Blastocystis hominis
    Symptoms and causes

    Sept. 12, 2026

    Overview

    Blastocystis is a group of tiny parasites that can live in the digestive tract. Researchers don't fully understand the role blastocystis plays, if any, in causing disease. Some people with diarrhea, stomach pain or other gastrointestinal issues have blastocystis organisms in their stool.

    Blastocystis organisms often live in the digestive tract without causing harm.

    Blastocystis may spread through food or water. Contact with human or animal feces also may spread blastocystis. Blastocystis infection tends to be more common among people who live in or visit developing countries. People who work with animals also may be more likely to have the infection.

    People with blastocystis infection also may be infected with other pathogens from contaminated food or water. These other pathogens may be the cause of the symptoms.

    When it came to blastocystis, researchers used to label all infectious parasites Blastocystis hominis. Now it's clear there are different types or subtypes of the organism. To cover all the options, the parasite may be labeled blastocystis species or blastocystis spp. Spp. is an abbreviation that means multiple species. A blastocystis infection is called blastocystosis.

    Symptoms

    Symptoms that may be due to blastocystis infection include:

    Watery diarrhea.

    • Feeling sick to the stomach.
    • Belly pain.
    • Bloating.
    • Lots of gas.
    • Loss of appetite.
    • Weight loss.
    • Skin rashes or hives.
    • Anal itching.
    • Fatigue.

    When to see a doctor

    See a healthcare professional if you have diarrhea, belly pain or other symptoms that don't go away after a few days.

    Causes

    Blastocystis spp are single-celled organisms that you can see only with a microscope. Many single-celled organisms that live in the digestive tract are harmless. They may even be helpful. Others cause disease.

    Blastocystis hominis

    Blastocystis hominis

    Blastocystis is a group of tiny single-celled organisms called protozoans. They live in the digestive tract. Many protozoans that live in the digestive tract are harmless or even helpful. Others cause disease.

    It's not clear whether blastocystis spp cause disease. Most people who carry the organisms have no symptoms. But they're also found in people who have diarrhea and other digestive issues.

    Reasons why the effects might differ include:

    • Some types of blastocystis may be more likely to cause disease than others.
    • Some people may be more vulnerable to blastocystis infection.
    • Other organisms that coexist with blastocystis may cause disease.

    Blastocystis may be spread by contact with infected stool. The parasite may be passed between people and from animals to people. Transmission may come from:

    • Consuming contaminated food or water.
    • Being exposed to human or animal feces.
    • Having close contact with animals.

    Risk factors

    Blastocystis is common. You may have a higher risk of exposure if you:

    • Work with animals.
    • Are exposed to human feces at work, such as at a child care facility.
    • Travel to areas with poor water sanitation.

    Contaminated food or water is a frequent cause of blastocystis infection. But blastocystis may not be the cause of diarrhea and other digestive issues. Infection with other pathogens in the contaminated food or water may cause the symptoms.

    Complications

    If you have diarrhea associated with blastocystis infection, it's likely to go away on its own without treatment. But anytime you have diarrhea, you lose vital fluids, salts and minerals. This can lead to dehydration. Children are especially vulnerable to dehydration.

    Prevention

    Good hygiene is the best way to prevent blastocystis infection. Taking the following measures can help lessen the chance that you'll become infected or spread the organism to others:

    • Wash your hands with soap and water often. Hand-washing is key after you use the toilet and before you handle food. Rub soapy, wet hands together for at least 20 seconds before rinsing. If soap and water aren't available, use an alcohol-based hand sanitizer with at least 60% alcohol.
    • Wash fruits and vegetables before eating. Produce can carry organisms from contaminated water or soil or introduced during transport and handling. Washing helps remove any contaminants along with dirt and pesticides.
    • Keep cooking surfaces clean. To remove any substances on surfaces after use, wash them thoroughly with water and soap and rinse with clean water.

    When visiting or living in an area with poor sanitation, take extra steps to help lower the risk of blastocystis infection:

    • Don't use water that isn't safe. If tap water might be unsafe, use bottled water or water you've boiled or disinfected yourself. Most often, hot drinks are safe. Canned or bottled drinks also are safe, but wipe the outside before you open them. Ask for drinks without ice. Use bottled water to brush your teeth and try not to swallow water in the shower.
    • Choose hot foods. Don't eat food that's stored or served at room temperature. Cooked, steaming hot foods may be less risky than other foods.
    • Only eat fruits and vegetables that you can peel yourself. Some examples are bananas, oranges and avocados. Don't eat raw foods that can't be peeled, such as lettuce, grapes and berries.
    1. Kellerman RD, ed. Intestinal parasites. In: Conn's Current Therapy. Elsevier; 2025. https://www.clinicalkey.com. Accessed Nov. 6, 2025.
    2. About blastocystis. Centers for Disease Control and Prevention. https://www.cdc.gov/blastocystis/about/. Accessed Nov. 6, 2025.
    3. Leder K, et al. Blastocystis species. https://www.uptodate.com/contents/search. Accessed Nov. 6, 2025.
    4. Diarrhea. Merck Manual Professional Version. https://www.merckmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gastrointestinal-disorders/diarrhea. Accessed Nov. 6, 2025.
    5. About handwashing. Centers for Disease Control and Prevention. https://www.cdc.gov/clean-hands/about/index.html. Accessed Nov. 6, 2025.
    6. Food and water precautions for travelers. https://www.cdc.gov/yellow-book/hcp/preparing-international-travelers/food-and-water-precautions-for-travelers.html. Accessed Nov. 6, 2025.
    7. Water disinfection for travelers. Centers for Disease Control and Prevention. https://www.cdc.gov/yellow-book/hcp/preparing-international-travelers/water-disinfection-for-travelers.html. Accessed Nov. 6, 2025.
    8. Freedman S. Oral rehydration therapy. https://www.uptodate.com/contents/search. Accessed Nov. 6, 2025.

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