What it is

Giardia duodenalis (Giardia for short) is a parasite. Illness caused by Giardia is called giardiasis.

Giardia lives in the gut of infected people and animals and comes out of the body in poop. Giardia can survive for weeks to months outside the body (for examplein soil).

In the United Statesmore people get sick from Giardia than from any other parasite that lives in the gut. Every yearmore than 1 million people get sick from Giardia.

Giardia is found in every region of the United States and around the world.

Symptoms

Symptoms usually begin by having diarrhea 2 to 5 times per day and feeling more and more tired.

Short-term symptoms include:

• Diarrhea
• Gas
• Smellygreasy poop that can float
• Stomach cramps or pain
• Upset stomach or nausea
• Dehydration (loss of fluids)

Symptoms usually begin 1 to 2 weeks after becoming infected with Giardia and last for 2 to 6 weeks. Occasionallypeople have long-term symptoms that can last for years.

Who is at risk

Anyone can get sick from Giardia. Howeverchildren are more likely to get sick than adults.

You are more likely to get sick if you:

• Are in close contact with someone who is sick from Giardiaespecially in childcare settings
• Are in an area with limited access to safe drinking water
• Drink untreated water from springslakesriversor shallow wells
• Swallow water from poolssplash padslakesor rivers (for examplewhile swimming)
• Have a weakened immune system
• Have contact with poop during sex
• Have contact with infected animals or animal environments contaminated with poop

How it spreads

You can get sick if you swallow Giardia.

Giardia germs are in poopso anything that gets contaminated by poop can potentially spread the germs. Giardia can spread from one person to another or through contaminated waterfoodsurfacesor objects.

Giardia spreads easily; swallowing just a few Giardia germs can make you sick.

Prevention

You can take steps to avoid getting or spreading Giardia:

• Wash your hands with soap and water at key times.
• Avoid swallowing water while swimming.
• Boil or filter water from lakesspringsor rivers before drinking or preparing food with it.
• Wait to have sex for several weeks after you or your partner no longer have diarrhea.
• Avoid touching animal poop.
• Clean and disinfect areas where a person or pet recently had diarrhea.

Diagnosis

Contact a healthcare provider if you think you may be sick from Giardia. They will ask you to give stool (poop) samples to see if Giardia is making you sick.

Treatment and recovery

Your healthcare provider may prescribe medicine to treat illness caused by Giardia.

If you have diarrheadrink a lot of water or other fluids to avoid dehydration (loss of fluids).

Animal transmission

Although animals can spread Giardia to peopleyou are unlikely to get a Giardia infection from dogs or cats. The type of Giardia that makes people sick is usually not the same type that makes dogs and cats sick.

Resources

GerdesM. E.MikoS.KunzJ. M.HannapelE. J.HlavsaM. C.HughesM. J.StuckeyM. J.Francois WatkinsL. K.CopeJ. R.YoderJ. S.HillV. R.& CollierS. A. (2023). Estimating Waterborne Infectious Disease Burden by Exposure RouteUnited States2014. Emerging Infectious Diseases29(7)1357–1366.