All household members, including adults and those without symptoms, should be treated. This is because many people with threadworm infection do not have any symptoms. However, they will still pass out eggs which can then infect other people.
Treating threadworms
To treat threadworms successfully, all household members must be treated, even if they don't have any symptoms. This is because the risk of the infection spreading is very high. The aim of treatment is to get rid of the threadworms and prevent reinfection.
Are threadworms harmful? Not usually. The worst thing about them is the itch and discomfort around the anus. This sometimes wakes children from sleep.
Eggs can pass to other people when they touch these surfaces and then touch their mouth. They take around 2 weeks to hatch.
You may be able to see threadworm if you examine your child at night. Take a torch, separate your child's buttocks and look carefully around the anus (and the opening to the vagina in girls). You might see tiny white threads that may be moving.
Threadworms look like tiny pieces of white cotton. Roundworms look more like earthworms. Hookworms can cause a red worm-shaped rash. Tapeworms are long, pale yellow and flat.
Female threadworms lay an average of 11,000 tiny eggs, which are invisible to the naked eye. She lays these eggs outside the anus, or, in girls, around the vagina and urethra. Eggs are usually laid at night whilst the child sleeps.
The worms die after about six weeks. Provided that you do not swallow any new eggs, no new worms will grow to replace them. So, if you continue the hygiene measures described above for six weeks, this should break the cycle of re-infection, and clear your gut of threadworms.
The medicine should start to work straight away but it may take several days to kill all the worms. It's important to take the medicine as a pharmacist or doctor tells you. Do not stop early if you have been told to take it for several days.
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.
Medication kills the worms, but not their eggs, which can survive for two weeks. Therefore, you also need strict hygiene measures for two weeks after taking medication to prevent you from swallowing eggs which may cause a new infection.
COMBANTRIN® is a highly effective treatment to rid the body of threadworm infections – just one dosage of COMBANTRIN® or COMBANTRIN®-1 kills adult worms within the body, either through paralysis with COMBANTRIN® or by preventing them from absorbing the glucose they need to survive – with COMBANTRIN®-1.
Chlorine dioxide gas inactivates pinworm eggs in a non-invasive and non-corrosive manner.
How serious are threadworms? They are more embarrassing than anything else, because they can cause an irresistible urge to scratch the bottom. They are generally harmless and don't cause long-term damage. However, scratching can aggravate the problem and make it more difficult to treat.
Mebendazole acts by stopping the threadworms from absorbing vital nutrients such as sugars while they are in the gut, which leads to the starvation and death of the worms within a few days. Piperazine acts by paralyzing the worms which are then passed out of the body in the stool.
Threadworm treatment is fairly straightforward. Your doctor will usually prescribe a medication called mebendazole - available in liquid or tablet form - and a single dose should clear the problem.
COMBANTRIN® is only effective against adult worms, which means any eggs or immature worms inside the body might still linger after the initial treatment. In order to minimise the risk of reinfestation, a follow-up treatment two to four weeks later is strongly recommended if symptoms are still present.
Any worms in your gut will eventually pass out in your poo. You may not notice this. To avoid becoming infected again or infecting others, it's very important during the weeks after starting treatment to wash your hands: after going to the toilet.
The Deworming Process after a Few Days
Some intestinal worms, like hookworms and whipworms, are so small that you won't see any worms in your dog's stool at all. You may be surprised to still see live worms in your dog's feces after deworming them, but this is normal.
So many of us or our family members have experienced this relatively mild though distressing infection. Pinworm is the most common worm infection in North America with up to 50% of some groups of school aged children getting infected.
If you or your child have threadworms that won't go away or keep coming back, speak to a doctor. You should also see a doctor if you see slime or blood in poo, even if you don't have other symptoms of a threadworm infection.
A hot water wash, or the heat of an iron, will kill the eggs. Do not shake bed linen indoors as this can spread eggs around. Shower each morning, and wash around anus.
Although often asymptomatic, parasitic infections can lead to disruptions in mood, behavior and sleep – particularly in children with worms. The most common worm infection amongst Australian children is threadwork (pinworm, Enterobius vermicularis).
Threadworm eggs are usually passed directly from person to person, but they can live on toys and other objects and surfaces for up to 2 weeks. If you touch your mouth with your hands after touching a contaminated toy or other object, you can become infected.