The treatment of enterobiasis

enterobiasisEnterobiasis is the most common type of worm infestations. Pinworm (Enterobius) is thin white worm, living as a parasite in the gut and causing Enterobiasis.

The main symptom of enterobiasis

Itching in the anal area (usually in the evening, at night or early in the morning) is one of the most common symptoms. People having small quantity of pinworms may have no obvious signs of the disease.But more often certain signs of the disease are usually observed. In mild enterobiasis the patient has mild itching in the area around the anus at bedtime. The itching lasts 1-3 days and then spontaneously disappears, but after 2-3 weeks it often reappears. This periodicity in the occurrence of itching is associated with the change of pinworm generations, which occurs as a result of re-infection as female worms postpone eggs and die.

The symptoms of moderate and severe enterobiasis

If there is large number of pinworms in the patient’s intestine and in the cases of massive re-infection – the itching becomes constant and very painful. Combing of anus area leads to secondary bacterial infection of the skin and the appearance of dermatitis. All this aggravates the disease. In some cases, the main sign of the disease are intestinal disorders, which are characterized by frequent mushy stools, sometimes with mucus, pain in the perineum.

Although the most characteristic feature of enterobiasis is itching in the anal area, it is necessary to remember that itching is observed in a number of other diseases – proctitis, hemorrhoids, bowel cancer, chlamydia, genital trichomoniasis, liver disease and kidney disease, candidiasis, diabetes, atopic dermatitis, etc. Therefore, to clearly define the diagnosis of enterobiasis, pinworm eggs or worms should be detected.

Pinworms postpone eggs mainly in the area around the anus, very rare in the gut. Therefore, is usually not possible to find them in the stool. Much easier to find pinworm eggs, examining scrapings from the skin, surrounding the anus under a microscope. Pinworm eggs are often detected under the fingernails.

The treatment of enterobiasis

The most effective treatment for enterobiasis are broad-spectrum anthelmintic drugs Mebendazole (brand name: Vermox) and Albendazole (brand names: Albenza (United States), Zentel, Alworm, Eskazole).

How to apply mebendazole for enterobiasis

  • adults and children over 10 years are prescribed 100 mg of mebendazole at once
  • children from 2 to 10 years are prescribed a one dose of 25-50mg
  • To prevent re-infestation the treatment should be repeated after 2 and 4 weeks at the same dose. Special diet and the use of laxatives during the treatment are not required
  • Children under 1 year should use mebendazole only if the worm infestation is having a serious negative impact on the nutrition and physical development.

How to use albendazole for enterobiasis

Albendazole is used orally after meal not chewing the tablets with water. The use of laxative medicines and special diet are not required.

Dosages of albendazole for enterobiasis:

  • children under 2 years – single dose 200 mg (dosage may vary depending on the physician weight and severity of infection)
  • children older than 2 years of age and adults – 400 mg at once
  • Women should pass a pregnancy test before start the treatment. Reliable contraception is required during the treatment