HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Thread Worm Infection

Hello. My family have been battling threadworm for 3 months now. In the last 2 months I havens seen any adult worms in any of us but lots of white flakes in our underwear, it looks like tonnes of dandruff. It s always worse at the end of the day rather than when we change in morning. We ve had lots of mebendazole but the dandruff like itchy stuff keeps coming out every day. We keep taking mebendazole every 12 days as I m worried it s newly hatched worms and they ll grow into adults. Am I right to keep medicating my family? We ve been to gp 3 times and we re told there s nothing they can do to help us. Did 1 test it came back negative for ova.
Wed, 19 Nov 2014
Report Abuse
Infectious Diseases Specialist,  's  Response
Hello,
Welcome to HCM,

The problem what you are presenting is because of the helemethic infection.
The thread worms are coming out because of the eggs which are hatched.

Usually the helementhic infection occurs around the anus and vagina, contamination or carrying infection from this area to oral cavity can cause the worms in the oral cavity.

Usually the worms will hatch during night time. These eggs can also hatch in gastrointestinal tract, skin, that could be the possible reason for the thread worms to be seen in the oral cavity and skin as soon as you get up in the morning time. Adhesive tape test can be done to confirm the diagnosis.

Mebendazole is the drug of choice in adults. It is given as a single oral dose, and is best repeated after 2 to 3 weeks in case re-infection has occurred.


Other possible drugs include albendazole and pyrantel pamoate. Consult a gastroenterologist for the opinion and needful since the infection has reoccurred.
Thank you.
I find this answer helpful
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Thread Worm Infection

Hello, Welcome to HCM, The problem what you are presenting is because of the helemethic infection. The thread worms are coming out because of the eggs which are hatched. Usually the helementhic infection occurs around the anus and vagina, contamination or carrying infection from this area to oral cavity can cause the worms in the oral cavity. Usually the worms will hatch during night time. These eggs can also hatch in gastrointestinal tract, skin, that could be the possible reason for the thread worms to be seen in the oral cavity and skin as soon as you get up in the morning time. Adhesive tape test can be done to confirm the diagnosis. Mebendazole is the drug of choice in adults. It is given as a single oral dose, and is best repeated after 2 to 3 weeks in case re-infection has occurred. Other possible drugs include albendazole and pyrantel pamoate. Consult a gastroenterologist for the opinion and needful since the infection has reoccurred. Thank you.