Treating Pinworms

I have 3 children. In the last 2 years the same child has been infected with pinworms 3 times. We belong to a family medicine group. The first doctor elected to treat the whole family, but the 2nd and 3rd time I had to request this from different doctors. My question is, does the medicine to treat this infection hurt the family members who are not suffering from this gross infestation? Also, could the worms or eggs live dormant in my daughter or could she be a carrier? Or is there such a thing as a carrier?
Centreville, Virginia

Treating Pinworms

Dr. Greene’s Answer:

When I was a young boy, I used to have a creepy-crawler set. I delighted in making these little jiggling critters. I found particular joy in trying to make other people shudder when they saw the various worms and bugs that I had created. Although we adults often shudder at pinworm infections, most kids don’t have this same gut response.

The pinworm, or Enterobius vermicularis, is one of the most common parasitic infections of humans. Somewhere between 10% and 40% of children have pinworms at any given time (Pediatric Consult, Williams and Wilkins 1997). The infections are usually limited to children below the age of twelve.

The adult pinworms are white and measure less than one half inch long, with the diameter of a strand of thread. These tiny roundworms are quite complex. Like us, they have mouths, throats, and gastrointestinal tracts. Like us they have nervous systems. The females have a vagina, a uterus, and ovaries. The males have a testical, vas deferens, seminal vesicle, and ejaculatory duct. They eat, drink, pee, poop, and reproduce sexually.

The adult worms live in the colons (large intestines) of human children and apparently feed on human fecal matter.

When an adult male and female worm copulate, each female pinworm produces about 10,000 fertilized eggs. At night, the pregnant female migrates from the colon, out through the child’s anus and onto the skin of the buttocks. There she violently expels all of her eggs and then dies. Some of the eggs become airborne and land elsewhere in the child’s room, but the great majority of the fertilized eggs stay on the skin of the child’s buttocks. The eggs mature within six hours of being laid.

The adult worms and the eggs on the skin of the buttocks can cause intense itching in the child. When the sleeping child scratches, the eggs often get on the fingers and under the finger nails. If the child then sucks his or her thumb or otherwise brings his or her hand to the mouth (perhaps while eating breakfast), the pinworm eggs are swallowed. Usually they hatch within the small intestine and mature there. When they become adults they move to the colon where they take up residence. The entire life cycle lasts four to six weeks.

Occasionally the story goes a little differently. Sometimes a child can inhale airborne eggs and become infected that way. Every now and then the eggs will hatch on the skin of the buttocks, and the immature larvae will crawl back through the anus, up into the rectum and eventually arrive in the colon. Also, the eggs can hatch on the skin of girls and the larvae crawl into the vagina instead of the rectum. This happens in up to 20% of girls with pinworms (Nelson’s Textbook of Pediatrics, Saunders 1996). The vaginal pinworms usually die out with no outside help.

Most children with pinworms have no symptoms at all. In the same way that many bacteria live in our intestines without making us sick, pinworms can live happily in our intestines without causing any problems (Parasitic Diseases, Springer-Verlag 1982). Since the pinworm almost always stays in the gastrointestinal tract (or vagina), there is usually no systemic illness.

Some children, however, develop nighttime itching of the skin around the anus. For a small number of these children, the itching can be quite intense. The girls who develop vaginal pinworm infections often develop vaginal itching and sometimes a vaginal discharge. Attempts to link pinworm infection to bed wetting or grinding of the teeth have been unsuccessful.

Stool and blood tests are not very helpful in diagnosing pinworms. Seeing a worm clinches the diagnosis. Check your child’s skin with a flashlight during the night and first thing in the morning. Look for white, wiggling threads. If it’s not wiggling, it’s probably just lint. Occasionally a wiggling worm will be seen on the surface of a stool. Pinworms are so common that children with nighttime anal itching are often treated without any lab test at all. The classic diagnostic tool is to apply a piece of transparent tape to the skin near the anus first thing in the morning. This tape can then be attached to a glass slide and examined under a microscope for the presence of eggs. Your doctor can supply you with a pinworm lab kit, if necessary.

Treatment is with a single dose of an anti-pinworm drug such as Albenza (albendazole), pyrantel pamoate, or Vermox (mebendazole). Vermox comes as a chewable tablet. Most children and adults experience no side effects (use of these drugs in children less than two years old is limited). Hives or other allergic rashes have been reported only rarely. Very rare cases of convulsions have occurred.

This medicine kills the worms 95% of the time, but does not kill the eggs. Hence, retreatment in two weeks is a good idea. Girls with vaginal itching alone do not necessarily need treatment, since the problem will often disappear on its own.

Physicians disagree about whether or not to treat all family members. Often treating the infected child alone will get rid of the infestation. Anyone who sleeps with the child, or any family member or friend with itching should be treated. In stubborn cases, it’s a good idea to treat all family members regardless of symptoms.

It is certainly possible that your daughter is an asymptomatic carrier. In any case, reinfections with pinworms are quite common.

There are no differences in pinworm infections on the basis of race or socioeconomic class. Neither is pinworm infection evidence of poor hygiene. This is a very easily transmissible infection that is very common in children. It is easily spread at home, school, or day care (pets, though, have no part in the pinworm story). Since most kids experience no ill effects whatsoever, extreme measures to treat pinworms are not wise.

I usually recommend trimming the fingernails, scrubbing the hands (after awakening, before meals, and after toileting) and machine washing the bedding on the treatment day. These hygiene measures have never been proven to help at all, but they still seem like a good idea to me.

Although pinworms are like creepy-crawler bugs in that they are usually harmless (and seem worse than they are!), they are still a real nuisance! I hope you and your family will soon find relief from this bothersome problem.

Dr. Alan Greene

Dr. Greene is the founder of DrGreene.com (cited by the AMA as “the pioneer physician Web site”), a practicing pediatrician, father of four, & author of Raising Baby Green & Feeding Baby Green. He appears frequently in the media including such venues as the The New York Times, the TODAY Show, Good Morning America, & the Dr. Oz Show.

  1. mimi

    Hi I am a 14yr old girl and belive me I am no stranger to pin worms!I started getting them when I was about 8 and ever since then I’m sure they come monthly..my mum always says are u sure u have them? I am definitely positive.Its very uncomfortable and at night times I am constantly itching my lower parts and rubbing but I rub onto my underwear and it really hurts my vaginal area but I cant sleep and I have school tomorrow.I keep having regular trips to the bathroom because It gives me cramps (diareah) and I use baby wipes and tissue to scrub below.If I am honest I have a bath once a week and wash my hair everyday ….im really concerned because I need my sleep

    Added:
    Reply
    • Reagan

      You should go to the doctor. Also over the counter medicine called Reese’s also helps cure it and it very affordable

      Added:
      Reply
  2. jack

    What medicene to get for pinworms

    Added:
    Reply
  3. KT

    Om only 11 and i have pinworms andi also have not told my parents because im to scared to.and i cry every night thinking about this gross,embarising,horrible creature living inside of me. Im scared im gonna die of this disgusting creature. Please call my mom: [REDACTED] thank you ,oh and my name iS [REDACTED]

    Added:
    Reply
    • Dear KT,

      Thank you for writing. It’s very smart to take some step to get the care you need. In the future, though, be very careful not to leave personal information when you post online. We’ve taken it out for your safety.

      There are some things you need to know about pinworms.
      — Pinworms are more common than you think. Lots of people get them.
      — Pinworms are not linked to any social or economic class.
      — Doctors are very, very used to treating pinworms and won’t think anything negative about you because you have them.
      — For most people, the treatment is simple and effective.

      Now, you need to tell your mom. Legally, we can’t do it for you (sorry). But you can do it! Tell her you have a problem and you need her help. Ask her to take you to see a doctor and get treatment. You do not need to do this today. There is no reason to wait any longer.

      Please write back and tell us how you’re doing.

      Best,
      @MsGreene

      Added:
      Reply
  4. JUSTIN

    hi im 15 i have the same promblem the first time i found out was a weekago they make me want to use the bathroom a lot and im a guy and im just to imbarssed to tell someone can u tell me wat i should do about the promblem please thanks.

    Added:
    Reply
    • ananomous

      tell your mom or dad or gaurdian whom ever you live with , its not as bad as it seems! as soon as they know they’ll be able to treat it properly so you wont have to deal with them any longer

      Added:
      Reply
    • Kerry F Figuried

      Pinworm medication is the only remedy that I found. Have your Mom or Dad buy tjis product at Walmarts or Walgreens. Best medicine for killing pinworms. I tried every home remedy and nothing beats Pinworm medication.

      Added:
      Reply
  5. madi

    its me again i think one burrowed into my clitoris what do i docause i saw 2 white bumps i was able to get the one out and its very tender

    Added:
    Reply
  6. madi

    hi im a 15 year old i just found alot of pinworms in my anus. i am very worried because i think their is a chance i could have injested some. i will give u more info if you email me. the inching is very very bad what should i do

    Added:
    Reply
  7. Ryan

    Hi, I’m 17 years old and I got pinworms about 4 years ago so I went through the hard process of telling my mum. I got medication and everything seemed fine until a few weeks later I noticed them again. I decided to go through it again.telling my mum.getting medication.waiting. but about a month and a half later they were there AGAIN. Since then I have left to live there as they go for about 1 and half months then they come back for a week. I just need any help I can get.
    Thanks

    Added:
    Reply
  8. Alyssa

    Im 16 year old and i have pinworms im embarrassed to tell my mom can i treat it on my own? Also does my boyfriend need medication then if i have them?

    Added:
    Reply
    • Hi Alyssa,

      I know it’s embarrassing, but you really need treatment. Telling your mom is the best course of action.

      If you’ve been intimate with your boyfriend, he should be treated as well. It’s not unusual for infected people to pass pinworms back-and-forth unless they are all treated at the same time.

      Hope that helps.
      @MsGreene

      Added:
      Reply
      • Lynn

        Hello, my 10 year old son had them 2 weeks ago & was given albenza. I cleaned the whole house & bought sun flower seeds & pumpkin seeds. I also have him drink apple cider & water 2 times a day. I put lots of garlic in his food, bought garlic pills, probotics, grapeseed extract & so far he’s had no reoccurring symptoms. He takes his second dose of albenza on Wednesday. They can be cured but you have to maintain a high protein diet & cut down your sugar intake. Hope this helps.

        Added:
        Reply
        • Thanks so much! Please let us know how it goes.

          Added:
          Reply
        • Stephanie

          Just wondering how it went for your son ? I’m reading all these horror stories about people being reinfected and having it all there life. I’m very nervous !

          Added:
          Reply
        • mimi

          Hi there, I am curious…. U may be helping with your sons diet there which is food because less sugar = less worms but some other things u may want to consider is hygiene:change bed sheets daily,regular washing things like that and also make sure that if he/she scratches her anus they wash their hands after because the worms and worm eggs will become trapped in their nails ): Hope all gets better for u kid because I am 14 and I have been going through a lot of suffereing since I was about 8/10 so ik how it feels

          Added:
          Reply
        • Mel

          Hi lynn, this was really helpful. My 10 year old son had it as well. Was your son super itchy? We can’t get any sleep around here.

          Added:
          Reply
  9. J

    I’m 16 years of age and I have pinworms I’m not to sure how long I’ve had them I thought nothing of it until I searched it up and I knew I had pinworms, i know I should be scared and worried but I am I’ve never had them before I’m starting to really freak out, i haven’t told my mum yet cause I’m really ashamed and scared and embarrassed :/ I don’t know what to do? Should I tell my mum? Is there a way that I can get rid of these nasty little thing cause I’m really really freaking out here please help?

    Added:
    Reply
    • Dear J,

      You absolutely should tell your mum. Treatment is pretty easy, but you’ll need her help. Together you can work on making sure all your bedding is cleaned properly, etc.

      I know how embarrassing this feels, but doctors see this all the time and don’t think twice. It’s very common and NOT a sign that you did anything wrong or unsanitary.

      Hope that helps,
      @MsGreene
      Co-founder and Executive Producer, DrGreene.com and mum

      Added:
      Reply
      • Jasmine

        thank you so much.

        but is the treatment 100% sure cause I feel so ashamed I don’t feel comfortable with my own body anymore realising what I have it’s disgusting , i have a boyfriend and I’ve read that he could possibly catch it and I really don’t wanna tell him about it it’s really embarrassing but all I want is for it to go away 😔

        Added:
        Reply
        • Hey Jasmine,

          If you don’t get treated, pinworms will not go away on their own. Treatment is really the only course of action at this point.

          If you’ve been intimate with your boyfriend, he needs to be treated, too. Even if you’re physically close, he needs to be treated.

          Not pleasant, but the alternative is worse.

          Hope that helps,
          @MsGreene

          Added:
          Reply
          • Jasmine

            how long after the treatment will it work? Like how long does it take this work? Because i read somewhere that it doesn’t kill them and that they come back within a week :/

            Added:
          • Read the label on the medicine you are taking. Some medicines require multiple treatments.

            Added:
  10. Ashley

    My family got pinworms about 6 weeks ago and we were devastated! We believe it was contracted by our 1 year old and then moved along to me and dad. Even though this is a very upsetting occurrence, it is important to remember that if you follow hygienic measures and medicate yourself they will be gone in no time. It is also VERY important not to get lost down the Google rabbit hole because it will make you feel hopeless and like you’ll have them forever, which is not the case.
    We took over the counter Reese’s pinworm medicine (1 dose then another two weeks later). We also cleaned the house top to bottom, cleaned all laundry and linens (even if they weren’t ‘dirty’) everyday in hot water and hot dryer setting, vacuumed and steam mopped every day for the first 2.5 weeks, changed and washed bed linens everyday for 3 weeks, never reuse towels/hand towels, and we still aren’t wearing clothes 2x (we are washing daily but probably don’t still need to be doing so). We wore gloves and masks when handling the initial laundry/cleaning because you can inhale the eggs and reinfect yourself. We also wore gloves and masks for 3 weeks when changing our sons diaper and they immediately were wrapped up and put in the garbage outside. Finally, and the most important, is the hand hygiene. We wash our hands constantly and our sons hands too! Especially after going to the bathroom, changing not diapers, preparing food, and before eating. This is the best method in preventing reinfection.
    I hope this helps! Believe me, I was traumatized but you can do it! It is beatable, you just have to be diligent!

    Added:
    Reply
  11. Sarah

    My 6 month yr old baby had what I thought was a pinworm in his stool. Would it be safe to treat him? He sleeps with me, wearing a diaper, onsie over that, & I’ve been putting 2 pairs of pants on to contain any eggs. Would that help do you think? Should I treat myself just in case? Is it safe to breast feed him still after treatment? Thanks! Worried for my lil guy.

    Added:
    Reply
  12. Katie

    After treatment when will the adults die?

    Added:
    Reply
  13. liz

    I’m 14 years old and I’ve heard that pinworms aren’t likely to I guess get when you’re older but for the past few weeks I’ve been feeling ticklyish feelings around my anus and vulva. I don’t know if it’s pinworms or not but I’m also getting acne around my anus. I’m scared and I’m embarrassed to let my mom know. Also if I take medication for pinworms will the pinworms come out alive in bowel movements? Thank you.

    Added:
    Reply
    • Hi Liz,

      I know this is embarrassing, but you really don’t need to suffer with this. A pediatrician or gynecologist should examine you and provide treatment. It won’t likely go away without treatment, so sooner is better than waiting.

      Hope that helps,
      @MsGreene

      Added:
      Reply
    • Gloria Rose

      My son and I ended up with pinworms. We are not sure how we both got it or which one of us had it first, it we saw our doctor and he gave us a chewable tablet (vermox) he said one tablet will kill all adult worms but another tablet must be taken 2weeks later for it to have a better effect.

      It was embarrassing to go to he doctor and say anything but I was direct. THere is nothing to be ashamed about. Tell your mom so she can take you to the doctors. The doc will advise you on what to do.

      Now it’s been 2 weeks and I haven’t found worms in my poo yet but my son still has them. When you take the tablet which tastes like Orange Crush pop, they will die within the next day or so. When they come out in your poop after the tablet usually they are dead. After the tablets on the second dose you go see a doctor about 5 days later. We haven’t hit the 5 day mark yet so I’m not sure how the rest of it goes but be sure to talk to your mom.

      It may be embarrassing but your mom would understand and support you through it all. I wish you luck and I hope it’s not the worms. Your bum gets itchy before and after treatment. Don’t scratch! lol

      Added:
      Reply
  14. Lana

    Please try or at least read about food grade diatomaceous earth. It’s natural and supposedly kills all parasites within one week.

    Added:
    Reply
  15. Jjg

    Im a little worried. I’ve had these for a few years straight and I’ve been too scared to say anything because im terrified of the doctor. But now I’m really worried because I’ve been looking up stuff about this. Is there anything I can do without making a huge deal out of it?

    Added:
    Reply
    • Jade

      Yes, you can go to a grocery store or pharmacy and buy a medicine that is called Pinworm medicine. You will find it next to the laxatives. Take one single dose. Easy peasy.

      Added:
      Reply
      • Barbara

        No one carries this medicine anymore. What are we supposed to do?

        Added:
        Reply
        • Djones

          Ebay and amazon sells them.

          Added:
          Reply
        • Dee

          Walgreens sells it.

          Added:
          Reply
  16. C

    Has anyone tried Humaworm herbal formula? Just curious.
    My daughter,7, has gotten pinworms 3 times this year! I’ve given her albendezol (spelling?) each time to the correct dosage and timing. I don’t believe the meds are working. She had a paddle test and no pearly eggs were seen. But again, she felt the wiggle and when I checked, there it was, the pinworm wiggling its way out.
    So now I’m going to try Humaworm. I hate dosing my daughter with meds. Even though th pediatrician said it’s harmless.

    Dr Greene, did any of your own children have pinworms, and if so what was your experience?

    Added:
    Reply
  17. C

    Has anyone tried Hunaworm herbal formula? Just curious.

    Added:
    Reply
  18. Sarah

    My 8 year old daughter had pinworms 3 months ago, my pediatrician gave all three of my children a dose of stromectol ( ivermectin) and told me adults don’t usually get it. My husband and I had no symptoms but as a precaution took some of the OTC pinworm meds. Fast forward 3 months and I wake up witha wiggling sensation and am actually able to grab the worm and it’s wiggling, I went immediately to the 24 hour pharmacy and bought the OTC meds (pyrantel ) I treated the whole house in ten morning. We’ve washed sheets, vacuumed, steamed tile floors, incessantly clean bathrooms and wash hands. The I called my Dr and asked for a dose of some stromectol for me as well which they prescribed for both me and husband. Kids / husband – no symptoms. I have also repeated the OTC meds after one week and have drank diatomaceous earth for last 2 nights, and I’m still being woken by tickling /wiggling feeling in my anus, when I check it I can’t see anything, no lint or anything, so I get inthe shower and wash my bottom with as hot of water as I can stand , change undies and go back to bed. Is it even Possible that I could still have adults worms giving me the symptom, is it irritation from eggs, wouldn’t they be washed off? Please help , not sleeping, going mad, and my husband thinks I’m over the top, he’s not the one being woken every night by this mess. Please help.

    Added:
    Reply
    • Al

      My mother had success with putting salt on the itchy area when I was a child. Also adults could use garlic suppository.

      Added:
      Reply
  19. Maria

    I have pinworms and so does my 7 yr old grandson. I treated myself and him, according to protocol. We get rid of them then a few months later get reinfected. He lives with his grandfather (stays with me on weekends). The problem is that his grandfather has never heard of them and says I’m neurotic when I try to educate him on what’s going on. He says he’s not going to clean everything and wash all the bedding, etc. “All the time”. I suspect that he also has them since our grandson has a hard time sleeping alone (since his parents left him). What can I do? He is wetting the bed and itching all the time. He does wash his hands & uses his own bathroom, that I go over and clean. I read that pinworms can cause poor concentration in kids. Is this true? And I’ve had a lot of weight loss during this last year we’ve been battling this. Is the wt. loss dangerous? I’m concerned since his grandfather won’t co operate with eradicating this problem, if my grandson will develop learning impairment or any serious health problems. Also, I read that the eggs can get into food like bags of chips, etc. How long can the eggs survive there and can they mature into worms in a bag of chips?

    Added:
    Reply
    • elma

      I have them. Can they kill you?

      Added:
      Reply
      • liz

        of course not! they’re harmless, a little itchy though

        Added:
        Reply
  20. Kevin Harrison

    hey Dr. your site have been informative. I am so worried about my 5 Y.O. who is infected. sometimes there are like 15 worms crawling from her anus at once, so let me ask. how many pin worms are hatcced from one egg? i am awating your e-mail.

    Added:
    Reply
    • Pinworm Lifecycle — “The estimations of the number of eggs in a gravid female pinworm range from about 11,000 to 16,000. The egg-laying process begins about five weeks after initial ingestion of pinworm eggs by the human host. The gravid female pinworms migrate through the colon towards the rectum at a rate of 12 to 14 cm per hour. They emerge from the anus, and while moving on the skin near the anus, the female pinworms deposit eggs … After depositing the eggs, the female becomes opaque and dies. The reason the female emerges from the anus is to obtain the oxygen necessary for the maturation of the eggs.”

      Added:
      Reply
    • Brandi

      They can lay up to 10,000 eggs in one night. That’s just one female worm after that female lays the 10,000 eggs the female does indeed die. Thought that would help. Garlic helps get rid of them too.

      Added:
      Reply
  21. Olevia

    What’s is the cut off age for albenza? Is a 6 month old okay to take albenza? II read that if the child is less than 10kg do 200mg, but then other sites say don’t use in less than one year old why?

    Added:
    Reply
  22. Blue Camels

    I HAVE to call “bullshit” on the whole “pin worms exit when you are sleeping thing”.

    How do they KNOW when you are sleeping?? Most sites say the same thing but NEVER explain how that is possible. Pin worms are not intelligent creatures… so how do they KNOW when the person is sleeping??? I’m calling this as an “old wives tale” unless someone has a scientific reason to back it up.

    Added:
    Reply
      • :/

        My guess would be that since children are so active, the worms wait until they’ve been still a while.

        Added:
        Reply
    • Julie

      They come out when it’s dark

      Added:
      Reply
    • Stephanie

      Why does a salmon swim upstream to their exact place of hatching from being in the ocean all their adult life to spawn eggs? Why are sea horses monogamous? The answer: instinct/nature! When you are laying down at night your body is the most calm and still, at times you are in REM sleep which is when your body is completely paralyzed; this is probably the easiest time for egg laying to occur on the anus. Although laying eggs do occur in the daytime it is not as frequent as night.

      Added:
      Reply
    • Mamaof3

      My son is in his second round of pin worms in less then a year and we always see them in the light during the day or early evening, so I think it’s a matter of seeing them by chance not by time of day!

      Added:
      Reply
    • Common Sense

      Before you call bullshit on this one…Have you ever heard of instinct? Have you every thought why jellyfish know how to move to certain sea temps to reproduce? Or Sea Cucumbers know where to get their food? Or lets take the PinWorm as an example? How does it know the best place to live and reproduce is in you Colon? INSTINCT…So those old wives, full of common sense, knew what instinct is and was. It may sound outlandish, but this earth is full of amazing and intelligent things…even ones that live right up our children’s butt.
      And chicken of the sea? It’s tuna!

      Added:
      Reply
    • Olivia

      I do not think they are inntelligent but I think that when the person is sleeping, it has a perfect time for when the human being is still to just, discustingly crawl out

      Added:
      Reply
    • BG

      Why did you capitalize so many words, it doesn’t emphasize anything.

      Perhaps rather than over reacting and suggesting a physician is lying you could have a little look or, use some common sense?

      The room’s CO2 level is greater, the temperature at the anus/butt area is greater as it is usually cover and these factors encourage their movement.

      Added:
      Reply
    • Sandie

      Some animals, and insects are nocturnal, some are active in the daytime, or most active (mosquitoes) at dawn and dusk. Pinworms don’t know when you are asleep, but they know when it is nighttime , which is when they become active. It’s just coincidence if you happen to be asleep at that time.

      Added:
      Reply
    • Momoftwo

      Simple, they are nocturnal creatures…just like other animals that sleep during the day and come out at night. Since they have evolved with humans, they inherently know the best time to emerge and transmit their eggs.

      Added:
      Reply
    • beans

      I’m 28″.. I have them a lot as a kid and they always came out at night. Now I have a son who is 7 and has had them like every other month for the past year n I check him all hours of the day an nothing. Soon as ten p.m comes around he calls me when he feels something I check n they are there. I have a very clean house due to ocd and he keeps getting them now I have them for the first time in over 17 years n tjeu def creep out at night. I just don’t know what to do.

      Added:
      Reply
    • Annie

      Your body temperature lowers when you are asleep and they can detect that. Presumably by a process of natural selection, those worms that didn’t wait until the host was asleep were more likely to be scratched away before they had time to lay their eggs. It’s not to do with the worms ‘knowing’ the host is actually sleeping, it’s to do with the drop in temperature, which generally does indicate sleep ( but could be at other times also, sitting still on the couch, cooling down after exercise for example).

      Added:
      Reply
    • Shelly

      They come out when you’re “relaxed” which is most often when you’re sleeping.

      Added:
      Reply
    • Dr. Mumund

      They have a nocturnal instinct to come out.

      Added:
      Reply
  23. sally

    My 6 year old has had pin worms on and off every 3-6 months for the last year!!! I’ve been cleaning everything I can get my hands on. We were gone for 3 weeks this summer and hoped all the eggs would have died during that time. Was this wishful thinking? What do I need to do to eradicate this from our home???

    Added:
    Reply
  24. sally

    My 6 year old has had pin worms on and off every 3-6 months for the last year!!! I’ve been cleaning everything I can get my hands on. We were gone for 3 weeks this summer and hoped all the eggs would have died during that time. Was this wishful thinking? What do I need to do to eradicate this from our home???

    Added:
    Reply
  25. Help!

    Hi, I have had worms multiple times before, I have gone to the doctors about it and they have given me medicine. I am 12 and my mum knows. I am really worried because I seem to have the medicine and then in about 2-3-4 months it comes back again. It’s starting to get really annoying and I am cleaning everything like a freak

    Thank you :)

    Added:
    Reply
  26. Marissa

    I have a concern
    I have twin boys that are 2 and sometimes I use cloth diapers on them. It’s been a few days since I’ve washed their diapers. So today as I was washing their diapers I noticed a bunch of small white worms in the stool. I’ve never seen any worms in their poop as I’m changing their diaper. This has happened once before. I would like to know if I should be concerned or not. I don’t want to treat them if they don’t have anything.

    Added:
    Reply
    • Sam

      That’s most likely pinworms

      Added:
      Reply
  27. Hay

    My doctor suspected my daughter had pinworms..I was horrified because I had them when I was 11 or 12. So we treated her and her itching went away then I began to itch looked in the mirror and see the white string thing but it wasnt moving but I treated myself with Reese pinworms medicine. It did not help so then I went to the doctor and was prescribed albenza. I have already taken my 2 week doses and I am still itchy from time to time mainly during the day. I do have an external hemorroid and am wondering if that’s possible that that’s what’s causing my itching/wiggling feeling. I have noticed the itching is worse when I’m in the hot weather being active. But every now and then at night I itch. I am worried because I have been cleaning my house daily! Bleaching my bathrooms, vacuum daily, clean countertops, light switches, door knobs daily. Clean my sheets every 2 days. Wash my hands like an OCD person. I don’t know what more I could do. And when I feel that sensation I go look but I don’t see anything! I’m praying I am rid of them and it’s just my hemorroid causing problems because this is all I think about all day every day. It’s driving me crazy. Would it be ok to follow up with one more treatment of albenza?

    Added:
    Reply
    • JJ

      The above story could have been written by me!! I also have an external hemorrhoid and it has NEVER
      itched before. I am going CRAZY with this thing! Like the above comment, I have been cleaning like a MAD WOMAN!

      Added:
      Reply
  28. Andrew

    HI I have had this anal itching for a long time and did not know if it was naturall so i didnt say anything, it been maybe over a year and im 15 now what should i do

    Added:
    Reply
  29. Monica

    Hello, my name is Monica and I’m 15 years old. For quite a while, I’ve seen thin, white things in my stool but I have never seen anything move. My butt, is never really itchy. I get the occassional itch but nothing major. I just have a tendency to scratch there for some reason. My stool is slightly mushy. Not like diarrhea or anything but close. I don’t know what this is and I’m slightly freaked out. I’m not afraid to tell my mother but I’m worried about what doctors may do. Any idea what this may be? Is it worms?

    Added:
    Reply
    • I can’t tell you what it is, but your doctor will likely ask you for a stool sample so he or she can make that determination. I know that sounds difficult, but your doctor will provide a stool collection kit and explain how it’s done. It will be worth it to figure it out and get it taken care of.

      Added:
      Reply
  30. Erin

    Hi Dr.Greene,

    Just last night I started to feel some itching in my anal region, and discovered I had a pinworm infestation. I took the appropriate measures and bought Reese’s for myself, my housemates, and my boyfriend (not a fun conversation). I’ve taken the first dose of medication, and plan to cut processed carbs and sugars out of my diet for the next two weeks to try to eliminate the problem. I’ve replaced all my bedding and towels, and wiped down my entire bedroom. I feel I’ve done everything I can. However, I keep reading horror stories from people who’ve been suffering from recurring pinworms for months and sometimes even years, who claim to have taken the same steps. How common is reinfestation? I’m aware of the pinworm life cycle, and curious if I could take a third dose 2 weeks after my second just to be sure the problem is eliminated. Please let me know, as I’m not sure I can undergo the humiliation/financial burden of having to medicate all my loved ones again!

    Added:
    Reply
  31. Jay

    Hello Dr Greene, and all dealing with this apparently very common, embarassing, and frankly disgusting problem,

    My 4 Yr. old grand niece was recently diagnosed with pinworms. Both her mother, her and I live in the same apartment. And we all have had signs/symptoms of pinworms. We have all been treating with ALBENZA. 7th day now after 2 pills for them both, and 5th day after 2 pills for me. With a 2nd dose ready for all after 14 days. Also been bagging clothes daily, cleaning everything, showering daily and washing hands like ALL THE TIME!

    We ALL STILL HAVE ACTIVE ADULT SIGNS.

    MAIN QUESTION IS: Does Albenza continuously..actively kill Adult Pinworms for a FULL 14 DAYS?? Or does it work only for the first day after treatment starts?

    Please let me know, as i can’t get the info for this anywhere. And Dr./nurse don’t readily know the answer??

    Thank you, and good luck to all that are dealing with this problem! I feel for you all!

    Jay

    Added:
    Reply
  32. HCO

    Question – I was diagnosed 5 days ago with pinworms (I believe I caught them from a friend’s child that I was playing with about 2 weeks ago). Took the first round of Albenza (2 pills), which seemed to have worked temporarily. First few days was WAY better but yesterday and last night were back to the same itchy, sleeplessness. I called the pharmacist at 3:00 a.m. this morning and she said to go ahead and take the second dose of Albenza (which I promptly did!). Note that I took the second Albenza dose only 5 days in to the 2-week routine. I am wondering if it’s alright to take Albenza every FOUR DAYS just so that I can “stay ahead of the game” and make sure to eradicate all worms and eggs and larvae and anything else that they morph in to. Husband’s doctor had him do a precautionary round of Ivermectin, and we moved him to the guest room on Day One. There are no children in our house. I’ve been very stringent about cleaning, showering 2x a day, handwashing many many times, and laundering every item of clothing or towels in hot water as soon as it has been worn or used. Anyway, can I take that much Albenza? If my dr. won’t prescribe me some, I’m about to do an overload dose on OTC Pin-X (thank you, Amazon). Please help. There seems to be so much misinformation out there. There are so many desperate people suffering from this loathsome parasite. I don’t want to infect my husband and yet I don’t want him to live in the guest room for months. Please. Help. Thank you.

    Added:
    Reply
    • becca ann jordan

      hi i am dealing with the same i am doing all the right stuff and been treated but last night started again did you get rid of yours

      Added:
      Reply
  33. Mary

    My daughter (3) got pinworms. She took the first dose of Albenza (400mg) on 7/18. I am still seeing live pinworms is that normal? Should I give her Reese pinworm OTC medicine?

    Added:
    Reply
  34. Help!!!

    I am a twelve year old girl, I just figured out I have pin worms. I keeps me up at night, I can’t get any sleep and I feel like it is ruining my life!!! I want to tell my mom, but telling her will be the hardest part, how do I tell her? Plus, everything I tell her goes straight to my dad. It is embarrassing, plus it hurts me knowing my mom can’t keep a secret, even when she says she can. I am always up in the middle of the night crying. I don’t know what to do, I hate myself for it. I never knew I could be so insecure. It is getting worse. Please tell me a way I could tell my mom, and deal with pin worms. And maybe some advice on dealing with my insecurity and my mom not being able to keep a secret. As a teenage girl, with all of this pin worm, family and insecurity stuff, plus going into Jr. High (worrying about puberty) this is really scaring me. Please someone help me. I am scared.

    Added:
    Reply
    • Barbra

      Talk to your mom, she will want to help you. Don’t be embarrassed, would you be embarrassed if you had the flu? You didn’t do anything wrong and parents are there to make sure your needs are met.

      Added:
      Reply
    • Kiara

      I’m a 15 year old girl, and I’ve had pinworms. You should tell your mom immediately so you can get treated! I was so nervous when I told my mom, but she took it well and just told me to shower and make sure I put on clean underwear and shorts. I also trimmed my nails (since they’re naturally long) and made sure to wash my hands and try not to touch my butt or vagina at all unless necessary. I also washed my sheets, and my mom took me to the doctor’s. When I was there, all they did was look at my butt (I was scared at first, but it really wasn’t that bad) to see if you they could see any, then just prescribed m medicine, and my problem was gone within a few days! Though it’s been less than a year, and I found a dead one around my butt earlier. I assume that I might be getting them again, so I’m telling my mom first thing tomorrow. Pinworms are the worst, and I don’t want to go through that hell again.

      So, it is best to tell your mom right away.

      Added:
      Reply
      • Thanks for the great words of wisdom. It sounds like this is how most parents would handle pinworms, but it’s great to hear about it first hand.

        Added:
        Reply
    • Dana

      Sweetheart, please tell your mom right away. It broke my heart to know that you’re so scared. Your mom won’t think any differently of you and she’ll be able to help you. She loves you and she will know right away how scared you are.

      Added:
      Reply
    • Maria

      Honey, I t ruely understand your worry about telling your mom. I’m sure your mom loves you and will help you. She tells your dad everything because he loves you, too. But i know, first hand, not everyone (including adults) are sensitive or discrete. My mom used to make jokes about everything and blab my personal issues to her friends & my brothers (who teased me constantly). I also grew up insecure. Do you have an aunt, or grandma you feel more comfortable with? Or even a school counselor or nurse? Think about the female adults that you may feel are sensitive, like you. If so, maybe she can talk to your mom with you, to help your mom see that you are a more sensitive girl than she is. You have to tell your mom. But it’s ok to have an aunt or grandma as your personal confidant. Just NEVER a stranger. I’m a grandma who got pinworms frm my grandson. Good luck.

      Added:
      Reply
  35. Jake

    So I took 400mg of Albenza two day ago and although I am feeling the wriggling and scratching to a lesser extent, I still feel them. How long do you estimate for the first group of pinworms to go away after this medication, and thanks in advance Doctor

    Added:
    Reply
    • Kerry F.Figuried

      Then tell me how the Canada goose goes North and South knowing where to go every year. Why does the South American Eeel when put in a Country far far from where he was hatched and yet travel right back to its birthplace. How about the Racing homing pigeons. I took them from my home when never away from their birthplace and let them go over 100 miles and what the Hawks didn’t catch come home back to their home perch. Amazing isn’t it? How glorious is my God.

      You can go with the home Remedies but the nasty little critters will be back. Go to your Pharmacy and over the counter you will find a generic wormer called Pinworm Medicine. For Adults take 3 teaspoons but for children 12 and under only one teaspoon then wait two weeks if they still annoy you. Go back and take it one more time. This should kill most of them and hopefully they will disappear.

      I did Home Remedies with Blackwalnut and Wormwood and this is a gross tasting remedy plus I took Turpentine for a couple of weeks. Results are only temporary. Go to your Dr. My Dr. Told me to get The generic medicine and its working but O saw one again after two weeks and took that one teaspoon.will check it out again. For a week or so. I have an appointment to see the doctor this week. Well we will see.

      Added:
      Reply
  36. maxx

    Do they cause weight loss and dark circles under the eyes and a skinny physique? Because I have treated them 4 to 5 times, but still they keep coming back :( Please help me.

    Added:
    Reply
  37. Estelle Clifton

    I am looking for suggestions on medications for vaginal pinworm. Vermox is oral so would an antibiotic like Bactrim assist in killing a vaginal colony. I do not want to have my household take poison (Vermox) and then just hope my vaginal pinworms go away naturally.

    Added:
    Reply
  38. Anonymous

    I am 17 years old and my question is; is it normal for someone my age to have pinworms?

    Added:
    Reply
  39. anon

    Okay so me and my boyfriend have pinworms. He checked my anus and only saw like 2-3 and when i checked his i saw like 10. Can he have been the carrier? And also, how do I stop the itching just so I can go to sleep? I have had it three times and mine really itches and he said he has had light itching, but he had so many of them, why does mine itch more?

    Added:
    Reply
  40. katie

    Yesterday my daughter said she seen a little skinny white worm in her stool of course I freaked because I’ve seen this befor but I also have a dog so I checked my dogs stool there was a little white worm I now understand dogs can’t get pinworms so any ideah what this is… my dog and daughter sleep together… well did not now…. plz help

    Added:
    Reply
    • Rose

      Sound like your dog has tapeworms from fleas. He needs frontline or Nextguard monthly and drontal from your vet to kill his worms. Your daughters most likely have pinworms.

      Added:
      Reply
  41. Rim

    I have my daughter (6 Years) She is suffering from Pinworm. Diagnosed after my wife and I picked a worm to drs and did the lab analysis. Actually every 2 months (after 2 courses of Vermox interval 15 days) she gets back the worm in the vulva. I believe she had Pinworm in vagina and that Vermox won’t help! How to confirm diagnosis and how to treat? (she complains of itching on these nights)

    Added:
    Reply
  42. kiarrah

    I’m twelve and have pinworms they are so uncomfortable

    Added:
    Reply
  43. Kelly

    And if I did give her already when there were no worms. Because I don’t any any worms. Would that medicine hurt my child’s health? Like liver and other? I am very concerned and please me give your advice :(. Thank you so much Dr.

    Added:
    Reply
  44. Kelly

    Dr prescribed one dose 200 ml albenza for my toddler 18 month old and 19 pound. Is it safe for my children? I was reading it says they don’t usually give children under 2 years old.

    Added:
    Reply
  45. Lauren

    I am an 11 year old girl and I’ve had pinworms twice. I got medication for it the first time and had leftover for the second time. Now I have new pinworms and no more medication. I don’t want to tell my mom again because then another doctors appointment or something. And then we will use MORE money on medication. I have a few questions. Do they just go away automatically? If so how long will it take? And why am I getting pinworms over and over again?! I don’t touch my anus or vaginal area! I also wash my hands and trim my nails! Please help!

    Added:
    Reply
    • Lauren, you sound like a very thoughtful and responsible girl. In the US, the over-the-counter medicine Pyrantel pamoate (which comes in brand names like Pamix, Pin-X, or Reeses Pinworm Medicine) is the most frequently used pinworm remedy because it is cheap and available without a prescription and works almost all the time, if two doses are given two weeks apart.

      Even with effective treatment, getting reinfected is very common. Treating the whole household at the same time can help prevent this. This is also a good time to wash all the bedding. (The hand washing and trimming of the nails you are already doing also helps).

      Without treatment, the adult pinworms live about 2 or 3 months. It’s possible for this to go away on its own. On the other hand, because each adult female worm can produce 10,000 or so eggs, pinworms can keep going and going unless treated.

      There are other things that can cause anal itching besides pinworms, so it’s best to not ignore a recurring problem.

      Added:
      Reply
  46. Cynthia

    I dont know if i have pinworms… Im scared to tell my mom… (Just letting you know im a girl…) i found out today and im scared

    Added:
    Reply
    • Cynthia

      I really freaked out someone please help me

      Added:
      Reply
    • I know pinworms seem pretty gross and scary, but the good news is, they can be easily treated with a prescription from a doctor. Telling your mom will likely be the hardest part, but you need to talk to her to get help. If it feels too hard to say, write it down and give her the note. Try something like this, “Mom, I’m scared. I think I might have pinworms. I think I need to go to the doctor. I know I didn’t do anything wrong to get them, but it feels scary to me. That’s why I’m writing this note. Please help.”

      Added:
      Reply
      • debbie

        sometimes if they scratch a lot they can get a yeast infection also.

        Added:
        Reply
  47. not saying

    Im 11 years old and I found out I have pinworms, but I’m too embarrassed to tell my parents. I’ve hinted once saying my but was itchy and stayed up trying to get it not itchy, but the topic has never come up. What should I do?

    Added:
    Reply
    • I totally understand that this feels embarrassing, but pinworms are pretty common. You do need your parent’s help to deal with the issue. I suggest you pull your mom or dad aside and tell them what’s up. Simply say, “I’m embarrassed and I need your help. I think I have pinworms and I need to see a doctor.”

      Added:
      Reply
  48. Maya

    So I know I have pinworms, I have seen the little white wiggling threads and it itches like crazy. I’m 16, I’m wondering first of all if its normal for someone my age to get this. I was also wondering if I can pick up the medication over the counter instead of going to my doctor. I am hygienic so I was wondering how I got this? I work with kids?

    Added:
    Reply
    • Crystal

      Hi Maya, Working with the kids is the culprit. Many of the kids carry them and it takes some time for them to show symptoms but it’s hard to stay rid of them when working with kids. Good luck.

      Added:
      Reply
  49. Kristen

    My 2 yo has just been diagnosed with pinworms. I have a 5 yo in kindergarten. The eldest has, in the past, complained of itchiness around the anal area, but I did the middle of the night check and nothing. Now that the 2 to has a confirmed case I assume the eldest does too and we just didn’t see them yet.

    My question is should I notify my kindergarteners school? They will usually send home notes of notification when a child has come to school with a confirmed contagious illness like influenza, strep, or lice. And then maybe signs to look for.

    I feel like as a parent information is power, but not sure if classmates should be concerned. Sounds passable enough to be alarming to her classmates moms to me.

    Thanks for the information, when I found out I felt like I didn’t keep my child clean despite being an obsessive hand washer and sheet changer. But this makes me feel more at ease that those are helpful practices, but it’s no guarantee we will avoid this icky situation.

    Added:
    Reply
    • Hi Kristen,

      As a mom, I think it would be great to inform your five year olds’ kindergarten teacher or the school nurse. The school no doubt has a policy about pinworms because they are common. She or he will know what to do from there.

      Hope that helps!
      MsGreene

      Added:
      Reply
  50. Barb

    What does it mean my “my comment is awaiting moderation”?

    Added:
    Reply
    • Hi Barb,

      That’s a great question. It means your comment is waiting for a live person to read it to make sure it’s not Spam. Once that has been determined, your comment will be posted to the site and anyone can respond.

      I just read your previous comment. I’m so sorry for what you’re going through. Hope others with real life experience can chime in and help.

      Added:
      Reply
  51. Barb

    My sister and roommate have pinworms and live in a house I am responsible for. They say they are airborne, on the floor in the vacuum, everywhere!!!

    How long could it take for the last possible egg to die?

    Will the house ever be clean of pinworms?

    Does bleach, hot steam, or something else kill worms & eggs?
    Could fly tape catch airborne eggs? Are worms airborne?

    They’ve gone to a motel! Will they contaminate the room???!!!
    If so how would the motel cure infestation?

    Help!! Is there a cleaning protocol for the house & linens, clothes? What else could possibly need heavy cleaning besides the bathroom?

    They stayed three nights at another house. Is that house infected?

    My sister asked for $498.00 for three or four doses of a medicine she called “a poison”. Is that for real? Are there other meds. that cost less and just as effective?

    anything else to know? I haven’t found anywhere that give the really big picture of cleaning the environment to abate the numerous cycles of the pinworms life. Thank you for you help.

    Added:
    Reply
  52. Anon

    I am 17 year old girl and have had pin worms before and was treated with over the counter medication, but they have come back. The medication I took before was two tablets one to be taken at the beginning of the month and one at the end of the month. Do I need to go to my GP or can I just get over the counter medication again and shower morning and night to wash the eggs away? So basically my question is: Do I need to go see my GP? Also, does having pin worms cause white discharge in the female area?

    Added:
    Reply
  53. jacob

    PLEASE READ WHOLE PAGE!!!! I had pin worms for a very long time…..yet i couldn’t find a way to get rid of the, till i found this out, so has anyone out there eaten to muvh spicy food at once, then when you go to the bathroom it burns like heck….well one day i was at school, at lunch we have salads…so i got a salad with LOTS of jalapeno pepper slices on it ( i really like spicy foods )….and the next day when i went to the bathroom…yes it burnt like hell, but its been 2 months since i’ve had problems with the pin worms…..please consider trying….i hope this helps.☺

    Added:
    Reply
  54. rahul

    I m 22 yrs old male ,some time when I go for Bathroom at night along with the things white tiny worms comes out might be 20 to 30 at a time ….no blood came ever but today’s when I was cleaning blood came out hat a bit from the anal ….what should I do I m getting tensed …plz。help

    Added:
    Reply
    • jacob

      Lots of spicy foods…..when you use the bathroom it will burn the worms, and eggs..,trust me, it works,….good luck☺

      Added:
      Reply
  55. kgomotso

    Hi I’m a 22 year old female and struggled with pinworms as a toddler. I have a 3 year old daughter who was diagnosed and treated for pinworms last year. A few days ago when I was sleeping I could feel something tingling down there and when I looked I couldn’t believe but find a small thin white worm. I thought that maybe my daughter was reinfected but just last night when I was sitting I felt the same tingling sensation from my vagina and when I looked it was a small white pinworm. I freaked out and I still am. I’m so embarrassed what could this be and could it be serious?

    Added:
    Reply
    • Ashleu 123

      I have the same situation but my mum don’t believe me I’m 13 and im scared and upset that she don’t belevie me

      Added:
      Reply
      • Juan

        It’s just pinworms, they commonly migrate to the vagina, just tell your parents you’ve seen little white worms in your anus.

        Added:
        Reply
      • mina

        Make her take you to the doctor and maybe she’ll take them more seriously or show her the worms by doing the scoth tape test.

        Added:
        Reply
      • Camille

        Hey, I am 14, I recently found out I have pinworms, i told my mom she was freaking out because she’s never heard of it. We went to the doctor and he said that anyone can get and and all you need to do is get medicine, (over the counter is available) and they should die.

        Added:
        Reply
  56. Scoobs

    Today I used the bathroom and there were really tiny worm looking things in my poop. They were like smaller than 1/4 of an inch and blackish. There were over 30. I saw 2-4 move. I don’t get this. What’s wrong with me? I have no bleeding or nothing wrong with me. Only thing is I realized I lost some weight. I’m 17. And I never had this before and I’m getting worried. Please give me some answers.):

    Added:
    Reply
  57. Elizabeth widdop

    I have threadworm yet again. Maybe 4 to 5 times a year. I have a partner, a 7 year old girl and 4 month old girl. How will I know if the baby has them? And what treatment would I give her? Please can someone advise me?

    Added:
    Reply
    • Lauren

      If your baby has them you would see them in her feces. And just ask your 7 year old and partner if they have them.

      Added:
      Reply
      • kat

        So if I’m correct, I could get the meds by just going to a pharmacy? I’m really embarrassed, so I could just get it right? And how old would you have to be?

        Added:
        Reply
  58. alexis harper

    How do you get rid of pin worms if you can’t afford the treatment for you 3 year old daughter?

    Added:
    Reply
    • Camille

      You can buy the treatment for less than $20 at your local pharmacy or online. That would be enough to treat an entire family.

      Added:
      Reply
  59. Kelly

    Thank you for the informative article. My three year old son was recently prescribed Albenza after I discovered he had pin worms. He was treated 3 nights ago and still woke up last night crying and saying his “boo boo” hurt, which is how I had discovered that pinworms were the culprit. I plan on retreating him in two weeks, but should I be concerned that he was treated several days ago and is stillwwaking up crying? Will they not be completely killed until the second dose in 2 weeks?

    Added:
    Reply
    • J love

      Hi kelly…
      Did you ever find out the answer to your question…
      Recently found my son had them… he was treated 3 dayd ago…and bwm I found anither one today. Im thinking maybe the dose wasnt high enough.. I read 400 is recomended he was given 200… should I wait til the second dose…. please let me know how things turned out.

      Added:
      Reply
  60. Barbara Hogue

    I am 73 yrs old contacted pinworms 4 mo. ag, the medicine u suggested I have had they are back in 7 days, I sanitize everything, I live alone, why dod they keep coming back

    Added:
    Reply
    • Barbara Hogue

      I am 73 live alone with my little dog, I contacted pinworms about 4 mo. ago have been treated with Albenza and Mebendazole, they come back in 7 days, I sterilize all the time what is the problem

      Added:
      Reply
      • Ashleigh

        Treat your dog. It’s probably the culprit. And get some diatomaceous Earth and put it around the house. It’s great and so cheap.

        Added:
        Reply
        • SARAH

          No, actually, if you have a dog and they have pinworms, they wouldn’t be the problem, because animal and human pinworms are a different thing.

          Added:
          Reply
        • McKenzie

          Dogs can’t get pinworms, it is species specific meaning it is only found in humans. They are most likely coming back because the medicine only paralyzes the worms but doesn’t kill the eggs. I suggest taking 2 doses; once, and then another two weeks later.

          Added:
          Reply
          • Jamie

            Well, the original post is old, but I’ll respond anyway. I have read that the eggs can get caught up in an animal’s fur and continue the cycle that way (you somehow inhale the eggs or pet the animal and inadvertently bring your hand to your mouth/nose later). There must be a way to clean the fur to rid it of the eggs??

            Added:

Leave a comment

Your email address will not be published. Required fields are marked *