Treatment FAQ

a fecal flotation shows numerous giardia cysts. what is the treatment of choice for this dog?

by Jess Marvin II Published 2 years ago Updated 2 years ago

Treatment of Giardia
A common veterinary remedy is the off-label prescription of metronidazole for giardia in dogs for 5-8 days, but this treatment has 50% efficacy. Your veterinarian may also recommend using Drontal Plus® for 3 days or Panacur® for 3-5 days.

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Why do vets recommend a fecal flotation and Giardia test?

Parasites, viruses, and other medical problems aren’t always apparent, so your veterinarian may recommend a fecal flotation and Giardia test, along with some other diagnostic tests, to help ensure that your new pet is healthy before playing with your other pets and family members.

How do you treat Giardia cysts in pets?

Giardia cysts are susceptible to drying so try to keep your environment as dry as possible. For best results, thoroughly clean the pet's living and sleeping areas and then allow the areas to dry out for several days before reintroducing pets. Contributors: Ernest Ward, DVM.

How does a vet perform a fecal flotation?

To perform a fecal flotation, your veterinarian places a small amount of fecal material into a small container and mixes it with a special solution. This solution is made so that the eggs of many parasites (such as whipworms, hookworms, and roundworms) will float to the top.

How do vets test for giardia in dogs?

Giardia organisms can sometimes be identified using fecal flotation, but some veterinarians prefer to use a different test, called a SNAP test, to screen for Giardia. The SNAP test detects Giardia antigens (proteins produced by the parasite) in the fecal material of infected pets.

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How do you treat Giardia cysts in dogs?

The most common drugs used to kill Giardia are fenbendazole and metronidazole. These drugs are normally given for three to ten days to treat giardiasis. Both drugs may be given in combination if necessary.

What's the best flotation solution for detecting Giardia cysts?

Flotation methods permit the separation of some protozoan cysts and helminthes eggs through the use of a liquid with high specific gravity such as NaCl, NaNO3, ZnSO4 (final specific gravity of about 1.20). Zinc sulfate has been recommended as the best saturated solution to detection of Giardia cyst (4).

What is the best way to treat Giardia?

When signs and symptoms are severe or the infection persists, doctors usually treat giardia infection with medications such as: Metronidazole (Flagyl). Metronidazole is the most commonly used antibiotic for giardia infection. Side effects may include nausea and a metallic taste in the mouth.

What kills Giardia cyst?

The most readily available disinfectant is bleach diluted 1:32 in water. Studies have shown this dilution to require less than one minute of contact time to effectively kill giardia cysts. As for areas with lawn or plants, decontamination may not be possible without the risk of killing the foliage.

What solution is used for fecal flotation?

Flotations Solutions Many chemical solutions are used for fecal flotation, primarily sugar or salt solutions such as zinc sulfate or sodium nitrate, both of which provide the proper specific gravity so most parasite eggs float to the top and fecal debris stays at the bottom.

What are commonly used fecal flotation solutions?

Flotation Fluids Since parasite eggs will sink in water, salt or sugar solutions are used to concentrate and separate eggs from most fecal debris. The most commonly used flotation fluids are magnesium sulfate (Epsom salts), sugar, sodium nitrate, and zinc sulfate.

What antibiotic kills Giardia?

Certain antibiotics are commonly used to treat giardiasis: Metronidazole is an antibiotic that needs to be taken for five to seven days. It can cause nausea and leave a metallic taste in your mouth. Tinidazole is as effective as metronidazole, and often treats giardiasis in a single dose.

What is the best natural treatment for Giardia?

The results of the studies have shown that lavender plants are very effective in intravenous conditions and have a therapeutic potential for Giardia infection. So that the dose of 400 mg/mL of hydroalcoholic extract of lavender is effective against Giardia lamblia (22). This herbal plant belongs to Apiaceae family.

Does metronidazole treat Giardia in dogs?

It is often used to treat diarrhea and other intestinal problems. The use of metronidazole to treat Giardia infections and most other infections in dogs, cats, small mammals, birds, reptiles, and other animals is off-label. Many drugs are commonly prescribed for off-label use in veterinary medicine.

Does Giardia in dogs need to be treated?

Although giardia flare-ups may come and go on their own, the parasite itself must be treated with medication. Metronidazole is the most common medication given for the treatment of giardia. It is an antibiotic that attacks the parasite and helps the dog's body recover more quickly.

Is there a vaccine for Giardia for dogs?

Recently, a Giardia vaccine has become commercially available in the USA for prevention of clinical signs of giardiasis and reduction of cyst shedding in dogs and cats. The vaccine is based upon the current state of knowledge of Giardia antigenicity and immunology.

How much metronidazole do I give a dog for Giardia?

7 to 11 mg per poundDosage Of Metronidazole For Dogs In the case of Giardia, vets often prescribe 7 to 11 mg per pound given once every 24 hours, but the dosage can go as high as 29.5 mg per pound.

How contagious is Giardia in dogs?

Giardia is extremely contagious. Since Giardia is also difficult to eliminate from your home or yard, and dogs develop no immunity after being infe...

Can dogs with Giardia go to dog daycare?

Dogs with known or suspected Giardiasis (Giardia infection) must not go to daycare. This puts other dogs at risk because the infection is highly co...

Is Giardia hard to get rid of in dogs?

With the appropriate medication and dosage, most cases of Giardia in dogs are not hard to initially clear. However, infections require environmenta...

How long does it take for Giardia to go away in dogs?

Giardia will last until it is treated and removed from the environment, with multiple negative tests confirming the disease’s resolution. The indoo...

Does Giardia cause loss of appetite in dogs?

Giardia can cause vomiting and loss of appetite in dogs, though diarrhea is the most common sign of illness.

Why do parasites shed in animal feces?

Causes. One of the most common causes of the parasitic infection is the ingestion of infected fecal material, as the cysts are shed in animal feces. The most common cause of transmission is actually waterborne, as the parasite prefers the cool and moist environment.

What is the most common parasite in dogs?

Giardiasis in Dogs. Giardiasis refers to an intestinal infection that is caused by the protozoan parasite giardia, which is the most common intestinal parasite that is found in humans. Dogs develop the infection by ingesting infectious offspring (cysts) that are shed in another animal's feces.

How many puppies have intestinal infections?

Up to 50 percent of young puppies will develop this intestinal infection, and up to 100 percent of dogs housed in kennels will develop it due to the massive exposure and closely shared living spaces.

Can cysts cause diarrhea?

The contamination can be from direct or indirect contact with the infected cysts. The organisms, once ingested, make their way into the intestine, often causing diarrhea. The treatment is typically performed on an outpatient basis with a good prognosis.

Can dogs have diarrhea?

In some cases, dogs will exhibit diarrhea that is soft, frothy, greasy, and with a strong, awful odor or excessive mucus.

What is the trophozoite of Giardia?

The Giardia organism has two forms. A fragile feeding form, known as the trophozoite, exists in the gut of infected animals, while a hardy cystic form is shed in feces and can survive several months in the environment, particularly in water and damp environments.

What is the name of the parasite that causes giardiasis?

Giardiasis is an intestinal infection in humans and animals, caused by a microscopic protozoan parasite Giardia duodenalis (also known as G. intestinalis or G. lamblia).

What is the name of the disease caused by contaminated water?

Outdoor enthusiasts who inadvertently consume contaminated water may develop "beaver fever", which is another name for giardiasis in people. Other examples of protozoan parasites that can cause enteric (intestinal) disease are Coccidia, Cryptosporidia and Toxoplasma.

How long does giardiasis medication last?

These drugs are normally given for three to ten days to treat giardiasis. Both drugs may be given in combination if necessary. This combination is usually administered to dogs with refractory diarrhea (diarrhea that hasn't responded to treatment).

What to do if my dog has diarrhea?

Supportive treatment with other drugs may be needed as supplemental therapy if dehydration or severe diarrhea is present. A low-residue, highly digestible diet may help lessen loose stools during treatment. Some dogs may require follow-up tests and treatments based on their condition and severity of infection.

How do trophozoites reproduce?

Trophozoites reproduce by dividing, and some transform into the cystic form. Eventually, the dog passes infectious cysts in its stool.

Can a dog have a cyst in his stool?

When Giardia cysts are found in the stool of a healthy adult dog without diarrhea, they are generally considered a transient, insignificant finding. However, in puppies and debilitated adult dogs, they may cause severe, watery diarrhea that may be fatal if left untreated.

How to prevent giardia?

Prevention of Giardia infection involves boiling or filtering of water collected from the environment prior to drinking and disinfection of premises contaminated with infected feces with steam cleaning or quaternary ammonium compounds (1 minute contact time).

What is the genus Giardia?

World Small Animal Veterinary Association World Congress Proceedings, 2011. The genus Giardia contains multiple species of flagellated protozoans that are indistinguishable morphologically. Host specificity was thought to be minimal for Giardia spp., but not all small animal isolates cause disease in human beings.

How long does it take for fenbendazole to work on dogs?

If treatment deemed indicated by the clinician and owner, many clinicians currently recommend that a 5 day course of fenbendazole be administered for apparently healthy dogs and cats that test positive for Giardia.

Can you use Giardia antigen test in a recheck?

Currently it is not recommended for any of the Giardia antigen tests to be used as a recheck test in the early post treatment phase. As discussed, it is currently unknown how long Giardia antigens will persist in feces after successful treatment.

Can Giardia spp. cause disease?

Host specificity was thought to be minimal for Giardia spp., but not all small animal isolates cause disease in human beings. There have been varying results concerning cross-infection potential of Giardia spp. Human Giardia isolates usually grow in cell culture, animal isolates often do not. Recent genetic analysis has revealed 2 major genotypes ...

Does Febantel help with diarrhea?

Recently, febantel containing products have been labeled for treatment of Giardia in some countries. The primary goal of Giardia treatment is to stop diarrhea. Because healthy pets are not considered human health risks, elimination of infection (which is difficult) is a secondary goal.

Can dogs get giardia?

However, healthy pets are not considered a source of Giardia for HIV infected people by the Centers for Disease Control. Giardia should be on the differential list for any dog or cats with acute or chronic small bowel diarrhea. However, clinical disease associated with Giardia appears to be more common in puppies and kittens.

Which dogs are at risk for Giardia?

Giardia infection affects dogs of all ages, breeds, and sizes. However, its symptoms are more severe in younger puppies or senior dogs that have weakened immune systems.

How do dogs get Giardia?

Dogs get Giardia by touching and ingesting cysts from a contaminated surface. Giardia parasites are resilient as they can live in most environments anywhere from a few weeks to a few months depending on the climate.

Is Giardia contagious?

Giardia is a zoonotic disease, which means that it is contagious to both humans and animals. It can potentially spread to all members of the family if owners are not careful.

What are the symptoms of Giardia in dogs?

Most dogs do not exhibit symptoms and remain asymptomatic for the duration of their infection. However, the most common, noticeable symptom is an odorous, watery diarrhea .

How is Giardia in dogs diagnosed?

Veterinarians diagnose dogs with Giardia by facilitating different types of fecal diagnostic tests.

How is Giardia in dogs treated?

Fortunately, Giardia is generally curable with proper medication and diligent sanitation practices. Dog parents must make sure to clean home surfaces with an effective disinfectant or bleach and replace water bowls on a daily basis, as the Giardia parasite can easily survive in both environments.

How much does it cost to treat Giardia in dogs?

Diagnosis of Giardia costs around $20 to $50, while most basic treatments fall on the higher side. If Giardia is left untreated, however, and worsens, costs can easily hike up to a few hundred dollars. For this reason, if you suspect your dog has Giardia, you’ll want to get to the vet as soon as possible.

What Is Giardia in Dogs?

Giardia is a microscopic parasite that lives in your dog's intestines. From time to time, they form cysts, which your dog passes in their stool. These cysts live in the environment and will infect any animal or human who ingests them unknowingly.

What Causes Giardia In Dogs?

Infected dogs, cats, humans, and other animals pass cysts in their stool. These cysts can remain alive and infectious for several weeks in soil. Your dog can get infected by:

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