This infection (Stongyloides hyper) is almost never reported.
Steroids when withdrawn, usually result in an improvement.
1) Complicated infections
Hyperinfections are almost always the result of other parasite infections (A complicated infection). Worms in the same family (other red worms) most often result in hyperinfection situations. Of redworm infections, the most often reported infection is a co-infection of flat worms and red worms. Strongyloides are usually to small to be felt.
There are a few mutant DNA versions that cause strongyloides in larger versions to be a problem. Usually VLM infections, Filarial infections, or TOXO or Ascarid infections are the worms behind painful infections.
2) Common Oils for Red worm infections
So far we have identified several terpenes that help with red worms. Red worms normally do not skew the hair analysis of essential minerals and metals. Iodine may be low from the wounds they inflict, Some are low on copper. Most benefit from Magnesium Citrate and Potassium Citrate.
Flax seed oil, ramped from 30mg/kg to 300mg/kg, Effective on Strongyles.
Drops of Eucalyptus oil in yogurt or carrier oil.
Black seed oil caps up to 4 per day
>>>Up to 4 caps per day of * Red Pine Needle oil - Forces Immune system to fight red worm infections.
>>>Hippo Herbs Supreme Red Pine Needle Oil 490mg
Thyme Leaf Capsules may be of benifit
If you have a hyper infection, or extreme case (sounds like you do) then I suspect a complicated infection, other parasites.
3) Conventional Red worm Infections
Conventional red worm meds are:
Invermectin - Mostly eggs at lower doses.
Fenbendazole - Mostly Strongyloides at nominal to double doses
Oxfendazole - Tough conventional red worms, Strongyloidea, etc.
Sometimes MoxiDectin for filarials.
4) Resistant Red worm Infections
Resistant species are usually assisted by LEVamisole with Pyrantel, which bind the AChE receptor.
We are seeing results with Triclabendazole on barberpole red worms.
5) What to expect
Typically, IVM and Fenbendazole work, effects in a few weeks.
When IVM and Fenbendazole do not work, a more systematic approach is warranted.