You can often treat pinworms at home with over-the-counter medicine and strict hygiene, but you should see a doctor (or possibly urgent care if symptoms are severe or it's after hours) if itching lasts over a week, skin around the anus gets red/tender, you see large worms, have vomiting/diarrhea, or if you're pregnant/treating a child under two, as prescription medication and guidance might be needed for effective eradication, especially treating the whole household.
Please consider visiting one of our urgent care centers if your child experiences the symptoms of pinworm infection!
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.
One type of medicine called pyrantel pamoate is sold without a prescription. It's the preferred treatment for pregnant people and children under 2 years old. The most common prescription anti-parasite medicines for pinworms are: Mebendazole (Emverm).
If the pinworm infection is compromising the pregnancy (i.e., weight loss, sleeplessness) then treatment can be considered, but it should be withheld until the 3rd trimester when the risk, if any, to the fetus is likely to be reduced. Breastfeeding should not be withheld during mebendazole therapy.
Fortunately, pinworms are easily treated with anti-parasitic medication, which is available by prescription or over the counter. If left untreated, a pinworm infection typically won't cause any serious problems, according to Shirley. In rare cases, the worms may enter the vagina and cause a discharge in girls.
Pinworm eggs can cling to surfaces indoors for up to 3 weeks. This includes the surfaces of toys, faucets, bedding and toilet seats. Clean these items often.
It takes 2 to 8 weeks from the time a person is exposed until symptoms start. As long as eggs are present. Eggs can cause infection even when they have been outside the body for as long as 2 to 3 weeks. Recommend parents/guardians call their healthcare provider if they suspect pinworms.
For the itching, wash the skin around the anus with warm water. For severe itch, use 1% hydrocortisone cream (such as Cortaid) 2 times per day. Use for 1 or 2 days. No prescription is needed.
If a problem is occurring, then daily bathing is best. If the skin is irritated a dilute mild antiseptic can help. Applying Vaseline to the skin after cleaning can help protect the skin and prevent the eggs sticking.
Infection can happen to anyone, regardless of a child's home hygiene. Despite the unsavoury reputation, a pinworm infection is relatively harmless and can be easily treated.
You can spot threadworms in your poo. They look like pieces of white thread. You might also see them around your child's bottom (anus). The worms usually come out at night while your child is sleeping.
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.
If you suspect that you have a parasitic infection, seek medical help immediately. Your healthcare provider can diagnose the infection and prescribe treatment that will kill the parasites, which often includes involve taking medication orally or applying a topical ointment.
Usually children with pinworms have no symptoms. Some children get very itchy around the anus and vagina, especially at night. If the infection is bad, your child can lose sleep and become cranky.
How are pinworms treated? Your child will need to take an oral (taken by mouth) anti-parasitic medication to kill the worms. They'll take one dose immediately and another dose two weeks later to be sure all the worms are gone.
Bathe carefully every day. 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.
❖ Every morning have a bath, or wash around the anus, to get rid of any eggs laid overnight. You must do this straight away after getting up from bed. ❖ Change and wash underwear, nightwear (and bed linen if possible) each day.
The eggs, which are too small to see, will contaminate whatever they come in contact with: bedclothes, underwear, hands and food touched by contaminated hands. Even pinworm eggs floating in the air can be swallowed and cause infection. Pinworms are very contagious.
If you do have symptoms, it is typically itching around the anus. Female pinworms lay their eggs at night on the skin around the anus, which can cause the skin to itch. Some infected people have difficulty sleeping or restlessness. Some infected people have reported abdominal pain.
To help prevent spread within the home, when pinworms are identified in one family member, use these precautions: Treat any person who sleeps in the same bed as the infected child. Treat non-bed sharing family members only if they have symptoms. Treat all family members who develop symptoms.
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.
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.
How do you get pinworms? Pinworm eggs are spread from direct transfer between hands and anus to the same person or others. Indirectly they can spread through clothing, bedding, food and other articles in the living environment. Dust may spread the eggs in heavily contaminated households and indoor environments.
Bed worms, also known as mattress worms, are not a specific type of pest, but a group of pests and their larvae that can end up infesting your mattress or bedding. Unlike adult bed bugs and fleas, their larvae have not yet developed into an insect with a hard exoskeleton, giving them a worm-like appearance.