I need to ask few more questions before answering your query. Early consultations can prevent complications. Kindly contact me on whatsapp chat  (84960595 six five) Dr Faisal Zoheb MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )

Is she having any soil eating or wall scrapings or pencil slate pencil habit of eating and no need to repeat the dose that many times unless indicated by paediatrician.and also look for any worms in stool.and is she eating or taking any spicy foods ask her to drink much of fluids buttermilk and all and avoid junk food

Is she passing stools properly or is she facing constipation? Check for any local causes, keep the area dry

Look for any local skin issues.If no local issue every family member to be given deworming tab once same day.Proper hand hygiene is to be mantained.

No. Please visit a pediatrician. Anal itching can be due to other reasons like constipation. Avoid self medication as there are side effects

I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided. Contact me on Practo or WhatsApp chat. Contact number: 97012307 two nine Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in neonatology

Yes it can be given

Yes deworming can be done every 6 months in children.

Consult with Pediatrician physically for further evaluation and treatment

Yes..give it tonight and then fortenight at bed time

Yes give it now and give again after 14 days That is the correct dosage course

Greetings Re-infection with pinworms is highly common five months after the previous deworming course. The standard dose of Zentel 400mg for a 9-year-old child is a single oral tablet. According to clinical guidelines, you must repeat the same 400 mg dose exactly two weeks later. To stop the cycle of reinfection, it is crucial to treat all household members at the same time. Practice strict hand hygiene, trim nails short, and wash bedding in hot water frequently.

Yes