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Pinworms and itching
34 years Female, having itching in the poo area at night since 2 days, found pinworm in toilet paper. Please advise me the course of medication
Answers (59)
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Causative agent -entrobius vermicularis
C/f - itching around perianal area specially at night
Rx - albendazole 400mg OD
Sign to look- not get rid off after albendazole 400mg OD or comes blood in stool
Next Steps
Repeat albendazole 400mg OD after 14 days to prevent recurrence
Health Tips
maintain personal hygiene that's it 😄
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Its due to enterobius vermicularis
You can take albendazole 400 mg but don’t self administer first consult with a doctor and give necessary history…maybe there can be a need of run some tests.you can connect with me for further treatment
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Enteromobius Vermicularis is the cause.
Albendazole 400 mg will help cure the cause. The dose is to be repeated after 1 week.
The itching is caused because the female worms lay eggs at night in the perianal region.
Next Steps
Maintain good personal hygiene. Avoid junk/street food.
Trim your nails short and keep them clean.
Health Tips
The transmission is feco-oral. So hygiene becomes utmost important. Maintain good personal hygiene. Regularly change your clothes, underwear and bedsheets.
Regularly, diligently wash your hands with soap.
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Small parasite enterobius vermicularis infection causes itching and worms in faeces Especially in night times.
Next Steps
To get rid of this u can take tab albendazole 400mg single dose after food in night.
Repeat dose after one week.
If any complications persists like blood in stool,
Consult a gastroenterologist.
Health Tips
maintain hygiene.
handwash with soap after defecation.
change your bed sheets and clothes after therapy.
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Pinworms and Itching
Pinworm infection is caused by a small intestinal parasite called Enterobius vermicularis. The most common symptom is itching around the anal area, especially at night.
Next Steps
Take Albendazole 400 mg after dinner, as a single dose.
To prevent reinfection, repeat the same dose after 14 days.
If symptoms persist or you notice blood in stools, seek medical attention promptly.
Health Tips
Helpful Tips to Prevent Reinfection:
Maintain good personal hygiene.
Wash your hands thoroughly with soap after using the toilet and before eating.
Keep fingernails short and clean.
Change underwear and bed linens daily during treatment.
Prefer showers over baths to avoid egg contamination in bathwater.
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Take albendazole 400mg HS, then next day before sleeping take lactulose syp 2 ts HS(before sleeping)
Next Steps
In case discomfort continues,you can repeat same mediciation after 14 day
Health Tips
check for cbc, iron status like serum ferritin,TIBC.
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Take tab albandazole 400 mg single dose
Than repeat it after 2weeks one dose
• Hydrocortisone 1% cream – apply a thin layer to the anal area 2–3 times/day for a few days.
Next Steps
Family treatment: Everyone in the household should be treated at the same time — even if they have no symptoms — to stop the cycle.
Health Tips
Personal Hygiene
• Wash hands with soap and warm water before eating and after using the toilet.
• Keep fingernails short and clean.
• Avoid nail-biting or finger-sucking.
Clothing & Bedding
• Change underwear, pajamas, and bed sheets daily during treatment period.
• Wash clothes, bedding, and towels in hot water and dry in sunlight or hot dryer.
Bathing
• Take a shower every morning to wash away eggs laid overnight.
• Avoid shared towels.
Cleaning
• Disinfect frequently touched surfaces — toilet seats, door handles, toys.
• Vacuum floors and clean with damp cloth (dry sweeping can spread eggs into the air).
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• Take Albendazole 400 mg once at night after food, then repeat the same dose after 14 days. This makes sure even newly hatched worms are gone.
• Everyone in your household should take the medicine at the same time to prevent the worms from coming back.
• Wash your hands well after using the toilet and before eating.
• Keep nails short, change underclothes daily, and wash bedsheets in hot water.
Extra care:
Sometimes worms can cause low blood levels (anemia), so a simple blood test (CBC) is good to check if you need any supplements.
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tablet Albendazole 400 mg at night and then repeat after 14 days
do a blood test CBC LFT RFT
TAKE TREATMENT FOR ANEMIA if needed
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Take tablet Albendazole 400 mg at night and then repeat after 14 days
Next Steps
take a blood test CBC LFT RFT
TAKE TREATMENT FOR ANEMIA if needed
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Hello,
From your description, it sounds like you may have a pinworm infection (Enterobius vermicularis).
Next Steps
Albendazole 400 mg once now, then repeat the same dose after 2 weeks
Health Tips
Wash hands thoroughly before eating and after using the toilet.
Wash bed linen, underwear, and towels in hot water.
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Itching in the anus, especially at night, along with seeing small white worms (likely pinworms, Enterobius vermicularis) on toilet paper, is a classic presentation of enterobiasis.
Why it happens
Pinworms live in the intestine but crawl out at night to lay eggs around the anal skin.
This causes intense itching.
Eggs can stick to skin, clothes, bedding, and under fingernails—leading to re-infection or spread to others.
Next Steps
1) Treatment (for you and all household members at the same time to prevent reinfection):
Albendazole 400 mg once, repeat after 2 weeks
2) Mild petroleum jelly or zinc oxide cream around anus can reduce irritation.
Health Tips
Hygiene measures (to avoid reinfection):
1) Wash hands with soap after using toilet and before eating.
2) Keep fingernails short and avoid scratching.
3) Bathe every morning to remove eggs from skin.
4) Wash underwear, bedding, and nightclothes in hot water daily during treatment period.
Avoid shaking sheets or clothes (eggs can become airborne).
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It's GI infection caused by parasite enterobius vermicularis presenting with perianal itching
Take tab albendazole 400 mg after dinner at night and repeat same dose after 2 weeks
Next Steps
maintain personal hygiene
wash hands properly with soap
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Tab Albendazole 400mg once. Repeat after 14 days.
In addition to treatment, all bedding and clothes should be washed.
Hygienic measures, such as clipping of fingernails and frequent handwashing are also helpful for reducing reinfection and spread of infection. Showering is preferred over taking a bath, because showering avoids potential contamination of bath water with pinworm eggs.
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It's an infection, caused by Enterobius.
You can take Albendazole 400mg after dinner and if symptoms persist then you can take it again after 14-16 days.
If blood starts coming then do visit the hospital
Health Tips
Maintain hygiene.
Wash your hands after using the washroom and before eating
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This GI infection is caused by the Parasite which name is Enterobious Vermiculas.
Most of the commne Compain is perineal Itching.
For management have to take Tablet albendazole 400 mg once
And then after 2 week for follow up if needed then one more tablet same dose.
Next Steps
maintain perineal hygiene and avoid the barefoot walking
Answered
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This is GI infection caused by enterbious
Take Albendazole 400mg after Dinner
Reapeat the same dose after 2weeks
“Follow up after 2 weeks or sooner if itching continues.”
Next Steps
Wash hands thoroughly with soap, especially before eating and after using the toilet.
Answered
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Take Tab. Albendazole 400mg At bedtime.. eat fatty food for better absorption.. repeat after 2 weeks.. do the same for household contacts too if same symptoms are present in them.
Next Steps
follow up
Health Tips
wash Hands thoroughly After Toilet use. wash Bedding and Clothes with warm water daily. bath regularly in morning. avoid perianal itching.
Answered
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Answered
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Easily treatable with just tablets
Tablet Albendazole 400 mg (One tablet )
After 14 days take one more tablet (Albendazole 400 mg)
Next Steps
Treat all household members at the same time to prevent reinfection.(or anyone living with you)
Wash bedding, clothes, and towels in hot water on the first day of treatment.
Keep fingernails short and encourage frequent handwashing, especially before eating.
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Take tab albandazole 400 mg single dose Than repeat it after 2weeks one dose
⢠Hydrocortisone 1% cream : apply a thin layer to the anal area 2â4 times/day for a few days.
Next Steps
Family treatment: Everyone in the household should be treated at the same time â even if they have no symptoms â to stop the cycle.
Health Tips
Personal Hygiene ⢠Wash hands with soap and warm water before eating and after using the toilet. ⢠Keep fingernails short and clean. ⢠Avoid nail-biting or finger-sucking.
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Take albendazole 400 mg once or Bandy plus tab , do check for complete blood count , hemoglobin , blood smear to look for any anemia since worm infestation can also lead to this , better to consult a doctor before any other symptoms of anemia occur
Health Tips
Do take anti parasitic drug like albendazole twice a year (once in 6 months) as a routine after consulting a doctor for prescription
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Commonly prescribed medication is single dose Tab Albendazole 400mg to be taken after dinner at night. Chewable tablets are usually preferred. Repeat the same after two weeks. Hence only two tablets are needed. Pinworm are notorious for auto infection, therefore I suggest you to maintain proper hygiene and avoid itching with bare hands. When the person itches, the eggs get stuck in the fingers which are then accidentally ingested if hands are not washed properly with soap. Don't worry this is a common infestation. Look out for danger signs if any. I hope you get well soon:)
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If it is pinworm, Tab Albendazole would be the ideal choice. However certain worms require a different tablet. Ideally, take the albendazole and take cetrizine for the itching initially. If it does not resolve then it would be best to consult a doctor in person.
Health Tips
Keep the area clean and wash your hands thoroughly after using the restroom. Consult a doctor if symptoms persist and get a stool sample taken.
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