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Infection may be diagnosed on clinical signs and fecal examination.
Dogs should have fecal examinations and deworming as necessary.
Human echinostomiasis can be diagnosed through the recovery of eggs through a fecal examination.
Therefore despite the inherent limitations, fecal examination is the only practicable way of collecting data on parasites.
Necropsy of clinical cases of trichuriasis may be necessary to validate a diagnosis, since clinical signs may develop prior to patency, thus inhibiting diagnosis by fecal examination alone.