What is Pinworm Infection?
Pinworm Infection is a small parasitic worm that affects the human colon. Parasite named latin Enterobius vermicularis has a white physique and glance looks like a white thread. This worm can be seen around the anus or in the stool of the patient.
Worms, which have an average body length of 5 to 13 millimeters, usually put their eggs on the skin folds around the anus at the time the patient is asleep.
Pinworm infection generally does not result in a serious medical condition. However, sometimes this worm will rise from the anal area to the vagina, uterus, fallopian tubes, and around the organs in the hips. If this happens, the patient will be exposed to several complications such as vaginal inflammation (vaginitis) and inflammation of the inner lining of the uterus (endometritis).
Symptoms of Pinworm Infection
Symptoms are something that is felt and told by the patient. People who are infected with pinworms often do not feel any symptoms or signs. However, a common symptom that is often felt by the sufferer is the itching around the anus and vagina at night. This itching is caused by the activity of pinworm when putting the eggs.
If pinworms have caused a severe infection, some of the following symptoms are usually felt by the patient:
- Loss of appetite.
- Difficulty sleeping or staying asleep (insomnia).
- Weight loss.
- Skin infections around the anus.
- Abdominal pain and nausea.
Causes of Pinworm Infection
Parasitic pinworms commonly infect a person after he or she swallows an egg from pinworms. In fact, the egg can be ingested after inhalation first.
Female female worms can put thousands of eggs around the anus or vagina. When the process of putting the eggs, female pinworms also secrete mucus that causes the patient to feel itchy. Itching will provoke the patient to scratch or wipe the anus or vagina. When scratching or wiping that, the eggs of worms can be attached to the fingertips or under the nail of the patient.
Pinworm eggs can survive for two weeks. The eggs of pinworms on the patient’s hands can move on whatever objects he touches such as:
- Bed linen and pillowcases.
- Children toys.
- Kitchen equipment.
- Tooth brush.
- Home furnishings.
- Kitchen or bathroom surface.
Pinworm is mostly diidap by small children because they still can not maintain good hand hygiene. In addition to small children, a person who often has direct contact with patients with pinworms and who live in densely populated environments are also at higher risk for developing pinworm parasites.
Diagnosis of Pinworm Infection
Diagnosis is a doctor’s step to identify a disease or condition that explains the symptoms and signs experienced by the patient. The step that doctors do to diagnose pinworms is by undergoing special tests on the anus.
In a special anal test, the doctor will ask the patient to attach a clear plaster around the anus just after they wake up to bed and have not been to the toilet. The goal is for the eggs of pinworms to stick to clear plaster, so it can be seen when examined in the laboratory. For clear results, this special anal test is recommended for three consecutive days.
Treatment and Prevention of Pinworm Infection
The goal of pinworm treatment is to remove pinworms and prevent re-infection. For that, all people who live with the patient also must undergo treatment, because the risk of the spread of pinworm infection is very high.
Patients may experience mild side effects on the gastrointestinal tract while undergoing treatment. Some anti-parasitic drugs to treat pinworms are:
- Mebendazole. This drug works by preventing pinworms from absorbing sugar, which will make it die within a few days.
In addition to the provision of drugs, patients are also asked to apply a clean life behavior to prevent re-infections worm kremi back. Some clean life behaviors include:
- Avoid using other people’s towels.
- Wash all clothes, bed sheets, towels, and toys.
- Cleaning dust throughout the house.
- Clean the bathroom and kitchen.
- Avoid to wiggle objects contaminated with pinworm eggs.
- Avoid eating in the bedroom.
- Keep your nails always short.
- Teach children not to bite their nails and suck fingers.
- Take a shower every day