Pinworm

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What is pinworm?

Pinworm, also called threadworm or enterobiasis, is a common intestinal infection caused by a tiny roundworm, enterobius vermicularis.

This white worm that looks like a piece of thread grows in the intestine after a person has accidentally eaten its eggs.

These tiny microscopic eggs cannot be seen and a child may unknowingly eat them with contaminated food or when he licks his fingers after touching infected items such as bedding, towels, underwear, glassware, or toys.

These eggs then hatch in the small intestine, and the growing worm (larvae) crawl to the large intestine (colon) where they attach themselves inside the lining.

After 2-4 weeks, fully-grown pinworms crawl out through the child's bottom at night to lay new eggs on the skin around the anus.

This often results in itchiness, which is the most common symptom of pinworms. When the child scratches the affected areas, the tiny eggs cling to the fingers and underneath the fingernails and then spread to wherever else the child touches.

The eggs are able to survive for up to 3 weeks, making it quite easy for the infections to spread to other people. School children are frequently infected by this parasite.

Symptoms

Symptoms and signs

Although some people will not have any symptoms, pinworm infection is well known to cause intense itchiness around the anus that is most severe at night, when the female worms are laying their eggs.

When you look very closely, you can sometimes see the thin thread-like worms (about half an inch in length) around the child's anus, in the child's underwear in the morning, or on the toilet paper when wiping the child after having a bowel movement. Girls may complain of itchiness in the vagina if the worms also infect this area and, on occasion, there can be a vaginal discharge.

It is also possible that pinworms can irritate the urinary tract causing the child to pee in bed at night, when she had stopped wetting the bed long ago.

Complications

Complications

The infection rarely causes any complications, other than spreading to other members of the household. Occasionally, scratching can cause skin inflammation, sores and infection.

Rarely, pinworms lead to weight loss or cause infection in other areas, such as the urinary tract or vagina.

Home treatment

Treatment / What you should do

If you suspect that your child could have pinworms, you should consult a doctor.

This infection can be treated with an oral medication such as mebendazole.

The entire family often is treated to prevent spread of the infection from person to person.

The course of treatment usually is repeated after 2 weeks to ensure that any new infections are prevented.

However, the itchiness may last for up to a week after the medication is finished.

Warm baths can help alleviate the itchiness; bathing in the morning removes many of the eggs.

Prevention

Prevention

It is important to remind your child to wash his or her hands after going to the bathroom, after playing outside, and before meals.

Frequently changing underwear and pajamas is also helpful.

Tell your child to try not to scratch the area around the anus.

Avoid having your child suck his fingers or bite his fingernails.

Make sure that your child's fingernails are clean and short.

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