![]() As a result of this, or if you or your child don’t wash your hands after going to the toilet, you will get the worm eggs lodged under the fingernails, and then they may be carried to your mouth. This is because the worms lay eggs around the bottom, causing irritation and prompting scratching. Re-infection can occur even if you or your child has been treated very recently. If multiple children from a school class or friendship group are infected, it is a good idea to treat everyone at the same time. ![]() This is because the worms spread very easily, and re-infection is common. Zinc cream or mild antiseptic cream used around the bottom at night and in the morning can help with itching.ĭoctors advise treating the whole family if one member has worms, even if others have no symptoms. Your doctor will advise you on the most appropriate treatment. Suspensions ( Vermox) are available for children not old enough to take tablets. Some anti-worm medicines are unsuitable for pregnant women or children aged less than 12-24 months. However, some are only available on prescription, such as albendazole ( Zentel). Combantrin-1 with Mebendazole, Vermox) can be bought over-the-counter at pharmacies. brand names Anthel, Combantrin and Early Bird) and mebendazole (e.g. Many anti-worm preparations, for example pyrantel (e.g. Usually, only one or 2 doses of medication are needed to kill the infestation - once initially and then a second dose repeated 2 weeks after the initial dose. Treatment for threadwormsįortunately, treatment for threadworms is very easy. If another type of worm is suspected, you may need to give a stool sample for testing. This is best done first thing in the morning before any eggs are washed or wiped away. The doctor may do a ‘sticky tape test’, which involves gently pressing a clear piece of adhesive against the anal skin, then examining the tape under a microscope to look for eggs. If you think you or your child has worms, you should see your doctor, who may do tests to diagnose the condition and identify the type of worm involved. However, scratching can aggravate the problem and make it more difficult to treat. They are generally harmless and don’t cause long-term damage. They are more embarrassing than anything else, because they can cause an irresistible urge to scratch the bottom. Threadworms do not go away by themselves, and people do not build up immunity to them, so they must be treated in order to eradicate them totally from the body. Children may show other signs of threadworm infection such as: Some people with mild infections have no symptoms at all. The area around the anus may be red and have scratch marks. The worms can also often be seen on bowel movements or around the anus, especially at night. The classic symptom is a severe ‘itchy bottom’. Threadworm symptoms usually have a sudden onset, often at night. When the worms are fully grown, the female comes out onto the skin around the bottom at night and lays eggs. A few weeks after hatching out these worms can reproduce - usually about a month later. Also, because the eggs may survive for several weeks, infection may be through contact with contaminated objects, such as bedding or clothing.Īfter the eggs have been ingested, they pass into a person’s small intestine (bowel) where they hatch into larvae which then migrate to the colon and mature. Self re-infection is also common and results from the microscopic eggs sticking to the fingers or lodging under the fingernails after scratching the anal area, and then being re-ingested. It is very easy for people to ingest the eggs because the worms produce so many of them and they are so small. They can also be transmitted through direct contact with a person who is already infected with worms. The worms are caught by accidentally ingesting the eggs, which then hatch and infect the intestine.
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