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This is not an idiom. They mean that someone literally has a tapeworm inside their intestines. It's a parasitic organism.

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βˆ™ 10y ago
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βˆ™ 11y ago

It is not an idiom. Tapeworms live inside the human intestine if you are infected with them.

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Q: What is the idiom meaning of Have a tape worm inside?
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