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Liver Fluke: Causes, Symptoms, and Treatments

Know about the liver fluke, causes, symptoms and treatments. Learn how to prevent the liver fluke infection.

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Written by Dr. M L Ezhilarasan

Reviewed by Dr. Vasanthasree Nair MBBS

Last updated on 13th Jan, 2026

Liver Fluke

Introduction

The liver is one of the most vital organs in our body, helping with digestion, detoxification, and metabolism. However, certain infections, like liver fluke disease, can harm its functioning. If you or someone you know has been diagnosed with liver fluke infection or is experiencing symptoms, this article will help you understand the condition better and guide you on how to manage it.

What is Liver Fluke?

Liver flukes are parasitic flatworms that infect the liver, bile ducts, and gallbladder. These tiny worms can cause inflammation, blockages, and long-term damage if left untreated.

There are different types of liver flukes, but the most common ones affecting humans are:

  • Fasciola hepatica (found in sheep, cattle, and humans)
  • Clonorchis sinensis (common in Asia)
  • Opisthorchis species (found in Southeast Asia and Europe)

These parasites enter the body through contaminated food or water and settle in the liver, where they grow and reproduce.

Consult General Practitioner for Personalised Advice

Dr. Vivek D, General Physician

Dr. Vivek D

General Physician

4 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

How Do You Get Liver Fluke Infection?

Liver fluke infection occurs when a person consumes contaminated food or water. The main causes include:

  1. Eating Raw or Undercooked Fish/Plants – In many cultures, dishes like sushi, sashimi, or undercooked freshwater 
    fish can contain liver fluke larvae. Similarly, watercress and other raw aquatic plants may carry the parasite.
  2. Drinking Contaminated Water – Drinking untreated water from ponds, rivers, or streams where fluke eggs are 
    present can lead to infection.
  3. Poor Sanitation – In areas with inadequate sewage systems, human and animal waste can contaminate water sources, increasing the risk.

Symptoms of Liver Fluke Infection

Many people with a mild liver fluke infection may not show symptoms immediately. However, as the infection 
progresses, symptoms may include:

Early Stage (Acute Phase – First Few Weeks)

Early stage symptoms include:

  • Fever and chills
  • Abdominal pain (especially on the right side under the ribs)
  • Nausea and vomiting
  • Diarrhea
  • Loss of appetite
  • Fatigue

Chronic Stage (Long-Term Infection – Months to Years Later)

If untreated, liver flukes can cause severe complications, such as:

Jaundice (yellowing of skin and eyes)

  • Swelling in the abdomen (due to fluid buildup)
  • Itchy skin
  • Weight loss
  • Dark urine and pale stools
  • Enlarged liver
  • In rare cases, long-term infections can lead to liver cirrhosis, bile duct blockages, or even liver cancer.

How is Liver Fluke Diagnosed?

If you experience persistent symptoms, consult a doctor. Diagnosis may involve:

  1. Blood Tests – To check for antibodies or signs of infection.
  2. Stool Tests – To detect fluke eggs in faeces.
  3. Imaging Tests – Ultrasound, CT scan, or MRI to examine liver damage.
  4. Endoscopic Procedures – ERCP (Endoscopic Retrograde Cholangiopancreatography) to check the bile ducts.

Treatment for Liver Fluke Infection

The good news is that liver fluke infections are treatable with antiparasitic medications. Common treatments include:

  • Triclabendazole – The most effective drug for Fasciola infections.
  • Praziquantel or Albendazole – Used for other types of liver flukes.

Your doctor will prescribe the right medication based on the type of infection. In severe cases with bile duct blockages, surgery may be needed.

How to Prevent Liver Fluke Infection?

Prevention is always better than a cure. Here are some simple steps to reduce your risk:

  • Avoid Raw or Undercooked Fish/Plants – Cook fish thoroughly (at least 145°F/63°C) and avoid eating raw water 
    plants.
  • Drink Safe Water – Boil or filter water from natural sources before drinking.
  • Practice Good Hygiene – Wash hands before eating and after handling raw fish.
  • Proper Food Handling – Clean utensils and cutting boards used for raw fish separately.
  • Regular Deworming for Pets/Livestock – If you live in high-risk areas, ensure animals are treated for parasites.

When to See a Doctor?

If you experience persistent abdominal pain, jaundice, or unexplained weight loss, consult a doctor immediately. Early 
diagnosis and treatment can prevent complications.

Final Thoughts

Liver fluke infections are preventable and treatable if detected early. By following simple hygiene and food safety practices, you can protect yourself and your family. If you have any concerns, don’t hesitate to seek medical advice.

Consult General Practitioner for Personalised Advice

Dr. Vivek D, General Physician

Dr. Vivek D

General Physician

4 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Consult General Practitioner for Personalised Advice

Dr. Vivek D, General Physician

Dr. Vivek D

General Physician

4 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

IMAGE
Dr. Syed Ismail Ali, General Practitioner

Dr. Syed Ismail Ali

General Practitioner

7 Years • MBBS

Hyderabad

Apollo 24|7 Clinic, Hyderabad

609

Dr. Madhuri Sai Sreepada, General Practitioner

Dr. Madhuri Sai Sreepada

General Practitioner

9 Years • MBBS

Hyderabad

BRIGHT SMILES MEDICARE & DENTAL CARE, Hyderabad

350

300

Consult General Practitioner for Personalised Advice

Dr. Vivek D, General Physician

Dr. Vivek D

General Physician

4 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

IMAGE
Dr. Syed Ismail Ali, General Practitioner

Dr. Syed Ismail Ali

General Practitioner

7 Years • MBBS

Hyderabad

Apollo 24|7 Clinic, Hyderabad

609

Dr. Madhuri Sai Sreepada, General Practitioner

Dr. Madhuri Sai Sreepada

General Practitioner

9 Years • MBBS

Hyderabad

BRIGHT SMILES MEDICARE & DENTAL CARE, Hyderabad

350

300

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