Most pinworm infections are mild and easily treated. Your doctor may prescribe a single chewable tablet of a medicine called mebendazole. A second tablet is taken about 3 weeks later if the infection isn't cured. Or your doctor may recommend another kind of medicine called pyrantel, which is taken as a single dose.
Treatment involves two doses of medication with the second dose being given 2 weeks after the first dose. All household contacts and caretakers of the infected person should be treated at the same time.
Pinworms can usually be treated completely with two doses of over-the-counter medicine called pyrantel pamoate, available in the United States under the brand names Pin-X and Reese's Pinworm Medicine. Take one dose immediately and another dose two weeks later.
Most people don't experience serious complications from pinworm infections, but in rare cases the following complications can occur: Urinary tract infections (UTIs). UTIs can develop if you do not treat the pinworm infection. Vaginitis and endometritis.
Threadworms do not go away by themselves, and people do not build up immunity to them, so they must be treated in order to eradicate them totally from the body.
To treat pinworm infection, your doctor may recommend over-the-counter pyrantel pamoate or prescribe medication to all members of your household to prevent infection and reinfection. The most common prescription anti-parasite medications for pinworms are: Mebendazole. Albendazole (Albenza)
Reinfection does happen with pinworm
Eggs are swallowed, usually after hand-to-mouth contact, and the pinworm infection begins again. Pinworm eggs may spread to shared surfaces, such as bedding, curtains, toilets, doorknobs, towels, utensils, and furniture. These areas should be kept clean to avoid reinfection.
How long does pinworms last? The life cycle of a pinworm is 4 to 6 weeks. Without treatment, infestation will continue as long as fresh eggs are being swallowed, unless a person develops immunity to pinworms, which is unusual before age 15.
Call the doctor if your child complains of itchy skin or always seems to be scratching the anal or vaginal area. Also ask if pinworms could be why your child has trouble sleeping or has begun to wet the bed.
Typical pinworm infections don't cause serious problems. In rare circumstances, heavy infestations can cause infection of female genitals. The parasite can travel from the anal area up the vagina to the uterus, fallopian tubes and around the pelvic organs.
Tell your pediatrician that you are treating the worms, Dr. Ratner said. If the infection doesn't go away after over-the-counter treatment, it's time for a pediatrician visit and possibly a prescription for a medication called Albendazole.
Encourage children to avoid scratching their bare anal areas. Pinworm eggs continue to be present (excreted) in the feces of an infected person for up to a week after the treatment, so precautions should be taken to prevent reinfection by washing hands thoroughly, especially under the nails.
People of all ages can become infected with pinworms, but the infections are found most often in children. Caregivers and family members of infected children have a higher risk of infection.
Call Your Doctor If:
Pinworm is seen. Skin around the anus gets red or tender. Anal itching lasts more than 1 week.
The medications used for the treatment of pinworm are either mebendazole, pyrantel pamoate, or albendazole. Any of these drugs are given in one dose initially, and then another single dose of the same drug two weeks later. Pyrantel pamoate is available without prescription.
It moves. If it doesn't wiggle, it's probably lint or a thread. The worm may be seen around the anus or on the child's bottom. It is especially active at night or early morning.
Bathe carefully every day. Be sure to clean the skin around the anus. This will remove pinworm eggs. Showers may be better than baths because you have less chance of getting water that has pinworm eggs into your mouth.
Raw garlic
Garlic is said to kill any existing eggs and prevent female pinworms from laying more eggs. You can ingest it in small doses or apply it topically like a salve. If you wish to ingest the garlic, dice up a clove and mix it into pasta or sprinkle it on bread. You can also eat the garlic on its own.
Pinworm eggs can cling to surfaces, including toys, faucets, bedding and toilet seats, for two weeks. So besides regular cleaning of surfaces, methods to help prevent the spread of pinworm eggs or to prevent reinfection include: Wash in the morning.
If you are self-treating for pinworms, take the medication once only. Do not repeat the dose without talking with your doctor first. Depending on the type of worm infection you have, your doctor may direct you to take the medication only once or for several days.
Call your child's school or childcare center so that they can take extra steps to prevent the spread to others. Your child can return to school or childcare 24 hours after treatment.
Mebendazole is the main medication used to treat threadworm infections. It can be bought over the counter from your local pharmacy or prescribed by your GP. It's available as a chewable tablet or a liquid. Mebendazole works by preventing the threadworms absorbing sugar, which means they should die within a few days.
Do not take more than a total of 1 gram in a single dose. If you are self-treating for pinworms, take the medication once only. Do not repeat the dose without talking with your doctor first.
Pinworms can come back if your child comes into contact with pinworm eggs again. They can stay alive in your home for up to 2 to 3 weeks. Make sure everyone in your family washes their hands carefully after going to the toilet, changing diapers, and before preparing or eating food. Wash your bed linens and clothes.
Anyone can get a pinworm infection. It's the most common kind of worm infection in the United States. But it's more likely if: You're between the ages of 5-10.