This can be an expression of feelings of powerlessness, or feeling overwhelmed with difficulty in life. Removing the worms could be thought of as a metaphor for taking action and dealing with a difficult task in waking life. Dreams can often be symbolic and vaguely hint at what we are feeling in our lives. It could be that you are taking a passive approach to something in your life, where the removal of the worms is a sign that you are flexing your power and taking action in order to make change for yourself.
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