Patient's question:
My daughter said her butt hurt last night, so I helped her. I rinsed it with clean water and found a small white bug, about 1.5 millimeters in size, at the vaginal opening.Doctor's answer:
After the child falls asleep at night, observe the skin folds around the anus for any small white thread-like worms.Treatment:
Oral albendazole is the first-line medication for treating pinworm infection. The dosage is 5 mg/kg, taken once at bedtime. Repeat the treatment after 2-3 weeks.
Local treatment:
Wash the perineum and anal area thoroughly before bed each night, then apply pinworm ointment locally to kill the worms and relieve itching.
Between 2 and 4 a.m., the worms in the stomach may crawl out of the anus.
After 3-4 months of medication, please check the stool again. If no eggs are found, the treatment is considered successful.
In daily life, keep the child's hands clean when eating, and avoid consuming unwashed fruits and vegetables.
Your child's poor appetite and frequent diarrhea may be related to this issue.
Sleeping in a fidgety position is just a habit and is unrelated to this problem. However, it's important to help the child break this sleep habit. Constant movement during sleep is not good for physical development.