Patient's question:
I am 36 years old this year. Recently, I have been feeling unwell. During the day, I sometimes feel dizzy, and it has affected my work. I can't sleep at night, and the medicine I took doesn't seem to work well. What could be the reason for the itching in my baby's anus causing poor sleep at night?Doctor's answer:
Pinworms or nematodes. Adult worms are small, milky white, and resemble thread-like structures. Female worms often crawl out of the anus at night to lay eggs, irritating the local skin and causing anal itching. Patients may exhibit restlessness, insomnia, decreased appetite, nocturnal bruxism (teeth grinding), and weight loss. Infants and young children typically，. Chronic and recurrent infections can affect children's physical and mental health. Commonly used medications include albendazole and mebendazole, while thiabendazole also has some efficacy. Topical local medications can be thiabendazole ointment, applied around the anus and inside the rectum for one week. For those with anal itching, cleaning the perianal and perineal skin before bedtime and applying pinworm ointment for 10–20 days may be helpful.