Edmonton West Animal Hospital & Spay/Neuter Centre
Hookworms

Canine Hookworms

Hookworms feed on blood in the small intestine and can be life-threatening, especially in puppies. Early signs include pale gums, poor appetite, and dark tarry stool.

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CaninesHookworms

Canine Hookworms

If you're a dog owner, hookworms are a parasite worth taking seriously. They can be fatal, especially in puppies.

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What Are Hookworms?

If you're a dog owner, hookworms are a parasite worth taking seriously. They can be fatal, especially in puppies. These worms attach to the lining of the small intestine and feed on blood, causing both direct damage and discomfort as they go. As the larvae progress through their life stages, the damage compounds: ongoing blood loss at the sites where worms are actively feeding can lead to significant anemia and intestinal inflammation.

Symptoms

Often the first thing you'll notice is a loss of appetite and your dog generally seeming "off" or unwell. Pale gums, lips, and nostril linings are a classic sign of the anemia hookworms cause. Because hookworm larvae can migrate through the lungs on their way to the intestines, a cough is also common.

Other symptoms to watch for include dark, tarry stool (a sign of blood loss in the digestive tract) and diarrhea. Left untreated, hookworm infection can progress quickly and become fatal, particularly in puppies, who have far less reserve to withstand ongoing blood loss than adult dogs.

Causes

Puppies most commonly pick up hookworms from their mother, either through nursing (called transmammary transmission) or, less commonly, before birth. This happens because dormant larvae in the mother's tissue can reactivate and pass to puppies through her milk, which is why treating the mother matters just as much as treating the puppies themselves.

Dogs of any age can also become infected from a contaminated environment, either by swallowing infective larvae (from soil, water, or even eating an infected host like a cockroach) or through larvae directly penetrating the skin, often through the paws.

Diagnosis

Hookworms aren't visible to the naked eye, so diagnosis requires a veterinarian to examine a stool sample under a microscope. Once confirmed, your vet can determine the right treatment plan. If more than one puppy in a litter has died unexpectedly, hookworm infection is worth investigating as a possible cause.

Treatment

Veterinarians prescribe medication to kill or expel the worms, which is usually enough to resolve the infection, though iron and nutritional support may be added if your dog is significantly anemic.

Current veterinary guidance recommends starting deworming treatment at 2 weeks of age, repeating every 2 weeks until about 8 weeks old, and then continuing monthly through 6 months of age to catch parasites at different life stages.

Pregnant dogs should be treated starting about 2 weeks after breeding, with treatment continuing for 2 to 4 weeks after the puppies are born. This significantly reduces the risk of transmammary transmission and helps clear any larvae already present in the mother's system.

Depending on severity, hospitalization may be necessary. This can include fluid therapy, a blood transfusion, or supplemental oxygen for severely anemic dogs. Even with prompt, appropriate treatment, sudden death can still occur in severe cases, which is part of why early recognition matters so much.

Prevention

Keeping your dog's environment clean is essential; pay particular attention to water bowls and any areas where standing water or dampness accumulates, since these are common sources of infective larvae. If you notice any of the symptoms above, get your dog to a vet promptly rather than waiting to see if things improve.

There's currently no vaccine available for hookworms, which makes vigilance and prompt veterinary care your best tools for catching and treating infections early.

A Note on Human Risk

While hookworm infection in humans is rare, the larvae can penetrate human skin too, most commonly causing a localized skin reaction known as cutaneous larva migrans. It's worth taking sensible precautions (like wearing gloves and washing your hands) when cleaning up after a dog with a known or suspected hookworm infection.

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