At night, when sleeping and gritting your teeth to wake up early, does stomach pain mean there are roundworms inside?

Patient's question:

Hello, our 4-year-old child grinds his teeth at night, wakes up early, and has stomach pain. Could it be roundworms? How should it be treated?

Doctor's answer:

Mild ascariasis in children may not have obvious symptoms. Severe ascariasis may cause poor appetite or a preference for foreign objects. Their faces are yellow and thin. They experience abdominal pain around the umbilicus. Their abdomen is always soft. They may touch the soft abdomen or gather and disperse worms. They may also see worms vomit or pass worms in their stool, with dry and irregular bowel movements. Some children have pale white spots, blue spots on the sclera, grainy white spots on the lower lip, thin and greasy or peeled tongue, and a red tip on the tongue. The cause of this disease is that children swallow ascariasis eggs. The main route of infection is contaminated hands or unclean food.

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