treatment of Strongyloides stercoralis hyperinfection syndrome


Strongyloides stercoralis is a very small nematode which parasites the mucosa of the upper part of the small intestine, often in large numbers.the eggs hatch in the bowel but only larvae are passed in the feces. In moist soil they moult and become the infective filariform larvae. After penetrating human skin they undergo a development cycle similar to that of hookworms but the female worms burrow into the mucosa and submucosa. Some larvae in the intestine may develop into filariform larvae which may then penetrate the mucosa or perianal skin and lead to auto infection and a very persistent infection. In this article we will mainly discuss the hyperinfection due to  Strongyloides stercoralis and what symptoms it creates along with its Ayurvedic management.


Strongyloides is the parasite that has more prevalence in the tropical and subtropical regions of the world. Hyperinfection syndrome due to these parasites is ensured in patients that are having imapired cell mediated immunity. Imapaired cell mediated immunity is common in patients who are being administered with steroidal treatment and with drugs which are responsible for immune system suppression. Hyperinfection syndrome only happens when there is acceleration of the normal life cycle of S. stercoralis increasing the worm burden within the reproductive route.Then wide spread of the larvae of this parasite takes place out of the gut area involving organs like heart, liver, brain and urinary tract.

Strongyloides stercoralis hyperinfection syndrome

Clinical manifestation of Strongyloides stercoralis hyperinfection syndrome

The symptoms are similar to classic strongyloidiasis which includes nausea, vomiting, diarrhea, abdominal pain, weight loss, GI hemorrhage, cough, fever and difficulty in breathing. But in case of hyperinfection with accelerated life cycle of parasite catastrophic clinical manifestations like shock, intravascular coagulation, meningitis, respiratory and renal failure.

Moreover, major anatomical changes take place in the duodenum and jejunum. The parasites can be identified in the crypts of lieberkuhn and in mucosa and deposited eggs are sometimes present in the depths of these burrows. The inflammatory action is quite variable and only in the more severe instances is there a mixed leukocytic infiltration, characteristically containing many eosinophils. Much of this infiltration may be attributable to secondary infection.


The diagnosis of this condition is usually done after examining the stool. Sterile slides are made for filariform larvae. Due to accelerated activity usually parasites are being diagnosed in the stool test. Moreover, a complete blood count is done to take a complete idea of infection and its severity. Urine tests can also be advised.


The first line of treatment for strongyloides include ivermectin which eradicated around 80% of parasites. Other agents include thiabendazole and albendazole. In case of shock patients need in door admission along with fluid replacement therapy. Administration of antibiotics through intravenous routes can also be done. If patients have low hemoglobin levels immediate administration of blood units is required.

Herbal Remedies by Planet Ayurveda

Planet Ayurveda is a leading herbal manufacturing unit which manufactures herbal products that are very effective in managing multiple conditions. These products are manufactured using potent herbs and are prepared under the guidance of expert Ayurvedic doctors. The manufacturing team works under their guidance to avoid any kind of compromise with product quality. Our products do not contain any kind of fillers, additives, adulterants and are totally safe to use without any side effects. The herbal products are manufactured using potent and efficient herbs.

Herbal Remedies for Strongyloides stercoralis hyperinfection syndrome

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Following are the products offered by Planet Ayurveda for the management of Strongyloides stercoralis hyperinfection syndrome

  1.  Wormistop capsules
  2.  Sanjivani Vati
  3.  Mahashankh Vati
  4.  Digesto plan syrup
  5.  Giloy Capsules
  6.  Curcumin capsules

Products Description

1. Wormistop capsules

Wormistop has constituents like palash (Butea monosperma), tulsi (Ocimum sanctum),  sonth (Zingiber officinale) and vidang (Piper retrofractum). As the product name suggests it is very effective in removing parasites from the intestine and eradicates around 80-90% of worms from the human intestine. It also improves digestion and soothes the mucosa of the intestine.

Dose: Two capsules twice  a day after meals.

2. Sanjivani Vati

Sanjivani vati is known as a medication that infuses life. This is a classical ayurvedic formulation consisting of sonth (Zingiber officinale), haritaki (Termenalia chebula), giloy (Tinospora cordifolia) and many others. It helps in getting rid of accumulated endotoxins and also helps in removing worms from intestines. It creates such an environment in the bowel which is not fit for the survival parasite hence leading to parasite free bowel.

Dose: Two tablets twice a day after meals.

3. Mahashankh Vati

This is a classical formulation having constituents like pancha lavana (five types of salts), shankh bhasma (ashes of pearl), pippali (Piper longum)  and many others. These Help in reducing symptoms related to the digestive system like pain in abdomen, indigestion, worms in intestine, acidity and gastritis. Shankh bhasma in this is very effective in treating chronic constipation and also helps in removal of parasites from intestine by creating a non favourable environment.

Dose: Two tablets twice a day after meals.

4. Digesto plan syrup

Digesto plan syrup is an ultimate composition of herbs like amalaki (Emblica officinalis), haritaki (Terminalia chebula), bibhitaki (Terminalia bellerica) and others. This syrup is potent in reducing anorexia, indigestion and abdominal pain. It improves digestion and has abundant healing features. It helps in balancing toxins in the digestive system which creates a favorable environment for parasite growth.

Dose: Two tsp twice a day after meals.

5. Giloy Capsules

Giloy (Tinospora cordifolia) is an amazing herb that helps in improving the immunity of the body. It also behaves as an immunomodulator in immune-compromised cases. Giloy is an amazing herb that works according to the way your body needs it due to its vichitra pratya rabdha property. Giloy is very much safe to use in any age group.

Dose: Two capsules twice a day after meals.

6. Curcumin capsules

Curcumin capsules are made from the curmin extract of haridra (Curcuma longa). Haridra has amazing properties like it behaves as an antibacterial, anthelmintic, and also bears analgesic features. This formulation is very effective in dragging out worms from the intestine and also helps in enhancing the immunity of the body.

Dose: Two capsules a day after meals.

Contact Planet Ayurveda to provide you the costing / ordering and delivery information at – or call at +91-172-5214030 Or Check Website –


Strongyloides stercoralis hyperinfection syndrome is a condition which ultimately is the result of strongyloides infection ignorance. Patients must stay alert and should notice general symptoms related to worm infestation because long term ignorance can be deadly.

Herbal Remedies for Strongyloides Infection(intestinal worms)


Strongyloides infection is an infection caused by intestinal worms. Intestinal worms are one of the main types of intestinal parasites. This is the most common problem which makes abdominal pain and anal discomfort. Mainly children suffer from this disease. These parasites affect the digestion and metabolism of the body. Most common intestinal worms are tapeworms, roundworms, hookworms, strongyloides stercoralis, whipworms, pinworms, threadworms etc. These parasites reside in the intestines of the host. The infected organism is called a host and the infective agent is called a parasite. So in this article we will discuss strongyloides infections in detail and its ayurvedic perspective and treatment through herbs and herbal formulations.


Strongyloides infection is a worm infection caused by a roundworm named strongyloides stercoralis. It is a parasitic roundworm which causes this disease. The patient often does not show any symptoms or asymptomatic. This infection is commonly found in hot and moist areas or areas associated with agricultural or improper hygiene activity. This condition is generally managed by maintaining proper hygiene. This infection spreads mainly by contaminated soil and water. Children are more prone to this disease because of a lack of knowledge about hygiene. It can affect our digestive system badly on prolonged infection periods and also leads to immunodeficiency.

Strongyloides infection

Ayurvedic aspect on Strongyloides infection

In Ayurveda, we can correlate this disease with Krimi roga. There are three types of Krimi roga i.e. Purishaj, Kaphaj and Raktaj. For this disease we correlate with Purishaj krimi roga, as it resides in the intestine.


Most common cause of this disease is coming in contact with the contaminated soil. This is all because of poor hygiene. This is most common in the areas of hot climate. The risk factor for this disease includes:

  • Living in tropical region
  • Low immunity
  • Poor hygiene

Nidana (Causes) of this purishaj krimi are

  • Excessive intake of acid and salty food items
  • Excessive intake of jaggery and other sweet products
  • Excessive intake of spinach
  • Diet rich in urad and pishtmya

Clinical features/Sign and symptoms

Patient who is suffering from this infection complaints of following symptoms:

  • Abdominal pain
  • Diarrhea
  • Indigestion
  • Weight loss
  • Vomiting
  • Cough
  • Decreased appetite
  • Nausea
  • Itching and burning sensation in anal region
  • Red hives near the anal region
  • Anemia

Lakshan (symptoms) of purishaja krimi

  • Ati Drava malpraviti (water stool)
  • Atisar (diarrhea)
  • Panduta (Anaemia)
  • Dourbalya (weakness)
  • Udar kathorta (abdominal heaviness)
  • Romharsh (horripilation)
  • Kandu (itching)
  • Gudmukham paritudant (worms passed out with stools)


This disease is diagnosed by following tests

  • Thorough examination
  • CBC
  • Stool test
  • Colonoscopy
  • Blood antigen test
  • Duodenal aspiration


There should be conservative management for this disease. There are some drugs which are good in the treatment of this disease such as Ivermectin, Albendazole, Thiabendazole etc. But these have their own side effects.

Ayurvedic treatment for purishaj krimi

The treatment protocol for krimi roga includes extraction, extinction of etiology and avoidance of etiological factors. Along with these procedures we can add herbal products for better results.

Herbal products for Strongyloides infection

Herbal Remedies for Strongyloides Infection

Ayurvedic Medicines for Strongyloides infection

Planet Ayurveda is a company which manufactures various herbal products and products are made using the extracts of potential herbs. It is a leading herbal manufacturing company which is internationally certified. This company’s products are free from chemicals and additives. The herbal products for this disease are

  • Wormistop Capsules
  • Mahashankh Vati
  • Sanjivani vati
  • Digesto Plan Syrup

Products Description

1. Wormistop Capsules

This is a poly herbal remedy. This is used in the treatment of Worm infestations as it includes herbs such as

  • Palaash (Butea monosperma)
  • Tulsi (Ocimum sanctum)
  • Vidang (retrofractum)
  • Sonth (Zingiber officinale).

These herbs, especially Vidang and Palaash, are very effective in treating diseases caused by worms. They act as a good detoxifier and balance the all three dosha. It detoxifies all the infested worms inside the body.

Dosage: 2 capsules twice a day after meals

2. Mahashankh Vati

This is a classical Ayurvedic formulation used since centuries. It is prepared from herbs such as chitrak (Plumbago zeylanica), Pippali (Piper longum), danti (Baliospermum montanum) etc. These herbs are best for all stomach problems. This formulation helps in relieving the symptoms such as pain in abdomen, flatulence, indigestion, bloating, and heaviness after meal etc. This shows good results in this disease.

Dosage: 1 tablet twice a day after meals with plain water

3. Sanjivani Vati

This is an Ayurvedic classical formulation which is made from herbs like giloy (Tinospora cordifolia), Triphala, vidanga (Piper retrofractum), sonth (Zingiber officinale) etc. This formulation is used in balancing Pitta dosha mainly. It gives good results in strongyloides infection. This is the natural source of life and health. It is known as the best Aama (Endotoxins) digestive. It also strengthens the immune system.

Dosage: 1 tablet twice a day after meals with plain water

4. Digesto Plan Syrup

This is a poly herbal formulation in syrup form. This is the right plan for food lovers. It is an Ayurvedic remedy to improve digestion naturally because it contains herbs such as

  • Amalaki (Emblica officinalis)
  • Haritaki (Terminalia chebula)
  • bibhitaki (Terminalia bellirica)
  • sonth (Zingiber officinale)
  • saunf (Foeniculum vulgare)
  • Pippali (Piper longum) etc.

It helps in gas, bloating, acidity, indigestion, anorexia, worm infestation etc. this syrup helps in stopping the fermentation process in intestines.

Dosage: 2 teaspoonfuls twice a day after meals

Contact Planet Ayurveda to provide you the costing / ordering and delivery information at – or call at +91-172-5214030 Or Check Website –


Thus coming to an end, I just want to say that these above mentioned herbal formulations are safe and very efficacious in treating the patients with strongyloides infection. So just try these herbal formulations without any fear because they are free from any kind of adverse effects on the body. For more queries you can reach us through Thus all the above provided information in true and presented to you in an effective and innovative way. Stay safe and healthy!


  1. Sushrut uttartantra 54/17
  2. Charaka vimansthan 7/13
  3. Charaka vimansthan 7/14