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Do worm infestations cause itchy anus and bloating in kids?

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

Patient's Query

Hello doctor,

My daughter who is three years old is believed to be having like tapeworms or threadworms. She usually has itchy around her anus, bloating, feeling vomiting, spitting, and no appetite these days. She is also losing weight day by day. Kindly prescribe medicines to remove the worms and include the required vitamins for her health.

Hello,

Welcome to icliniq.com.

With the list of symptoms mentioned, it appears to be due to worm infestation. Any abdominal pain? Restless sleep? Irritable? Did you notice white thread-like worms in the potty? Does she eat mud? Any other family member having a similar complaint? Well do this, examine the anal area around the anus in the night two hours after she goes to sleep. Pinworms usually come out of the anus during the night. This is only for confirmation. Always needs to be confirmed whether we are treating the cause as there are many ailments that need to be ruled out for unintentional weight loss. Treatment includes a single dose of tablet Albendazole 400 mg to be taken by all the family members irrespective of symptoms at once. If she has severe itching apply lotion Caladryl in and around itchy areas.

Now the most important aspect, prevention:

  1. Wash her or bathe her immediately as she gets up, as this gets rid of the eggs that have stuck to her butt area with hot water.
  2. Change her underwear and bed linens every day.
  3. Trim her nails every alternate day.
  4. Not to scratch.
  5. No nail biting.
  6. Wash her and your hands frequently.

I hope this helps.

Thank you.

Patient's Query

Hello doctor,

I gave one tablet of Albendazole 400 mg to my daughter about 16 days ago. And four of my family members have also taken one tablet each as per your advice. Can I give my three-year-old daughter again the second dose? Is it safe?

Hello,

Welcome to icliniq.com.

How is she now? Still, having complaints? Any itching in the anal area?

Please revert back with answers.

I hope this helps.

Thank you.

Medically reviewed byDr. Vinodhini J.
Published At April 3, 2020
Reviewed AtMay 22, 2024

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