Pedemy · For parents
Pinworms — notes
Note the pattern below and bring your questions and current medicines to the visit. This record does not diagnose or choose treatment.
Use these notes with your child’s clinician. This tool does not diagnose illness, prescribe treatment or confirm that home care is safe.
Emergency help now
Call local emergency services for severe breathing difficulty, blue/gray lips, collapse, a seizure with failure to recover, or a child who is very difficult to wake. Do not delay to complete this tool.
Contact a healthcare professional
Severe abdominal pain, repeated vomiting, blood in stool or significant genital symptoms need assessment rather than repeated worm medicine. Ask for review if itching persists despite the complete treatment and hygiene plan. A baby younger than 3 months with a temperature of 38°C (100.4°F) or higher needs urgent medical assessment, even if they look well. Do not delay assessment to try medicine or complete a diary.
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Care reminders
- Nighttime itching around the anus can occur with pinworms, but irritation has other causes. A clinician may request a morning tape test before bathing or using the toilet; an ordinary stool sample often misses pinworms.
- Treatment usually needs a second dose 2 weeks later because medicines do not kill eggs. Coordinate simultaneous household treatment with a clinician, especially for children under 2 years or pregnancy. Wash hands, keep nails short, shower in the morning and wash bedding without shaking it.
- Severe abdominal pain, repeated vomiting, blood in stool or significant genital symptoms need assessment rather than repeated worm medicine. Ask for review if itching persists despite the complete treatment and hygiene plan.