Giardia; G. duodenalis; G. intestinalis; Traveler's diarrhea - giardiasis
Giardia, or giardiasis, is a parasitic infection of the small intestine. A tiny parasite called Giardia lamblia causes it.
The giardia parasite lives in soil, food, and water. It may also be found on surfaces that have come into contact with animal or human waste.
You may become infected if you:
Travelers are at risk for giardiasis throughout the world. Campers and hikers are at risk if they drink untreated water from streams and lakes.
The time between becoming infected and symptoms is 7 to 14 days.
Non-bloody diarrhea is the main symptom. Other symptoms include:
Some people who have had a giardia infection for a long time continue having symptoms, even after the infection is gone.
Tests that may be done include:
If there are no symptoms or only mild symptoms, no treatment may be needed. Some infections go away on their own within a few weeks.
Medicines may be used for:
Antibiotic treatment is successful for most people. These include tinidazole, nitazoxanide or metronidazole. A change in the type of antibiotic will be tried if symptoms do not go away. Side effects from some of the medicines used to treat giardia are:
In most pregnant women, treatment should not start until after delivery. Some drugs used to treat the infection can be harmful to the unborn baby.
These complications can occur:
Contact your health care provider if:
Purify all stream, pond, river, lake, or well water before drinking it. Use methods such as boiling, filtration, or iodine treatment.
Workers in daycare centers or institutions should use good handwashing and hygiene techniques when moving from child to child or person to person.
Safer sexual practices may decrease the risk for getting or spreading giardiasis. People practicing anal sex should be especially careful.
Peel or wash fresh fruits and vegetables before eating them.
Goering RV, Dockrell HM, Zuckerman M, Chiodini PL. Gastrointestinal tract infections. In: Goering RV, Dockrell HM, Zuckerman M, Chiodini PL, eds. Mims' Medical Microbiology and Immunology. 6th ed. Philadelphia, PA: Elsevier; 2019:chap 23.
Melia JMP, Sears CL. Infectious enteritis and proctocolitis. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 110.
Nash TE, Hill DR. Giardiasis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 330.
Nash TE, Bartelt LA. Giardia lamblia. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 279.BACK TO TOP
Review Date: 3/10/2022
Reviewed By: Jatin M. Vyas, MD, PhD, Associate Professor in Medicine, Harvard Medical School; Associate in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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