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Hi there, this is Dr Linda, a UK based vet.
I'm sorry to hear this and understand your concern.
These are worms.
He needs to be dewormed immediately as this is a very heavy round worm burden.
A good one to use is Panacur. Continue to use it regularly as a prevention.
Do also deep clean his environment.
How does this all sound?
I do hope this has helped and please let me know if there is anything else,
Take care,
Linda.