Call Your Doctor If: Pinworm is seen (white, ¼ inch or 6 mm, and moves) Anal itching lasts more than 1 week. You think your child needs to be seen.
The worms are tiny, white, and threadlike. If none are seen, check for 2 or 3 additional nights. The best way to diagnose this infection is to do a tape test. The best time to do this is in the morning before bathing, because pinworms lay their eggs at night.
Pinworm can be treated with either prescription or over-the-counter medications. A health care provider should be consulted before treating a suspected case of pinworm infection. Treatment involves two doses of medication with the second dose being given 2 weeks after the first dose.
Although not all infected people will have symptoms, many will experience itching around the rectum. Some females may also experience itching in the genital area. How soon do symptoms appear? Symptoms usually are noticed one to two months after infection.
Pinworm infections often produce no symptoms but, when they occur, symptoms can include: itchy bottom, especially at night.
The eggs pass into the digestive system, where they hatch. About 1 to 2 months later, adult female pinworms lay eggs on the skin right around the anus, which makes the area itchy. Often, this happens at night.
Sometimes crusty areas develop, which may be mistaken for dandruff. If left untreated, the area can become boggy (spongy), discharge pus and develop areas of hair loss. This form of ringworm is most common in children.
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.
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.
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.
Children with pinworms do not need to miss any child care or school.
Pinworm Infection Symptoms
Most people who are infected don't have symptoms. If you do, they might include: Anal itching, especially at night. Restless sleep.
Pinworms: They only come out at night.
Your doctor can confirm the presence of pinworms by identifying the worms or eggs. To help your doctor make a diagnosis, you can perform the tape test.
Pinworms (Enterobius vermicularis) are small, white worms about the length of a staple that live in the rectum of humans. About 20% of children will get pinworms. It is more common in school-age children than pre- schoolers. Adults are rarely affected, except for parents of infected children.
Many anti-worm preparations, for example pyrantel (e.g. brand names Anthel, Combantrin and Early Bird) and mebendazole (e.g. Combantrin-1 with Mebendazole, Vermox) can be bought over-the-counter at pharmacies. However, some are only available on prescription, such as albendazole (Zentel).
Mebendazole works by preventing the threadworms absorbing sugar, which means they should die within a few days. This medication is 90-100% effective at killing the threadworms, but it doesn't kill the eggs. This is why the hygiene measures outlined below should also be followed for 6 weeks.
The itching from the pinworms might wake you up in the middle of the night and make you squirm a lot. So if you're itchy and sore on your bottom, tell your mom or dad. And if you see worms in your underwear or in the toilet, you should tell a parent right away.
You might have anal itching, especially at night. You could also have stomach pain, nausea, or vaginal itching. Sometimes pinworms can be seen around your anus or on your underwear or bed sheets about 2 to 3 hours after you've gone to bed.
Causes of itchy bottom
a bacterial infection – such as those that cause streptococcal infections. a skin condition – such as atopic eczema, where the skin becomes red, dry and flaky. haemorrhoids (piles) – swellings that contain enlarged and swollen blood vessels in and around the anus.
Yes. A pinworm infection can also be spread through: Bed sheets and undergarments: Eggs can spread through contact with contaminated sheets, towels or underwear of infected people.
Change bed linens and put clean underwear and clothes on every day. Avoid shaking these things so that eggs are not put into the air. Promptly wash used bed linen, all clothing, towels and washcloths in hot water with detergent. Vacuum carpets and floors well.