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Recurring itchy anus, mostly pinworms
Itchy anus after every meal, increases at night time, feels like worms are coming out. Had albendazole 2 days back, little relief. Also had 2 tablets 15 days back and 2 months back. It's a recurring issue. Please help to treat it completely.
Answers (17)
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Kindly consult for detailed history and treatment
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Have bland diet
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Take plenty of water
High fiber diet
Tab ivermectin 16 mg 1_0_0(5)
Tab levocetricine 5mg 0_0_1
Tab DAFLON 1_0_0(5)
Tab varisil 0_0_1(5)
Tab chymorol forte 1_0_1(6)
Tab metronidazole 400 mg 1_0_1(10)
Tab razo d 1_0_1(10)
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You may be having fungal infection on anus.
Take tab cetrizine 5mg one morning and one evening for 7 days.
Apply betnovate c ointment, 2 times daily for 2 weeks and then consult online.
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Night-time anal itching with “worms feeling” is commonly due to pinworm infection, but since it is recurring despite albendazole, other causes must also be considered.
Possible reasons:
• Reinfection (family members not treated together)
• Incorrect dosing schedule
• Fungal infection around anus
• Piles or skin irritation
• Diabetes-related itching
For pinworms, treatment usually requires:
• Single dose albendazole
• Repeat same dose after 2 weeks
• Treat all family members together
• Strict hygiene (short nails, daily underwear change, morning washing)
Since this is recurring even after multiple doses, stool test and local examination are needed before repeating medicines again.
Based on your symptoms, this may require proper clinical assessment and prescription. You may book an online consultation with me for detailed evaluation and personalised treatment plan.
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It's recurrent indeed.
Tab mebex200 two times a day after food for 3 days.
Followed by
Bandy plus one tab.
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Your symptoms are very typical of pinworm infection (Enterobius vermicularis):
• Intense anal itching
• Worse at night
• Sensation like worms moving
• Recurring despite albendazole
• Partial relief after medicine
Pinworms lay eggs around the anus at night → causes severe itching.
Reinfection is very common, especially if:
• Family members are not treated together
• Bedding/clothes not disinfected
• Nails not trimmed
Albendazole single doses often fail because eggs hatch later → cycle repeats.
Next Steps
✔ Step 1: Repeat Deworming Properly
Albendazole 400 mg:
Health Tips
✔ Avoid self-repeating albendazole frequently without proper spacing
✔ Do not scratch (causes egg spread)
✔ Consider stool test if symptoms persist
✔ If itching severe, mild antihistamine at night can help
Since this is recurring, likely reinfection rather than treatment failure.
If symptoms continue even after proper family-wide treatment + hygiene, we may need to consider:
• Fungal infection
• Hemorrhoids
• Anal dermatitis
• Diabetes screening
If you want, tell me:
• Are other family members itchy?
• Do you have diabetes?
• Any vaginal itching?
We can refine treatment further. If recurrence continues, booking a consultation will help create a complete eradication plan and break this cycle permanently.
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It could be other issues also. Please consult.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evalauted
Do consult
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Your symptoms (itching around anus, worse at night, crawling sensation) are strongly suggestive of pinworm (threadworm) infection.
Albendazole gives relief but recurrence is common if hygiene measures are not strictly followed.
Advices
• Repeat Albendazole 400 mg after 2 weeks (very important)
• All family members should take treatment together
• Keep nails short
• Wash hands before meals and after toilet
• Change undergarments daily
• Wash bedding in hot water
• Avoid scratching
Night itching happens because worms lay eggs at night.
If symptoms continue despite proper repeat dosing, stool test and doctor evaluation are required.
For complete treatment plan and prevention guidance, kindly text me on Practo.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Few more details needed for further evaluation. Kindly consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
You need to evaluate properly first. Please consult me on practo for further management and evaluation.
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