1. Use Over-the-Counter Meds to Treat Infestations
Mebendazole and piperazine, the two most common medications used to treat pinworms, can be purchased over the counter in a variety of forms and under a variety of names. They're both one-dose solutions, but because they work by different mechanisms, it's best to ask your doctor which over-the-counter anti-worm medication he recommends for your child and household. Also, though piperazine is deemed safe for children as young as 3 months old, mebendazole isn't recommended for toddlers and infants.
Take the first dose immediately and continue to treat any related symptoms, like itching. It's a good idea to take a second dose of the anti-parasitic medication 2 weeks after the first, even if you don't have symptoms, to kill any pinworms that may have hatched since the original dose. Be aware, though, that none of the over-the-counter medications are considered safe for pregnant women, so if you're pregnant, talk to your doctor about an alternative course of treatment.
2. Treat Itching to Avoid Infections
A topical cortisone ointment or zinc cream can be applied to treat localized itching. Take a warm shower or wash thoroughly before applying a thin layer of the cream around the itchy anal area. Girls may experience itching in the vaginal area as well, but don't apply creams to soothe the vaginal itch without first checking with a physician. Be sure to wear a pair of surgical gloves or to apply creams with a gauze pad to avoid getting the small, sticky pinworm eggs on your hands.
3. Trim Fingernails to Reduce Risk of Infection
Reduce the possibility of spreading pinworms and of skin infections by cutting an infected person's fingernails short. This will the keep pinworm eggs from lodging under the fingernails and help to keep fragile skin from tearing. If nighttime itching is severe and scratching is not hampered by short fingernails, you may want to consider having your child wear mittens or gloves to bed.
4. Treat the Whole Household
Treating all family members in your household, whether they show signs of pinworm infection or not, is sometimes the only way to get rid of an infestation. The eggs are microscopically small, are sticky and can be ingested without you even knowing it. Begin anti-worm treatment medication for the whole household when you begin treating the infected person. It may seem like an inconvenience, but it's nothing compared with the inconvenience of having to treat an ongoing cycle of infestation!
5. Eat to Treat
Avoid eating sugary foods while taking anti-worm medications. Pinworms survive and gain energy from sugar, so the medicines work by interfering with their ability to absorb sugar. The less sugar you eat, the quicker you'll get rid of the worms. At the same time, be sure to eat foods that are high in fiber, since the medication can cause constipation. If you're unable to pass stool, you'll also be unable to expel the worms, so staying regular is extremely important.
