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Common Medical Conditions and Health ProblemsInternal Parasites: Nematodes
  Background Information
  Please read our Disclaimer before reading any further into these common problems.  As with any medical problem, we strongly recommend that you immediately contact your veterinarian for assistance.
  Ascarids - Roundworms
  There are over 100 different species of Ascarids that can affect reptiles and most seem to be species-specific and have the potential to cause extensive damage to the host.  They have an indirect life cycle as they develop via and require an intermediate host (often several intermediate hosts) which is part of the food source of the gecko itself.

Ascarids tend to reside in the gastrointestinal tract of the gecko and can reside there in low numbers without producing overt symptoms of disease.  

Unlike several other parasites that can affect leopard geckos, it is believed that ascarids will feed upon the ingested matter of the gecko instead of the gecko's actual tissue fluids.  They can often cause secondary malnutrition because they absorb the nutrients that the gecko is supposed to absorb.

Common Symptoms:

The ultimate effect that the roundworms will have on the gecko will depend on a variety of factors including:

  • The number of the parasites present.
  • The amount of food that is available to the host (ie the gecko).
  • Any other diseases or medical conditions that may be present.
  • Local tissue inflammation.

The most common symptoms tend to include:

  • Regurgitation
  • Anorexia
  • Weight loss.
  • Gastritis or gastric ulceration.
  • Intestinal obstruction or obstipation.
  • Granulomatous inflammation.
  • Death if left untreated.

As the worms/larvae migrate throughout the gecko's organs, they have the potential to create the opportunity for bacterial infections to set in.

Diagnostic Methods:

There are several different techniques available to your veterinarian to help determine the possible presence of ascarids.  These could include:

  • Complete physical examination.
  • Detailed patient history and overview of husbandry.
  • Fecal exams - specifically finding the ova in the feces.
  • The possible presence of worms/larvae in the feces/

Treatment Options:

The most common treatment option is the use of Fenbendazole.  Fenbendazole is also referred to as Panacur and can be administered PO (orally).  

As with most medical problems, it is critical to maintain the ideal temperatures throughout the gecko's environment during treatment.

Follow-up fecal after the completion of the treatment period is recommended.

When dealing with medical problems such as ascarids, proper personal hygiene, quarantine and disinfection techniques are absolutely necessary.  Treating the gecko alone without treating the environment will NOT eliminate the problem!

  Filarial Nematodes
  Although filarial nematodes are rarely seen in reptiles, they are diagnosed periodically.  These parasites have an indirect life cycle and are transmitted by various blood-sucking arthropods such as ticks, mosquitos and even leeches in some cases.

Common Symptoms:

In heavy numbers, filarial nematodes can cause serious problems in the circulatory system.  They can also cause:

  • Edema (swelling).
  • Ulcers
  • Blisters on the skin.
  • Thrombosis (can lead to secondary necrosis).
  • Aneurysms

Diagnostic Methods:

There are several different techniques available to your veterinarian to help determine the possible presence of filarial nematodes.  These could include:

  • Complete physical examination.
  • Detailed patient history and overview of husbandry.
  • Finding microfilaria (not eggs) on direct examination of blood smears.

Treatment Options:

Filarial nematodes are quite tricky to treat if present in leopard geckos as the most commonly used treatment is Ivermectin.  The key though to treating filarial nematodes in the first place is to prevent the transmission of these microfilaria by these types of arthropods.

When dealing with medical problems such as filarial nematodes, proper personal hygiene, quarantine and disinfection techniques are absolutely necessary.  Treating the gecko alone without treating the environment will NOT eliminate the problem!

  Hepatic Worms - Capillaria
  These parasites have an indirect life cycle and are transmitted to a leopard gecko when it eats one of the intermediate hosts.  Although little is known about these parasites as this time with respect to reptiles, it is known that they tend to reside in the gastrointestinal tract of the geckos.  They may also be found in various other organs as well.

Common Symptoms:

There are few overt/clinical signs of an infestation in leopard geckos.  However, if present in high numbers, your may notice decreased hepatic (liver) function.

Diagnostic Methods:

There are several different techniques available to your veterinarian to help determine the possible presence of hepatic worms.  These could include:

  • Complete physical examination.
  • Detailed patient history and overview of husbandry.
  • Fecal exams - specifically finding the eggs on fecal flotations.

Treatment Options:

The most common treatment option is the use of Fenbendazole.  Fenbendazole is also referred to as Panacur and can be administered PO (orally).  

As with most medical problems, it is critical to maintain the ideal temperatures throughout the gecko's environment during treatment.

Follow-up fecal after the completion of the treatment period is recommended.

When dealing with medical problems such as hepatic worms, proper personal hygiene, quarantine and disinfection techniques are absolutely necessary.  Treating the gecko alone without treating the environment will NOT eliminate the problem!

  Hookworms
  Hookworms are extremely common in leopard geckos and have a direct life cycle (which means that high numbers of parasites can build up quite quickly).  A gecko can become infested with this parasite either by the larvae penetrating the skin or by the gecko ingesting contaminated food or water sources.  Essentially these parasites will attach themselves to the lining of the intestines and will feed on the gecko's blood.

Common Symptoms:

  • Anorexia
  • Weight loss.
  • Anemia.
  • Bloody and/or mucus-laden stools.
  • Hemorrhagic ulcers.
  • Peritonitis
  • Severe inflammation.

In severe infestations, hookworms can also cause intestinal obstruction and/or intussusception.

Diagnostic Methods:

There are several different techniques available to your veterinarian to help determine the possible presence of hookworms.  These could include:

  • Complete physical examination.
  • Detailed patient history and overview of husbandry.
  • Fecal exams - specially finding the eggs in a fecal flotation.
  • When present in high numbers, you may be able to see the parasite in the feces.

Treatment Options:

The most common treatment option is the use of Fenbendazole.  Fenbendazole is also referred to as Panacur and can be administered PO (orally).  

As with most medical problems, it is critical to maintain the ideal temperatures throughout the gecko's environment during treatment.

Follow-up fecal after the completion of the treatment period is recommended.

When dealing with medical problems such as hookworms, proper personal hygiene, quarantine and disinfection techniques are absolutely necessary.  Treating the gecko alone without treating the environment will NOT eliminate the problem!

  Lungworms - Entomelas
  Of the different types of lungworms, it is Entomelas that is periodically seen in leopard geckos.  Because lungworms have  a direct life cycle, they can build up to a large load very quickly in captive situations.  They typically become a problem as a result of poor husbandry practices that include
  • Poor/improper hygiene.
  • Environmental temperatures that are too high.
  • Environmental humidity levels that are too high.

These parasites will reside in the pulmonary cavity of a leopard gecko.

Common Symptoms:

  • Anorexia
  • Weight loss.
  • Excessive salivation.
  • Respiratory distress.
  • Mouth gaping.
  • Rapid and irregular breathing.

Diagnostic Methods:

There are several different techniques available to your veterinarian to help determine the possible presence of lungworms.  These could include:

  • Complete physical examination.
  • Detailed patient history and overview of husbandry.
  • Fecal exams - specifically finding the eggs in a fecal flotation.
  • May also find the larvae and eggs in the sputum.

Treatment Options:

The most common treatment option is the use of Fenbendazole.  Fenbendazole is also referred to as Panacur and can be administered PO (orally).  The veterinarian may decide to administer this drug at a slightly higher dose than for most nematodes.

As with most medical problems, it is critical to maintain the ideal temperatures throughout the gecko's environment during treatment.

Follow-up fecal after the completion of the treatment period is recommended.

When dealing with medical problems such as lungworms, proper personal hygiene, quarantine and disinfection techniques are absolutely necessary.  Treating the gecko alone without treating the environment will NOT eliminate the problem!


  Pinworms - Oxyurids
  There are easily more than 100 different species of oxyurids that could affect reptiles.  Each of these have a direct life cycle and a leopard gecko can become infected with pinworms via exposure to food and water sources that have been contaminated with infested fecal matter.

Pinworms typically reside in the lower gastrointestinal tract of leopard geckos and may not cause any overt signs of disease.  They may even be beneficial in small numbers as they can prevent constipation by breaking up fecal matter.

Common Symptoms:

In small numbers, pinworms may not cause any overt signs of disease.  However in higher loads, you may see:

Diagnostic Methods:

There are several different techniques available to your veterinarian to help determine the possible presence of pinworms.  These could include:

  • Complete physical examination.
  • Detailed patient history and overview of husbandry.
  • Fecal exams - specifically finding eggs on a fecal flotation.

Treatment Options:

The most common treatment option is the use of Fenbendazole.  Fenbendazole is also referred to as Panacur and can be administered PO (orally).  

As with most medical problems, it is critical to maintain the ideal temperatures throughout the gecko's environment during treatment.

Follow-up fecal after the completion of the treatment period is recommended.

When dealing with medical problems such as pinworms, proper personal hygiene, quarantine and disinfection techniques are absolutely necessary.  Treating the gecko alone without treating the environment will NOT eliminate the problem!

  Stomach worms
  Although stomach worms primarily occur in lizards that eat ants and other such intermediate hosts, we though it would be worthwhile to briefly mention it here.  Stomach worms have an indirect life cycle.

Common Symptoms:

  • Inflammation
  • Gastrointestinal tract obstrcution.

Diagnostic Methods:

There are several different techniques available to your veterinarian to help determine the possible presence of stomach worms.  These could include:

  • Complete physical examination.
  • Detailed patient history and overview of husbandry.
  • Fecal exams - specifically finding eggs on a fecal flotation.

Treatment Options:

The most common treatment option is the use of Fenbendazole.  Fenbendazole is also referred to as Panacur and can be administered PO (orally).  

As with most medical problems, it is critical to maintain the ideal temperatures throughout the gecko's environment during treatment.

Follow-up fecal after the completion of the treatment period is recommended.

When dealing with medical problems such as stomach worms, proper personal hygiene, quarantine and disinfection techniques are absolutely necessary.  Treating the gecko alone without treating the environment will NOT eliminate the problem!

  Strongyloides
  Strongyloides have a direct life cycle and leopard geckos can become infested with these parasites either by:
  • Ingestion of food and water sources that have been contaminated with infested feces.
  • Penetration of the skin by the parasite.

Strongyloides primarily inhabit the digestive tract of reptiles.

Common Symptoms:

  • Diarrhea, often with mucus-laden stools.
  • Can cause respiratory distress if the larvae migrate into the lungs.
  • Fluid and electrolyte loss.

Diagnostic Methods:

There are several different techniques available to your veterinarian to help determine the possible presence of strongyloides.  These could include:

  • Complete physical examination.
  • Detailed patient history and overview of husbandry.
  • Fecal exams - specifically finding larvae in fresh samples (collected within minutes).
  • Fluid replacement therapy if needed.

Treatment Options:

The most common treatment option is the use of Fenbendazole.  Fenbendazole is also referred to as Panacur and can be administered PO (orally).  

As with most medical problems, it is critical to maintain the ideal temperatures throughout the gecko's environment during treatment.

Follow-up fecal after the completion of the treatment period is recommended.

When dealing with medical problems such as strongyloides, proper personal hygiene, quarantine and disinfection techniques are absolutely necessary.  Treating the gecko alone without treating the environment will NOT eliminate the problem!

  Still Confused Or Concerned?
  If you would like more information or further assistance, or just want to chat some more about leopard geckos, please feel free to post on the Reptile Rescue, Canada Leopard Gecko Forum!

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