Based on your description, the most likely cause is pinworm infestation, which is common in this age group and often causes anal itching at night, especially when the child is warm and lying down. You’ve already given Bandy Plus twice — which is appropriate — but in some cases, reinfection can occur quickly if hygiene isn’t maintained strictly. Even if the medication works, eggs can spread again through fingers, nails, clothes, or bedding.

Your daughter probably has pinworm infestation. Along with medication hygiene measures are also important. Wash the diaper area with warm water Expose the area to open air (diaper free periods) to let the area breath. Change bedsheets every 3 days, wash with warm water. Trim nails as these worms spread through them. When the child itches, the eggs of the worm get into nails and then enter mouth leading to complete cycle. You can use Tab Levocetrizine for severe itching symptoms. Sialoderma cream for rash in the diaper area

Use hypoallergenic diapers like Pampers Premium Pants. And she must be having anal excoriarion - use sucral ano cream. Use one size bigger diapers according to his age.

Avoid diaper

Avoid diapers

Avoid diaper for few days . Apply Napigard ointment .

The most likely cause is persistent or recurrent pinworm (threadworm) infection, even after deworming. Here’s why and what you can do: ⸻

Greetings it could be the worm infestation is still persisting kindly wash the area with warm water, avoid sweat food, look for any cut at anal region