If he cleans himself well. you never need to give him a bath.
The need for flea medication medication is situational. An indoor only cat typically doesn't need it. But if I lived in a warm all year round climate, I think I would use it. Or an area heavily infested with fleas that could hitch a ride on you into the house. If I lived in a apartment building and a lot of my neighbors had dogs I would use it...very easy for an apartment building it get infested if people don't treat their dogs for fleas.
BTW, the "sesame seeds" you refer to are only indicative of one type of worm...tape worm, which is passed to cats by ingesting infected fleas. But there are several other types of worms that animals can get that there may initially be no signs of until they are heavily infested and you see live worms in their poop or vomit. My dog recently had hookworms. I had no idea, they were only found because I took in a stool sample for a fecal test when he had his annual check up. Ended up having to treat him and Holly.
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Holly, Misty & their friend, Jake, the dog.
Onyx, Callie May, Maggie & Kobi forever in my heart.
Yes, I know I need a new signature pic...someday...