High number of ascaris worms – visible as black tangled mass – are filling the duodenum, the first portion of the bowel after the stomach
Ascariasis is a disease caused by the roundworm Ascaris lumbricoides. Infections have no symptoms in more than 85% of cases, especially if the number of worms is small. Symptoms increase with the number of worms present and may include shortness of breath and fever in the beginning of the disease. These may be followed by symptoms of abdominal swelling, abdominal pain, and diarrhea. Children are most commonly affected, and in this age group the infection may also cause poor weight gain and malnutrition.

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