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Medical Forum / General / General / February 2005

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Pinworm help needed

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TomUK - 11 Feb 2005 23:53 GMT
I'm a trainee teacher (aged 25) who caught pinworm (also known as
threadworm in the US) from one of my pupils in September. My symptoms
were initially gastrological and it took 2 months for my Doctor to
identify the problem as pinworm and prescribe (mebendazole). This
worked, but the worms returned shortly after and have done each time I
have taken mebendazole - symptoms something occuring only days after I
take a tablet (although usually about 6 days later). My personal
hygene is now without question (my hands are dry and cracked from
scrubbing and washing them), my clothes and bedclothes are regularly
washed in boiling water, all people in my house take the medication
when I do). I've tried Chinese medicine (a tea twice daily for 2
weeks), Combantrin (pyrantel) that I had sent in from Australia, and
still the things keep returning. They make me feel very low (my immune
system must be knackered), ill in the stomach (lots of growling from
down there) and usually cause GERD (reflux). I know it's pinworms as I
see them leave (if you excuse the imagery) when I take the
Mebendazole. Can anybody suggest anything to help? I really am
desperate.
Many thanks,
Tom.
Kay - 18 Feb 2005 18:51 GMT
Are the pinworms still confined to your gastrointestinal tract?  I had
pinworms at 13 and was given an enteric coated gentian violet pill. Not just
one, but a series. It was over 50 years ago, so I do not remember exactly
the dosage, but things "came out" very purple. When the treatment was all
over and time had passed, I could still feel something moving around there.
The fact is that pinworms come to the surface of the rectum to lay little
black eggs. If they get into your system or back into your rectum, you will
still have pinworms. I caught the last one by hand and killed it. I have
never had them since.
    There is a possibility that you may be getting re-infected by the food
that delivered them to you in the first place. The number one suspect food
is fresh fruit (with fresh vegetables as a close second), as many fruit
pickers have pinworms. Just washing the fruit may not be enough, use dish
detergent, and NEVER believe "pre-washed" foods if they are fruit!

 
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