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.
What to Expect: After taking the pinworm medicine, itching should stop in 5 to 7 days.
Life cycle of a pinworm
A grown pinworm is yellowish white, slender and about one centimetre long. Around 4 weeks after ingestion, the adult female moves down the gut and exits the body via the anus to lay a batch of eggs on the surrounding skin, often at night. The worm then dies, her reproductive mission complete.
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.
Pyrantel pamoate is in most over-the-counter (OTC) treatments for pinworms. This includes Reese's Pinworm Medicine and Pin-X. Prescription-strength medications are also available. Your doctor may prescribe a two-dose treatment of mebendazole or albendazole to help you clear the infection.
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.
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.
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.
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.
If a person with a pinworm infection touches their underwear, bedsheets, or their anus, they can pick up eggs on their fingers. If they touch another surface, they can leave the eggs there. Anyone who touches that surface and then touches their mouth is at risk of infection.
Pinworm infection is spread by the fecal-oral route, that is by the transfer of infective pinworm eggs from the anus to someone's mouth, either directly by hand or indirectly through contaminated clothing, bedding, food, or other articles.
After a few weeks, the female pinworms move to the end of the large intestine, and they come out of the body at night to lay their eggs around the anus (where poop comes out). The amount of time that passes from when someone swallows the eggs until the worms lay new eggs is about 1 to 2 months.
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.
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.
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.
Symptoms of pinworm infection may include: Itching of the anal or vaginal area. Insomnia, irritability, teeth grinding and restlessness. Occasional stomach pain and nausea.
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.
Complete die-off within the tested exposure time range was noted for 70 °C, 75 °C and 80 °C, however treatment at 60 °C and 65 °C allowed for development of a few eggs after incubation.
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.
A person is infected with pinworms by ingesting pinworm eggs either directly or indirectly. These eggs are deposited around the anus by the worm and can be carried to common surfaces such as hands, toys, bedding, clothing, and toilet seats.
Eggs can live for 2 to 3 weeks outside the body. They can be found in house dust, on toilet seats, bed linens and toys and in play areas in or outside the home. Although pinworms only grow in humans, the eggs can be carried in a pet's fur.
Pinworms do not cause abdominal pain, bloody bowel movements,fevers, or poor appetite. If the person has any of these signs or symptoms, they may have a more serious condition and should call a doctor or visit the hospital's emergency department.
Call Your Doctor If:
Pinworm is seen. Skin around the anus gets red or tender. Anal itching lasts more than 1 week.