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Unfortunately, it can be very tricky to spot worm symptoms in dogs. Some dogs will scoot their behinds along the ground to ease itching, and this can be a sign of certain worms, like tapeworms.
Most worms however, must be diagnosed under a microscope by a vet. If worms are found, the dog will need treatment for the worms to keep them from spreading. Some can spread to humans, and most can spread to other dogs and cats.
Check with your pet health plan to see what types of diagnosis they require or will pay for before you take your pet in for a diagnosis. Some pet health plans consider worm prevention to be the owner's responsibility, and do not cover it in their health plans.