Usually, only one or 2 doses of medication are needed to kill the infestation — once initially and then a second dose repeated 2 weeks after the initial dose.
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.
If left untreated, the intense itching and scratching associated with these infections will result in secondary bacterial infections. Some of these may be difficult to treat. Untreated people can continue to infect other people.
Life cycle of a pinworm
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.
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.
If your child develops a pinworm infection, try not to worry. Pinworms don't cause any harm (just itching and restless sleep), and it won't take long to get rid of them.
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.
The key is to break the 6-week cycle of pinworm reinfection by killing any live pinworms and preventing the ingestion of eggs. A diagnosis should be confirmed before treating with medications. Medications kill only the adult worms and have no effect on developing eggs and larvae.
The eggs may hatch while still attached to the skin around the anus. They then move through the rectum to the lower intestine, where they grow to adult size within two to six weeks. Pinworm infections can be spread as long as either worms or eggs are present.
Adults are rarely affected, except for parents of infected children. Infection often occurs in more than one family member. While an infected person sleeps, female pinworms crawl out of the anus and lay their eggs on the surrounding skin.
Official answer. Yes, it is normal to see dead threadworms in the persons bowel motions. Depending on the frequency of bathroom visits this can take up to one week.
Chlorine dioxide gas inactivates pinworm eggs in a non-invasive and non-corrosive manner.
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.
Washing your hands with soap and warm water after using the toilet, changing diapers, and before handling food is the most successful way to prevent pinworm infection.
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.
Do not scratch. 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.
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.
Reinfection does happen with pinworm
Reinfection can happen by touching surfaces that have already been contaminated with pinworm eggs by another person. Eggs are swallowed, usually after hand-to-mouth contact, and the pinworm infection begins again.
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).
Pinworm infections are very common, affecting approximately 1 billion people worldwide. 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.
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.
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.
Showering may help avoid possible re-contamination in bath water. Change underwear and bedding daily. This helps remove eggs.
Children with pinworms do not need to miss any child care or school.