This document discusses the characteristics of paramphistomiasis, a disease caused by parasitic flukes of the genus Paramphistomum that infects ruminants like cattle, buffalo, and small ruminants. The flukes live primarily in the rumen and reticulum of the stomach, though young flukes rest in the small intestine for a few weeks first. Clinical signs include anemia, diarrhea, and stunted growth. The disease has a worldwide distribution and spreads through fecal contamination. Recommended treatments include hexachloroethane or carbon tetrachloride administered orally.