If you have pinworms, you might see the worms in the toilet after you go to the bathroom. They look like tiny pieces of white thread. You also might see them on your underwear when you wake up in the morning.
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.
Because it is common for everyone in a household to have pinworms at the same time, the doctor may recommend that everyone be treated at the same time. The doctor may also recommend tap water enemas to help flush out the pinworms and reduce symptoms.
Pinworm eggs can survive for 2-3 weeks on fingers, under fingernails, and on surfaces such as linens, clothing or toilet seats. The tiny eggs can only be seen under a microscope.
Although chlorine levels found in pools are not high enough to kill pinworm eggs, the presence of a small number of pinworm eggs in thousands of gallons of water (the amount typically found in pools) makes the chance of infection unlikely.
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.
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.
Pinworm eggs are infective within a few hours after being deposited on the skin. They can survive up to two (2) weeks on clothing, bedding, or other objects. The pinworms grow to adult size within two (2) to six (6) weeks. Pinworm infections can be spread as long as either worms or eggs are present.
Chlorine dioxide gas inactivates pinworm eggs in a non-invasive and non-corrosive manner.
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.
Wash all the sheets, blankets, towels, and clothing in the house in hot water. Carefully clean everyone's fingernails (which may hold the worm eggs) and cut them short. Scrub toys, countertops, floors, and other surfaces the infected child has touched. Vacuum carpets.
Pinworm eggs can also be transferred to the fingers from clothing or bedding, and then spread around the home. Eggs may be inhaled from the air or deposited onto food and swallowed. Pinworms can survive up to two weeks on clothing, bedding or other objects, if kept at room temperature.
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.
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.
They can survive up to 2 weeks on clothing, bedding, or other objects. Infection occurs after accidentally ingesting (swallowing) infective pinworm eggs from contaminated surfaces or fingers.
The eggs can survive on surfaces or objects (such as furniture, kitchen surfaces and toothbrushes) for up to 2 weeks in the right conditions and can infect other people if transferred to the mouth or food. Household pets cannot be infected with pinworms or pass them on to humans.
Investigators visited homes and schools of infested children and identified pinworm eggs in 90% of samples taken from such diverse surfaces and locations as bars of soap, pet fur, swimming pools, walls of school dining rooms, and house dust samples.
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.
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.
After taking the pinworm medicine, itching should stop in 5 to 7 days.
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).
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 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.