Hookworms are a common intestinal parasite of puppies and grow to less than half an inch long. Depending on the species, they suck blood and/or take bites out of the wall of the dog's small intestine, which can result in severe bleeding. All dogs are susceptible, but puppies are at highest risk.
That’s because puppies may not have the immunity to the worms that adult dogs usually develop. Dogs typically become immune to the worms after several bouts of infection; however, immunity doesn't necessarily clear all the parasites but does help diminish their effects.
Incidence of Hookworms
Several kinds of hookworms affect dogs. Ancylostoma caninum is the most important, and along with Ancylostoma braziliense it is found in warm climates. Uncinaria stenocephala also occasionally affects dogs and is found in cool climates. The highest incidence of the disease is found in southern states where higher humidity and temperature conditions provide an ideal environment for the parasite.
Lifecycle of Hookworms
The adult hookworms mate inside the pup's intestine, and females lay eggs which are passed in the stool. The eggs hatch in about a week then develop further in the environment into infective larvae. In warm and wet conditions, larvae may live for two months. They prefer sandy soil but may crawl onto grass seeking a host.
How Puppies Catch Hookworms
Dogs can be infected in several ways. Swallowing the parasite after sniffing scent marks or licking is a common route of infection.
Puppies can pick up larvae from soil or feces. Larvae are also able to penetrate the skin directly, most usually the dog's footpads. Infective hookworm larvae are capable of penetrating human skin, causing Cutaneous Larval Migrans in which migrating larvae in the skin cause small, red itchy trails.
Puppies often contract hookworms through trans-mammary infection—by drinking infested mother's milk—or less often, before birth while in the uterus. Dogs also may be infected by eating an infected mouse or cockroach.
After being swallowed or penetrating the skin, it takes about two weeks for the immature worms to migrate into the bloodstream, through the lungs, and into the intestine where they mature. When the dog is older and has an established immunity to the parasite, the larvae may never reach the lungs, and instead remain in arrested development in various tissues throughout the body.
When a dog becomes pregnant, the worms migrate to the mammary glands or, less commonly, the uterus, and subsequently infect puppies before or shortly after birth. In males and non-pregnant females, tissue-infesting larvae may "leak" back into circulation, mature, and become reproducing adults.
Signs of Hookworms
The most common clinical sign of infection is blood loss resulting in anemia. When young puppies are exposed to hookworms for the first time, they have no natural defense and can quickly become overwhelmed by a massive infestation. Acute hookworm disease arises suddenly, and in addition to signs of profound anemia, these pups may have a bloody to black tar-like diarrhea.
A severe infestation can cause sudden collapse and death.
Adult dogs more typically develop chronic, or ongoing, disease. Dogs that are stressed, malnourished, or in an endemic region are at highest risk, and chronic infection typically is characterized by mild diarrhea or vomiting. But if the dog's immunity fully breaks down, chronic hookworm disease can turn deadly even in adults; signs are similar to the acute infection. This is an emergency situation, which may require hospitalization, a blood transfusion, and supportive care.
Hookworms are diagnosed by finding eggs during microscopic examination of the stool. However, young puppies may suffer acute disease without any eggs being present if the worms are too young to reproduce. Medications are given in doses timed to kill adult worms and maturing larva, but may not clear larvae in arrested development in other tissues.
It’s important to follow your veterinarian’s instructions in treating your puppy to be sure all the worms are eliminated.
Sometimes older dogs with ongoing exposure to the parasite develop a hookworm dermatitis at the site of skin penetration. This most commonly affects the footpads and is referred to as pododermatitis. The dog's feet become painful, swell, feel hot, and become soft and spongy. Without treatment, the footpads may separate, nails become deformed, and the pads turn dry, thick and cracked. Treatment is the same as for intestinal infestation, but in addition, a medicated paste is applied to the affected skin to kill the larvae.
Preventing hookworm infection can be easily done simply by giving a heartworm preventative that also prevents hookworms. Otherwise, female dogs that are to be bred should receive worm medication given prior to the birth will help kill the larvae that may infect her puppies.
The best prevention is to practice good hygiene. Clean up stools promptly from the yard, because it takes six days for larvae to leave the stool. Outdoor exposure has the greatest risk in damp, shaded areas so keep kennel areas dry and clean.
Direct sunlight will help curb the worm population in the environment. Gravel or sandy runs may benefit from applications of rock salt or borax, which will kill the larvae; however, these substances also kill grass. Concrete runs should be washed down with a one percent solution of bleach.