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.
Pinworm infections often produce no symptoms but, when they occur, symptoms can include: itchy bottom, especially at night. reduced appetite. feeling mildly unwell.
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. Steps for the test are: Firmly press the sticky side of a 1-inch (2.5 centimeters) strip of cellophane tape over the anal area for a few seconds.
Your child may be fussy and wake often at night. If your child is infected, it may take 2 to 8 weeks for symptoms to start.
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.
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.
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)
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.
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).
People become infected, usually unknowingly, by swallowing (ingesting) infective pinworm eggs that are on fingers, under fingernails, or on clothing, bedding, and other contaminated objects and surfaces. Because of their small size, pinworm eggs sometimes can become airborne and ingested while breathing.
Chlorine dioxide gas inactivates pinworm eggs in a non-invasive and non-corrosive manner.
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 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.
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.
Wash bedsheets, pajamas, underwear, washcloths and towels in hot water to help kill pinworm eggs. Dry on high heat.
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.
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.
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.
Symptoms may include diarrhoea, tiredness and weakness, abdominal pain and weight loss. Some worms cause anaemia.
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.
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.