Pinworm, or Enterobius vermicularis, is a small intestinal roundworm about the size of a staple. The female adult worms leave the anus in the middle of the night while the person is sleeping to deposit her eggs around the skin of the perianal region.
The worm may be seen around the anus or on the child's bottom. It is especially active at night or early morning. Rarely, the pinworm is seen on the surface of a stool. The pinworm's secretions are a strong skin irritant and cause the itching.
Itching around the anus caused by a pinworm infection usually happens at night. Try wearing gloves, pyjamas, and close-fitting clothing to help prevent scratching. Bathe carefully every day. Be sure to clean the skin around the anus.
Worms can sometimes be seen on the skin near the anus or on underclothing, pajamas, or sheets about 2 to 3 hours after falling asleep. Pinworm eggs can be collected and examined using the “tape test” as soon as the person wakes up.
Pinworm infections often produce no symptoms but, when they occur, symptoms can include: itchy bottom, especially at night.
Pinworms can survive up to two weeks on clothing, bedding or other objects, if kept at room temperature.
Your doctor will give you some medicine to take right away and then again 2 weeks later to be sure the worms are gone. The doctor can also give you a cream to help stop the itching. Because it's easy to pass pinworms on to other people, the doctor may want the other people in your house to take medicine, too.
Chlorine dioxide gas inactivates pinworm eggs in a non-invasive and non-corrosive manner.
Based on data from the current study, 4–5 seconds of exposure at 80°C appears sufficient to inactivate Ascaris eggs. At 75°C and 70°C treatment may also be effective, but exposure time should be increased to achieve the same level of inactivation.
In order to stop the spread of pinworm and possible re-infection, people who are infected should shower every morning to help remove a large amount of the eggs on the skin. Showering is a better method than taking a bath, because showering avoids potentially contaminating the bath water with pinworm eggs.
While symptoms are usually mild, anal itching can be severe. Sleeplessness: Because anal itching is worse at night, people suffering from a pinworm infection can have trouble sleeping, which can lead to decreased concentration, tiredness and weight loss.
Avoid simple carbohydrates, such as those found in refined foods, fruits, juices, dairy products, and all sugars, except honey. Eat more raw garlic, pumpkin seeds, pomegranates, beets, and carrots, all of which have been used traditionally to kill parasites.
Once someone has ingested pinworm eggs, there is an incubation period of 1 to 2 months or longer for the adult gravid female to mature in the small intestine. Once mature, the adult female worm migrates to the colon and lays eggs around the anus at night, when many of their hosts are asleep.
While an infected person sleeps, female pinworms crawl out of the anus and lay their eggs on the surrounding skin. People get pinworm infections from swallowing these eggs after touching an infected person's skin or personal belongings, such as clothing, bedding, and toys.
Worms emerge at night, when the air is cool and moist. They feed on decaying organic matter on the soil surface.
Medicine can kill pinworms but not their eggs which can survive outside of the body for up to two weeks. Hand sanitiser is not effective against threadworms or their eggs, the best thing to do is wash hands regularly, scrub under fingernails, and wash clothing and bedsheets on hot cycles regularly.
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.
Promptly wash used bed linen, all clothing, towels and washcloths in hot water with detergent. Vacuum carpets and floors well. Wash the canister or change the vacuum cleaner's bag after each use. Seal the bag before throwing it away.
Strict hygiene measures can clear up pinworm infection without medication, and reduce the risk of reinfection. The worm has a lifespan of about six weeks, therefore the strict hygiene needs to last that long.
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.
Complications. 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.
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)
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.
Once you suspect that your child has pinworms, your doctor should be contacted to arrange for testing. Once the condition is confirmed, treatment is usually straightforward. Two good remedies for pinworms are Antiminth and Vermox.