The doctor may recommend that your whole family be treated, since pinworms spread so easily. Your child's doctor may suggest an over-the-counter remedy or prescribe medication (usually mebendazole, albendazole, or pyrantel) to kill the worms. But even a moderate case can cause bothersome itching and poor sleep, and a severe infestation can cause complications, such as a more serious infection – so you don't want to let the situation get worse. When the child scratches his itchy bottom, the eggs get under his fingernails, and another cycle begins when he puts his hands in his mouth.Ī mild case of pinworms sometimes goes away without any treatment. As the worms move, they cause intense itching that can disrupt sleep. From there, female pinworms migrate out of the child's intestines to lay their eggs on his anus. The eggs then travel to his large intestine, where they hatch. Or he can pick them up by eating food contaminated by someone with pinworms. So a child can pick up pinworms by touching an object – such as a toy or a towel – handled by someone else with pinworms and then putting his fingers in his mouth. Pinworm eggs can survive for up to two weeks on some surfaces. If you suspect an infection, call your child's doctor. Pus or other discharge and a bad odor are also signs of infection. The skin may be infected if it looks very red and swollen and is warm or tender to the touch. Red, tender skin around your child's anus could be the result of irritation from diaper rash, diarrhea, or a bacterial infection. If you don't find pinworms or eggs, anal itching could be a sign of another problem, such as dryness from cleaning the area too vigorously with soap.
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