Lineup, thanks for the input. I've read a lot of your threads so I know how much experience you have on this topic.

I've seen many smaller versions of the worm in the first pic (2-4 cm long) in the stool after starting Alben/Prazi. Always with the oval head and sharp, hook-like tail.

No rice in the stool, but little white chunks that have the same consistency as the fluke material with a lot of tomato skins, makes me think that they are getting shredded/digested with the meds or DE.

I've had 5 negative O&P stool tests and 2 metametrix tests with a PPTU result. Went to Cahill, he found EH, prescribed doxy/paro and I tested negative on 2 follow ups but still had symptoms so even if the PPTU was EH, that wasn't the root cause of my symptoms. That was about 8 months before I started passing any worm/flukey stuff.

The tail and head are what make it difficult to identify. Most have these sharp tapered tails and ovalish heads though the worms are usually pretty ripped up by the time I see them.

Wonder what kind they are. Ugly things. Freeze them for later identification.

I have had those exact creepy things. Large with what look like legs/arms. Maybe I should photograph mine. I was looking for a place to identify them. I notice when I scoop these things out of the toilet they have a distinct smell.

Do you know what they are? Are they flukes?

http://www.malamaopuna.org/ratlung/needtoknow.php you may have picked up this worm as it is endemic in hawaii

Did you ever figure out what the first pic and the suspected fluke pics Were?