Exams and Tests
Diagnosis of
giardiasis is usually based on:
- Medical history and physical exam. If
your history and physical exam strongly suggest the symptoms are due to
giardiasis, some doctors may prescribe a single course of treatment before
doing further tests.
- Stool analysis (also known as ova and parasite
test).
- Antigen tests that detect proteins (antigens) from the
Giardia parasite.
- String test, which may be used if the stool analysis
is inconclusive. The string test collects a sample of the contents of the small
intestine so it can be examined for the presence of parasites. This test is
rarely done.
Fluid from the upper part of the small intestine (duodenal
fluid) may also be examined under a microscope to look for the parasite or to
do an antigen test. A duodenal fluid sample is collected by
endoscopy.
Other tests to help detect giardiasis or similar conditions may sometimes be done if you are
experiencing long-term symptoms, especially if problems with
malabsorption are occurring. These tests are used to
examine the small intestine (upper GI series) or to collect a sample
(biopsy) of the upper small intestine to identify what
is causing the infection.
Early Detection
When outbreaks of giardiasis occur in nursing
homes or day care centers, it may be appropriate to check those who may be
infected. People who are infected but don't have symptoms can pass the
infection to others.