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What causes anal itching in a child at night?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My son, seven years old, weighs about 42 lbs and has been complaining of itching in the anal area at night for the past two days. It could be due to worms.

Can you please prescribe a syrup for deworming?

Please help.

Thank you.

Answered by Dr. Prakash Chandra Girdhar Lal Nagar

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

As per the information provided, the most common cause for itching in the anal area during nighttime is worm infestation.

Give syrup Zental (Albendazole 20 ml bottle containing 100 mg per 5 ml) to your son. Give 20 ml (full bottle) today and repeat the same dose after two weeks.

If you have other siblings, it is recommended to deworm them too. Let me know their age and weight, and I will advise you on the dose. I personally suggest treating all family members, including servants and whoever is handling food (if you have a cook).

I will advise you of some precautions. These precautions will help you and your family members avoid this condition.

  1. Keep very good hand and nail hygiene.

  2. Make sure he is getting clean drinking water when outside, like when in school or going for outings.

  3. Cleaning vegetables thoroughly is also important, which I am sure you must be doing.

  4. Any vegetable, if eaten raw, should have the skin peeled off.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

I have another daughter who is 13 years old and weighs about 110 lbs. Please prescribe deworming medicine for her, too.

Also, please give it for us, my husband and me, too. I am 39 years old and weigh about 154 lbs. My husband is 41 years old and weighs about 159 lbs.

Please help.

Thank you.

Answered by Dr. Prakash Chandra Girdhar Lal Nagar

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I have gone through your query and understand your concern.

I appreciate your quick action and connection.

As all are older than your son, the same dose is required for everyone, as this is the maximum dose required.

I hereby repeat the dose for all the family members. Tab Zental 400 mg (Albendazole), one tab once today, and repeat the same dose after two weeks.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 14, 2026
Reviewed At April 14, 2026

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Decision Helper
Child Anal Itching Deworming Decision Helper

Is your child's anal itching due to worms?

Answer five quick, private questions to understand if your child's anal itching might be caused by worms and if discussing deworming with a doctor is advisable.

This tool provides guidance only and is not a diagnosis. Always consult a doctor for medical advice. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

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