Download FREE Practo app
Get ₹200 HealthCash
Worms in intestines
I have takes albendazole with ivermectin this Monday because I have anal itching and bloating and gas and I also dont gain weight even i eat healthy and balance diet .
When can I take 2nd dose to get rid of this pinworms and what will be the next step ???
Answers (15)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Can take 15 days after the 1st dose, but its not always related to worms, it needs detailed checkup.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced stomach expert online and get your health questions answered in just 5 minutes.
+193
A proper consultation is needed to assess and guide treatment.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
2 wk after 1 dose
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Take second dose after 2week
Regular hand wash before meals and good perianal hygiene
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Based on standard antiparasitic protocols for enterobiasis (pinworm infestation), antihelminthic medications kill adult worms but do not eradicate microscopic eggs that have already been laid around the perianal area. Because newly laid eggs take approximately 14 days to hatch into new adult worms, a second repeat dose is universally scheduled exactly 2 weeks (14 days) after the first dose to break the parasite lifecycle and prevent auto-reinfection. However, for an accurate clinical diagnosis and to rule out other causes of anal pruritus, malabsorption, or persistent bloating, a formal medical evaluation is necessary.
While intestinal parasites can cause localized pruritus and mild abdominal discomfort, chronic inability to gain weight accompanied by chronic gas and bloating often warrants investigating other underlying gastrointestinal factors, such as irritable bowel syndrome (IBS), small intestinal bacterial overgrowth (SIBO), celiac disease, or baseline metabolic conditions.
Health Tips
To accurately evaluate your gut symptoms side-by-side, review potential malabsorption causes for your weight concerns, and receive a secure, customized medical prescription plan, please book a direct consultation session via my Practo profile."
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Bendy plus one before breakfast with one glass of water.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
TAB Albedazole 400 mg 1st day
Look for warm in stool if warm find in stool then have to repeat 3 dose at intervals of 2 day ..
If warm is not seen then complete the dose 1 tab per week for 3 week .
No need to repeat Ivermectin...
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Albendazole after1 month and then after 6 months
Do stool re
Health Tips
Cut nails
Wash hands after going to wash room.wash vegetables and fruits well,
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
For pinworms the single dose does not finish the job because eggs from the bedding and nails reinfect you. Repeat albendazole 400 mg as a second dose 14 days after the first one; ivermectin is not needed again. The whole household should take the same single dose on the same day, since silent carriers are the usual reason itching keeps returning. Trim nails, hot-wash bedding and inner wear, and wash hands after using the toilet for the next 2 weeks. Bloating and no weight gain despite good diet is not only worms, so thyroid, coeliac screen and haemoglobin deserve a check.
Next Steps
Second albendazole 400 mg dose exactly 2 weeks after the first, same dose for everyone at home, plus strict nail and linen hygiene. Get CBC, TSH, tissue transglutaminase IgA and a stool test. If itching or bloating persists after the repeat dose, book an online consult with me and we will look for the real cause behind the poor weight gain.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Mr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
Take albendazole 2nd dose on 14th day , if u should gain weight or get right treatment with clear all your queries than consult me
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Mr. Dushmanta Meher
General Physician
5 yrs exp
Balangir
after 7 days
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Ms. Divya Gupta
General Physician
2 yrs exp
Varanasi
You need proper consultation . At this age the above mentioned symptoms may not be because of worms .
You need detailed history , usg and few blood tests .
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Jatin
General Physician
1 yrs exp
Bahadurgarh
Do consult for better review and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Mohd Harun
General Physician
1 yrs exp
Jhunjhunu
If the first dose of albendazole was taken this Monday, the second dose for pinworm is usually after 14 days (same day next week after next). Ivermectin is not always required for pinworm.
Also do these, otherwise it comes back:
- wash hands with soap, especially after toilet and before food
- keep nails short
- morning bath and change underwear daily
- wash bedsheet and clothes in hot water
- treat household contacts if the doctor advises
Not gaining weight and bloating are not always due to worms. If these continue after the second dose, get stool test and a proper check-up. Do not keep repeating deworming every few days.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Mucous is coming out?
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.