Pinworms in children treatment

Pinworms in children is a parasitic disease. Let’s look at the causes of the occurrence of the disease, diagnostic methods, symptoms of the lesion, methods of treatment and prevention.

These are parasitic worms (such as nematodes, roundworms) that cause a disease called enterobiosis. They look like pieces of white thin thread, and they can be detected in feces. The main symptoms of the disease, which determine the pinworms in a child – itching in the anus, which manifests itself at night. A baby infected with worms is sleeping restlessly, there may be slight scratching on the buttocks and the area of ​​the perianal folds. There may be pain in the intestines and provoke allergic reactions.

Enterobiasis can go unnoticed, that is, without any special symptoms. It depends on the state of the immune system and its protective functions. If a baby has a strong body, then the immune system will not allow worms to progress and cause painful symptoms. These worms are dangerous, especially if the baby has a predisposition to parasitic diseases and a weakened immune system.

ICD-10 Code

Causes of pinworms in children

The causes of the disease depend on the route of infection. The main ways of infection: household, oral and contact. Let’s take a closer look at each of the types of infection with parasites.

Pinworms in children treatment

Household infection

Ignoring the rules of hygiene, dirty hands, dirty vegetables and fruits, dirty toys – these are the main causes of infection with worms. With this type of infection, the baby becomes a carrier of parasites, infecting the people around him.

Oral infection

With this type of infection, parasites enter the body through the mouth. The child scratches an itchy place, the eggs of pinworms fall on the hands and under the nails. And from the hands of parasites get on the food and in the oral cavity. To avoid this type of infection, hands should be thoroughly washed and personal hygiene must be observed.

Contact infection

Pinworms come in contact with infected people or animals. There may be worms on animal fur, therefore it is necessary to wash hands when contacting cats and dogs. With this type of infection, they enter the intestines and after a couple of weeks begin to lay eggs, causing further development of the parasitic disease.

Symptoms of pinworms in children

Symptoms are manifested in the form of itching and uncomfortable, painful sensations in the anus. At the beginning of infection, itching is minor, but in the absence of deworming, the discomfort only intensifies. With significant invasion, the baby suffers not only from itching and burning in the anus, but also from problems with the gastrointestinal tract.

Regular scratching of the affected surface leads to the formation of small wounds that can become inflamed. Further, at the site of scratching, secondary infections, dermatitis, inflammation of sphincter tissues, vulvovaginate and others may occur. In some children, the infection provokes an allergic reaction on the skin. With long-term infection with parasites and in the absence of treatment, the symptoms of the disease manifest themselves in the form of loss of appetite, digestive disorders, refusal of food and poisoning with waste products of worms.

Pinworms in babies

This is not uncommon, many parents face such a serious problem. The reason for the parasitic disease in infants is that when the baby begins to crawl and actively explore the world around it, the parents release the baby beyond the boundaries of the playpen or crib. At this moment there is a danger of infection. At such an early age enterobiosis is a very serious disease.

The danger of pinworms in infants is, parasites eat up all the nutrients and components that have accumulated in the body. The newborn does not receive adequate nutrition, but the parasites actively grow and are saturated. They can be seen in the anus. The parasite is like a thin cotton thread of white color. Let’s look at the main symptoms of infection in infants.

  • Itching of the perineum and anus, which is worse in the morning and at night.
  • Lack of nutrition, weakened immunity, weight loss.
  • Pain in the gastrointestinal tract. (In medical practice, there are cases when nematodes multiply so actively that they form a ball in the belly of a baby, because of this, the baby feels pain and pulsation).

In order to confirm the diagnosis, it is necessary to pass laboratory tests. A stool analysis is taken from the baby and, if necessary, an ultrasound examination is performed (to determine the location of the parasites in the abdominal cavity and visualize them).

As for deworming and prophylaxis, the doctor gives recommendations on this matter. The pediatrician selects safe but effective medicines (syrups or tablets), dosage and duration of therapy. In addition to drug treatment, parents should ensure that the baby eats only clean foods and drinks only purified water. Also, it is very important to clean the apartment with disinfectants, clean bed linen, clothes and towels and follow the rules of personal hygiene.

Pinworms in children under one year

Pinworms in children under one year old require deworming, as parents’ attempts to cope with a parasitic disease themselves do not lead to anything good. In addition, it is the doctor with the help of laboratory tests can confirm the infection, and not any other type of worms. To do this, take the analysis of feces, scraping from the folds of the anus and conduct an ultrasound of the intestine.

As soon as the diagnosis is confirmed, the doctor draws up a treatment regimen. Today, in the pharmaceutical market there are many effective drugs that help cure the disease. As a rule, the treatment is simple and a couple of doses of the drug are enough to completely get rid of enterobiosis.

Worm, Vermox or Helmitoks are most commonly used. In addition to medical treatment, parents should monitor the baby’s hygiene, regularly wash and change underwear. Please note that if the baby has found roundworms, then de-worming course is recommended for all family members, even in the absence of symptoms of the disease.

Pinwheat child 2 years

This is not uncommon, but most likely a pattern. Since at this age, the baby is very actively exploring everything around and pulls into his mouth. The kid plays in the sandbox and in the playgrounds, where there are many different parasites. Imperfect gastrointestinal barriers at this age are very susceptible, so they cannot cope with parasites (for example, in an adult, pinworm eggs can die from gastric juice).

The disease must be treated, since the neglected forms of the parasitic disease lead to the development of various forms of acquired immunodeficiency. In order to obtain a proper set of therapeutic measures, laboratory tests are taken, the results of which are used to create a treatment plan.

Remedy for pinworms in children

Antihelminthic drugs have a certain toxicity. Therefore, deworming is carried out only on prescription. As a rule, the same medications are used to treat this invasion in children and adults. Exceptions are newborns and pregnant women. Drug therapy is carried out only after the permission of the doctor. The doctor selects the tool according to the individual characteristics of the body. The most popular antihelminthic drugs:


The drug is used to treat worms invasion and enterobiosis. The drug is effective in the fight against trichocephalosis, necatoriasis and other parasitic lesions. The main contraindications to the use: hypersensitivity to the active substance, eye damage, and pregnancy and lactation. With extreme caution prescribed for liver failure and circulatory disorders.

If the dosage is not followed and the duration of deworming is exceeded, the drug causes abdominal pain, headaches, impaired kidney function, and allergic reactions. It is taken orally, during or after a meal, the dosage is adjusted individually. Up to two years, appoint 200 mg once. After 2-3 weeks, the reception is repeated. In the treatment of enterobiosis older than two years, take 400 mg once.


A broad-spectrum antihelminthic drug with high efficacy in the treatment of enterobiosis. When applying at the age of 2 to 10 years, 25-50 mg is prescribed once. When re-invasion, it is necessary to repeat the drug in the same dosage, but after 3-4 weeks. It is contraindicated to take at the age of two years. If you violate the conditions of use of the product, you may experience: nausea, dizziness, abdominal pain, hematuria, allergic reactions.

The drug is available in the form of tablets and solution. The main indications for use – enterobiosis, ascariasis. The drug is absolutely safe, so it is allowed to use for therapy in pregnant women. Up to 1 year, appoint 0.2-0.5 g, at the age of 2-3 years, 0.3-0.6 g, in 4-8 years, 0.5-1.5 g. An anthelmintic drug is used. for five days a couple of hours before meals. De-worming involves three courses of administration with a week break. Piperazine is contraindicated to take with renal failure and lesions of the central nervous system.

Antihelminthic drug with a broad spectrum of action, is highly effective in the treatment of enterobiosis. The drug depletes glycogen stores and destroys these nematodes. Main indications for use Vermox: enterobiosis, trichocephalosis, ascariasis, teniasis, mixed helminthiasis. At the age of 2 to 10 years, it is prescribed once for 25-50 mg, at the age of over 10 years – 100 mg each. To prevent re-invasion, repeat the course of therapy after 3-4 weeks in the same dosage. If you do not follow the rules of application, abdominal pain, diarrhea, headaches, reversible abnormalities of the liver function may occur.

Before taking a remedy for pinworms, the baby is recommended to prepare. The day before deworming, the baby should be given only liquid and semi-liquid food. In the morning, give the medicine, and in the evening a laxative. The next day, you must do an enema. In addition to medical treatment, it is very important to follow the rules of personal hygiene and maintain cleanliness throughout. All members of the family must undergo worming.

In addition to drug therapy, pinworms in children can be treated with folk remedies. Let’s look at some of them.

  • The use of garlic for three weeks with a repeated course in a week allows you to get rid of this invasion. But such deworming is suitable only for children of primary school age and older.
  • A decoction of wormwood is recommended to drink half a glass three times a day, for 3-4 days. With worms will help to cope and decoction of the flowers of tansy, but only recommended to take it on an empty stomach, for 5-7 days.
  • Antihelminthic properties has a decoction of pumpkin seeds and an infusion of thyme or thyme. It is necessary to use herbal teas until the symptoms of the disease disappear.

Unlike drug treatment, traditional medicine does not always give the desired result, as they depend on the individual characteristics of the organism.

Pyrantel Treatment

Treatment with Pirantel allows you to effectively get rid of enterobiosis. Pyrantel is produced in the form of a suspension, the product has a pleasant taste and is easily swallowed by a child. The drug acts locally, destroys nematodes due to the fact that the active substance paralyzes the neuromuscular apparatus of parasites. Worms become completely immobilized and excreted from the body with feces in a natural way. Pyrantel taken without prior preparation, and there is no need to use an enema.

The drug is used only on prescription. Pyrantel is taken one-time, repeated medication is needed in 3-4 weeks. Let’s look at the main dosage of anthelmintic drugs.

  • Up to 6 months, appoint 125 mg once a day;
  • Till 6 years apply 250 mg;
  • From 6 years old use 500 mg of the drug.

The main contraindications to the reception – hypersensitivity to the active substance. With extreme caution, the suspension is prescribed in the first year of life and in violation of the functions of the liver. If the dosage is not followed and the duration of deworming is exceeded, the drug causes adverse reactions. The main side effects of Pirantel: problems with the gastrointestinal tract, loss of appetite, drowsiness, or vice versa, sleep disorders, allergic reactions. With the above symptoms, you should seek medical help and interrupt treatment.

Dekaris treatment

This is a method of effective and safe disposal of parasites. Dekaris is an anthelmintic drug with immunomodulatory properties. It is produced in the form of tablets, a light orange color with an apricot smell. It is necessary to take the drug one time and this is enough for the complete destruction of the worm.

The main indications for use: enterobiosis, ascariasis, toxoplasmosis, necatoriasis and others. Dekaris contraindicated to take up to three years, with increased sensitivity to the drug and agranulocytosis. With extreme caution means prescribed for liver and kidney failure. If you do not follow the rules of application, Dekaris causes side effects (digestive system disorders, allergic reactions).

Dosage for the treatment of enterobiasis depends on age. At the age of 3 to 6 years, 25-50 mg is prescribed, from 50 to 100 mg up to 14 years. Sometimes the dosage is selected according to weight. But take Decaris can only be prescribed by a doctor.

What are dangerous pinworms in children?

Pinworms, as a rule, do not pose a serious threat to the body, both children and adults.

Pinworms in children treatment

  • Their danger is that without proper therapy, parasites can move from the intestine to the liver, biliary tract and other organs, causing inflammatory diseases and other lesions.
  • Females can even penetrate the uterus and fallopian tubes, causing severe itching and discharge from the genitals in girls.
  • In medical practice, cases were recorded when pinworms in children were found in the eyes, sinuses and even the lungs. The danger of nematodes in such lesions is that the treatment requires surgery.

Worms are localized in the colon, so they provoke problems with the gastrointestinal tract. In the morning and in the evening, they descend to the anus and lay eggs. If a baby is scratching a place that itches, then the eggs of pinworms fall on the hands and under the nails, and from there on toys, clothes, food and everything the kid touches. Therefore, the task of parents to carefully monitor the hygiene of their offspring.

If you suspect pinworms in a child, parents should consult a doctor and get tested. If the diagnosis is confirmed, the doctor will prescribe a medicine for parasites. Timely deworming and prevention will prevent disease and protect the body from the dangerous effects of parasites.

Diagnosis of pinworms in children

Diagnosis begins with the delivery of laboratory tests. For confirmation of enterobiasis, a perianal area scraping is taken to examine for the presence of pinworm eggs. Also, for the analysis take feces for research. Parents can diagnose the disease on their own; it’s enough to look into the child’s pot.

Very often, worms settle on clothes, especially underwear. Therefore, parents should follow the regular change of underwear baby. Nematodes can be seen on the body, especially in the evening and morning time. Parasites crawl out of the anus and lay eggs, because of this, the baby feels severe itching and even burning. In the diagnosis of invasion, special attention is paid to the symptoms of the disease and the study of the causes of infection.

How to identify pinworms in a child?

It is worth knowing that it is not always possible to determine the presence of worms with the help of feces or to visually see parasites on the anus. For accurate determination, you must pass the scraping. In the laboratory for analysis, take a special adhesive tape and carry it through the anus, it allows you to collect the eggs of nematodes that remained on the surface. But, in some cases, scraping can give a false negative result. In this case, the task of parents to pay attention to the presence of symptoms such as:

  • Itching in the anus, causing anxiety and fidgety during night and daytime sleep.
  • Nausea, pain in the gastrointestinal tract, a sharp decrease in appetite and weight.
  • Disorders of the chair, dysbiosis, diarrhea, constipation.
  • Drooling, increased appetite, pain in the navel.
  • The baby quickly gets tired, becomes capricious, the baby begins to suffer headaches, pallor of the face appears.

When infected, girls may experience enuresis, that is, incontinence. This is usually due to irritation of the urethra. If the worms infect the genitals, then abundant secretions appear. With prolonged invasion, parasites cause allergic reactions, low hemoglobin levels and elevated eosinophils.

Pinworm eggs in a child

A child can pick up parasites in kindergarten, in contact with other children, while playing in the sandbox, on the playground or in contact with pets. Worms develop both in the human body and in the intestines of animals (cats, dogs).

Some people who are infected with nematodes do not develop symptoms of the disease. That is why, in many institutions (swimming pool, kindergarten) require a certificate with a negative result for the analysis of pinworm eggs. When eggs are invaded, there are characteristic symptoms – itching and burning in the anus at night and in the morning, pain in the gastrointestinal tract, problems with appetite, weight loss and others. When eggs are found, it is necessary to contact a pediatrician for treatment.

Pinworms in the feces of a child

Pinworms in the feces of a child are found very often and, as a rule, do not carry mortal danger. It looks like a piece of white thread, up to one centimeter long. Parasites have a toxic, mechanical and allergic effect on the body. They affect the intestines, cause inflammation in the genital area, urethra and anus. Parasites can even creep into the appendix and provoke appendicitis attacks.

Only adult nematodes can be seen in feces, but females do not lay eggs in feces. That is why it is not always possible to diagnose the disease only by analyzing feces. For accurate determination of enterobiasis, scrapings from perianal folds are performed. Nematodes in feces require deworming and prevention, because without proper medical care, parasites can cause serious problems with the immune system.

What are the pinworms in children?

Pinworm eggs can be seen only under a microscope, but adults resemble passages of white cotton thread. An adult individual can reach 15 mm in length, but the male of the parasite is up to 5 mm in length.

Worms have only white color, i.e. light color. Many patients have a question, can there be pinworms of black color or with black patches? We will answer right away, these nematodes are only of light color. If you find dark color in the feces of parasites, then it is not Enterobius vermicularis and most likely not even worms. In any case, parasites in feces require diagnosis, treatment and prevention.

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