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Most flatworms, including Procotyla fluviatilis, are predators. They eat protists (including Amoeba, Paramecium, and Euglena), rotifers, nematodes, small crustaceans, aquatic worms, and other soft-bodied animals. They also feed on dead animal matter and larger animals that are injured.
Just like with any parasitic organism, flatworms can enter the human body either by food intake or can bore through the skin, depending on the worm's type. Raw or lightly cooked food (mainly meats) and contaminated bodies of drinking water are the main sources for flatworm infections through food intake.