Flatworms have no body cavity other than the gut (and the smallest free-living forms may even lack that!) and lack an anus; the same hole both takes in food and expels waste. Because they don't have any other cavity they have to be flat, or parts of them will suffocate or starve - there's simply nothing to make a circulatory system out of
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I'm with you though, the thought of tapeworms or something absolutely horrifies me. I saw some pic ages ago of a man basically crapping out a ton of white worms, and I've been terrified of that same fate ever since.
I heard black licorice forces them out of your intestines. I've always wondered about that, LOL.
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