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.
To treat pinworm infection, your doctor may recommend over-the-counter pyrantel pamoate or prescribe medication to all members of your household to prevent infection and reinfection. The most common prescription anti-parasite medications for pinworms are: Mebendazole. Albendazole (Albenza)
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.
Most pinworm infections are mild and easily treated. Your doctor may prescribe a single chewable tablet of a medicine called mebendazole. A second tablet is taken about 3 weeks later if the infection isn't cured. Or your doctor may recommend another kind of medicine called pyrantel, which is taken as a single dose.
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.
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.
Daily morning bathing and changing of underclothes helps remove a large proportion of pinworm eggs and can help prevent infection and reinfection. Showering may be preferred to avoid possible contamination of bath water.
Medicine can kill pinworms but not their eggs which can survive outside of the body for up to two weeks. Hand sanitiser is not effective against threadworms or their eggs, the best thing to do is wash hands regularly, scrub under fingernails, and wash clothing and bedsheets on hot cycles regularly.
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.
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.
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.
Treatment for pinworm infection
Medication is available to kill the worms and this is usually prescribed for the person who is infected and all other members of the household. One dose may be followed up with a second dose 2 weeks later to take care of any surviving worms.
You should never add meat, animal products, dairy products, or greasy, oily foods to the worm bin. The oils, meat, and milk become rancid as they decompose. Rotting oils cause a powerful and unpleasant odor.
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.
Showering may help avoid possible re-contamination in bath water. Change underwear and bedding daily. This helps remove eggs.
Change and wash underwear and pajamas in hot water daily. Machine-wash sheets, blankets, towels and clothing in hot water to destroy eggs.
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.
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.
Pinworm eggs can live on hard surfaces and in clothes and bedding for 2 to 3 weeks.
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.
How long does pinworms last? The life cycle of a pinworm is 4 to 6 weeks. Without treatment, infestation will continue as long as fresh eggs are being swallowed, unless a person develops immunity to pinworms, which is unusual before age 15.
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).