Pinworms In Children | Children’s Hospital Colorado

Care Advice

Treatment for Pinworms

1. What You Should Know About Pinworm Treatment:
   • Pinworms are the most common worm infection in the US.
   • Pinworms can cause anal itching.
   • Pinworms do not carry any diseases.
   • Treatment is very helpful.
   • Here is some care advice that should help.
2. Pinworm Medicine:
   • If a pinworm was seen, your child’s doctor will suggest a special pinworm medicine. Pinworm medicines are available without a prescription (such as Reese’s Pinworm Medicine). There are also prescription medicines that treat pinworms. Your doctor will decide which one is best for your child. Take as directed.
   • Give a repeat dose of the pinworm medicine in 2 weeks. Reason: To prevent the pinworms from coming back.
   • The repeat dose is needed because eggs can live for 1 to 2 weeks. Temperature and humidity levels also affect how long the eggs can stay alive.
3. Treating Close Contacts:
   • There is a slight risk that Pinworms may spread to others.
   • Treat family members only if they have symptoms.
   • If another child sleeps with the infected child, they also should be treated.
   • If any of your child’s friends have symptoms, be sure to tell their parents. These children should get tested or checked for pinworms.
4. Return to School:
   • Children with pinworms do not need to miss any child care or school.
5. What to Expect:
   • After taking the pinworm medicine, itching should stop in 5 to 7 days.
6. Prevention of Pinworms:
   • Wash hands and fingernails well before meals and after using the toilet.
7. Call Your Doctor If:
   • Anal symptoms last over 1 week after treatment
   • You think your child needs to be seen
   • Your child becomes worse

Treatment for Anal Itching Without Pinworm Being Seen

1. What You Should Know About Anal Itching:
   • There are many causes of itching around the anus. Some are more common than pinworms.
   • The most common cause is stool that has been left on the skin. Stool contains chemicals and germs that can cause itchy skin rashes. Try to prevent this by washing the skin off. After wiping off stool with toilet tissue, cleanse the skin with warm water.
   • Bubble bath can also cause an itchy bottom. Children with dry skin are at increased risk. Avoid bubble bath or any soapy bath water.
   • If these changes don’t get rid of the anal itching, get a pinworm test.
2. Pinworm Checks: Check your child for pinworms.
   • Examine the area around the anus, using a flashlight.
   • Look for a ¼-inch (6 mm), white, threadlike worm that moves.
   • Do this a few hours after your child goes to bed. Check him 2 nights in a row. Also, check him first thing in the morning for 2 days.
3. Scotch Tape Test:
   • If no adult pinworm is seen, call your doctor’s office. Ask for instructions on doing a Scotch-tape test for pinworm eggs. You can also use the technique below:
   • Take a piece of clear Scotch tape with the sticky side down. Touch it to the skin on both sides of the anus. Do this in the morning soon after your child has awakened. Also, do this before any bath or shower.
   • Put the sticky tape side that touched the skin on a slide. If you don’t have a slide, put it on a second piece of tape.
   • Do it 2 mornings in a row.
   • Bring the 2 samples in to be looked at under a microscope.
4. Steroid Cream for Itching:
   • For the itching, wash the skin around the anus with warm water.
   • For severe itch, use 1% hydrocortisone cream (such as Cortaid) 2 times per day. Use for 1 or 2 days. No prescription is needed.
5. Call Your Doctor If:
   • Pinworm is seen
   • Skin around the anus gets red or tender
   • Anal itching lasts more than 1 week
   • You think your child needs to be seen
   • Your child becomes worse

Treatment for Pinworm Exposure

1. Low Risk for Getting Pinworms:
   • Your child has had contact with a child with pinworms, but no symptoms now. Your child probably won’t get them. This is especially likely if over a month has passed.
   • If contact is within the last month, your child may get pinworms. This risk is small.
   • Pinworms are harmless. They are never present very long without being seen or causing anal itching.
2. Scotch Tape Test:
   • If you’re still worried, call your doctor’s office. Ask for instructions on doing a Scotch tape test. This can be done to look for pinworm eggs.
   • Do this about 1 month after contact.
   • Reason: The swallowed egg will not become an adult pinworm for 3 or 4 weeks.
3. Call Your Doctor If:
   • Pinworm is seen (white, ¼ inch or 6 mm, and moves)
   • Anal itching lasts more than 1 week
   • You think your child needs to be seen

Treatment for Reducing Reinfection or Spread to Others

1. Preventing Pinworm Infections:
   • Infection is caused by swallowing pinworm eggs.
   • A child can get pinworms no matter how carefully you clean.
   • The following hygiene measures, however, can help to reduce the chances of reinfection. It also can reduce the chance of new infections in other people.
   • Pets don’t carry pinworms.
2. Wash Hands:
   • Have your child scrub the hands and fingernails well before each meal. Also, wash the hands well after each use of the toilet.
   • Keep the fingernails cut short, because eggs can collect here.
   • Help your child give up thumb sucking and nail biting.
3. Shower:
   • Each morning give your child a shower.
   • Always rinse the anal area.
   • Do this for 3 days after taking the pinworm medicine.
4. Vacuum:
   • Vacuum or wet-mop your child’s bedroom once a week.
   • Any eggs left on the floor can still infect others for 1 or 2 weeks.
5. Wash Clothes:
   • Wash clothes and bedding at a hot temperature. This will kill any eggs left in them.
6. Return to School:
   • Children with pinworms do not need to miss any child care or school.

Pinworm Infections (for Parents) – Nemours Kidshealth

What Is a Pinworm Infection?

Pinworm is an intestinal infection caused by tiny parasitic worms. It’s a common infection that affects millions of people each year, particularly school-age kids.

If your child develops a pinworm infection, try not to worry. Pinworms don’t cause any harm (just itching and restless sleep), and it won’t take long to get rid of them.

How Do Pinworm Infections Spread?

Pinworm infections (also known as “seatworm infection” or “threadworm infection”) are contagious.

Pinworms get into the body when people ingest or breathe in the microscopic pinworm eggs. These eggs can be found on contaminated hands and surfaces, such as:

• bed linens
• towels
• clothing (especially underwear and pajamas)
• toilets
• bathroom fixtures
• food
• drinking glasses
• eating utensils
• toys
• kitchen counters
• desks or lunch tables at school
• sandboxes

The eggs pass into the digestive system and hatch in the small intestine. From the small intestine, pinworm larvae go to the large intestine, where they live as parasites (with their heads attached to the inside wall of the bowel).

About 1 to 2 months later, adult female pinworms leave the large intestine through the anus (the opening where bowel movements come out). They lay eggs on the skin right around the anus, which triggers itching in that area. Often, this happens at night.

When someone scratches the itchy area, microscopic pinworm eggs transfer to their fingers. Contaminated fingers can then carry pinworm eggs to the mouth, where they go back into the body, or stay on various surfaces, where they can live for 2 to 3 weeks.

If you’re wondering if your family pet could give your child a pinworm infection, it can’t. Pinworms don’t come from animals.

What Are the Signs & Symptoms of Pinworm Infection?

The most common signs of a pinworm infection are itching around the anus and restless sleep. The itching is usually worse at night because the worms move to the area around the anus to lay their eggs. In girls, pinworm infection can spread to the vagina and cause a vaginal discharge. If the itching breaks the skin, it also could lead to a bacterial skin infection.

If your child has a pinworm infection, you can see worms in the anal region, especially if you look about 2 or 3 hours after your child has fallen asleep. You also might see the worms in the toilet after your child goes to the bathroom. They look like tiny pieces of white thread and are really small — about as long as a staple. You might also see them on your child’s underwear in the morning.

Belly pain and nausea are less common symptoms but can happen if there are many pinworms in the intestines.

How Are Pinworm Infections Diagnosed?

Your doctor may ask you to help make the diagnosis of pinworm by placing a sticky piece of clear cellophane tape against the skin around your child’s anus. Pinworm eggs will stick to the tape and can be seen under a microscope. The best time to do this is at night or in the morning before a bath (when there’s the most pinworm activity around the anus). The doctor also might take some samples from under a child’s fingernails to look for eggs.

How Are Pinworm Infections Treated?

If your child has a pinworm infection, the doctor will recommend an over-the-counter or prescription antiworm medicine. This is given in one dose and repeated in 2 weeks. The doctor may decide to treat the entire family, especially if your child has had a pinworm infection before.

Although medicine takes care of the worm infection, the itching may continue for about a week. So the doctor also might give your child a cream or other medicine to help stop the itching.

Regular hand washing and routine household cleaning (including frequent changing of underwear, and washing everyone’s pajamas, towels, and bed linens) also will help prevent the spread of a pinworm infection within the family.

Can Pinworm Infections Be Prevented?

Here are a few ways to prevent pinworm infections in your family:

• Remind kids to wash their hands often, especially after using the toilet, after playing outside, and before eating.
• Make sure your kids shower or bathe every day and change underwear and swimsuits daily.
• Keep kids’ fingernails short and clean.
• Tell kids not to scratch around their bottom or bite their nails.
• Wash your kids’ pajamas every few days.

When Should I Call the Doctor?

Call the doctor if your child complains of itchy skin or always seems to be scratching the anal or vaginal area.

Also ask about whether pinworms could be to blame if your child has trouble sleeping or has begun to wet the bed. (Pinworms can irritate the urethra — the channel through which pee leaves the bladder and exits the body — and lead to bedwetting.)

Remember that pinworms are quite common among kids and aren’t harmful. By taking medicine and following some prevention tips, you’ll be rid of the worms in no time.

Kids Health Information : Worms

This fact sheet is
available in the following languages:
Chinese (simplified), 
Chinese (traditional) and
English.

There are many different types of intestinal worms, but the most common is threadworm (also called pinworm). Threadworm is a type of roundworm that is commonly found in preschool and school-aged children, however the whole family can become infected.

Threadworm causes a very itchy bottom, which is usually worse at night. If your child is infected with threadworm, it is not usually serious and can be treated easily with medication.

Signs and symptoms of threadworm

If your child has threadworm, they may:

• have an itchy bottom, which may become red and inflamed from scratching
• be irritable and generally ‘out of sorts’
• not sleep very well
• have a reduced appetite.

In girls, there may also be redness and itching around the vaginal area. (Threadworms may cause or worsen vulvovaginitis in girls. See our fact sheet
Vulvovaginitis.)

You may be able to see threadworm if you examine your child at night. Take a torch, separate your child’s buttocks and look carefully around the anus (and the opening to the vagina in girls). You might see tiny white threads that may be moving.

How is threadworm spread?

Threadworm gets its name because the worms look like white threads, which are about 1 cm long. The worms live in the lower intestine, but they come out of the anus over night to lay their eggs in the area between the buttocks, which causes your child’s bottom to feel very itchy. It is estimated that one female threadworm can lay up to 16,000 eggs.

Threadworm is spread when children scratch their bottom, causing the eggs to collect under the fingernails. The child then carries the worm eggs back to their mouth with their hands. The eggs can also be spread indirectly, in food, dust, or other items. The eggs can survive up to two weeks outside the body.

Once your child swallows threadworm eggs, the eggs hatch in your child’s small intestine and the worms travel down to their anus.

You cannot catch threadworm from animals.

Care at home

You can talk to a pharmacist about over-the-counter treatment options. Drugs such as pyrantel (Combantrin) or mebendazole (Banworm) are very safe and often recommended. Follow the instructions on the packet, bearing in mind special precautions may be given for children under two years of age and for pregnant women.

• Treat all the family members at the same time, even if they aren’t showing any symptoms. Adults can also get threadworm.
• If possible, your child should have a shower on the night they have the medicine, and again the next morning to remove the eggs laid during the night.

Unfortunately, repeat threadworm infection is very common. To help reduce this and to prevent the threadworms from spreading to others, you can take the following precautions:

• Despite the itching, encourage your child not to scratch their bottom. If they must scratch, make sure it is over their underpants and not directly on their skin.
• Keep your child’s fingernails clean and trimmed. Try to stop your child from biting their nails or sucking their thumb.
• Have your child wash their hands and under their nails thoroughly after going to the toilet.
• Wash your child’s bedding, towels and toys in hot water.
• Vacuum your floor often to remove any eggs. 
• Clean surfaces in your house that your children may touch, in particular door handles.
• Discourage your child from eating food that has fallen on the floor.

When to see a doctor

If you have tried a threadworm treatment for your child and their symptoms have not improved, take them to your GP. The doctor will examine your child and may want to do blood or faeces (poo) tests. Also take your child to the GP if:

• your child passes a large worm
• they have abdominal pain, nausea, vomiting or low energy levels.

Key points to remember

• Threadworm is common in preschool and school-aged children.
• Threadworm causes very annoying itching in the area between a child’s buttocks.
• It’s easy to treat threadworm with the right medication.
• There are precautions to prevent threadworm spreading and reinfecting.

For more information

Common questions our doctors are asked

Do I need to to worm my children and my pets at the same time?

No. Humans cannot catch threadworm from animals.

Is ringworm and threadworm the same thing?

No, ringworm is not actually a worm at all. It is a fungus that needs to be treated with anti-fungal medication.

Developed by The Royal Children’s Hospital General Medicine and Infectious Diseases departments. We acknowledge the input of RCH consumers and carers.

Reviewed September 2020.

Kids Health Info is supported by The Royal Children’s Hospital Foundation. To donate, visit
www.rchfoundation.org.au.

Threadworms – NHS

Threadworms (pinworms) are tiny worms in your poo. They’re common in children and spread easily. You can treat them without seeing a GP.

Check if it’s threadworms

You can spot worms in your poo. They look like pieces of white thread.

You might also see them around your child’s bottom (anus). The worms usually come out at night while your child is sleeping.

See what threadworms look like in poo

Credit:

Other symptoms can include:

• extreme itching around the anus or vagina, particularly at night
• irritability and waking up during the night

Less common signs of worms include:

• weight loss
• wetting the bed
• irritated skin around the anus

A pharmacist can help with threadworms

You can buy medicine (mebendazole) for threadworms from pharmacies. This is usually a chewable tablet or liquid you swallow.

Treat everyone in your household, even if they do not have symptoms.

Tell the pharmacist if you need to treat a child under 2, or if you’re pregnant or breastfeeding. Treatment might not be suitable and you may need to speak to a GP.

Things you should do at home

Medicine kills the threadworms, but it does not kill the eggs. Eggs can live for up to 2 weeks outside the body.

There are things you can do to stop becoming infected again.

Do

• wash hands and scrub under fingernails – particularly before eating, after using the toilet or changing nappies

• encourage children to wash hands regularly

• bathe or shower every morning

• rinse toothbrushes before using them

• keep fingernails short

• wash sleepwear, sheets, towels and soft toys (at a hot temperature)

• disinfect kitchen and bathroom surfaces

• vacuum and dust with a damp cloth

• make sure children wear underwear at night – change it in the morning

Don’t

• do not shake clothing or bedding, to prevent eggs landing on other surfaces

• do not share towels or flannels

• do not bite nails or suck thumbs and fingers

Nursery, school and work

If you or your child has threadworms there’s no need to stay off nursery, school or work.

How threadworms spread

Threadworms spread when their eggs are swallowed. They lay eggs around your bottom (anus), which make it itchy. The eggs get stuck on your fingers when you scratch. They can then pass on to anything you touch, including:

• clothes
• toys
• toothbrushes
• kitchen or bathroom surfaces
• bedding
• food
• pets

Eggs can pass to other people when they touch these surfaces and then touch their mouth. They take around 2 weeks to hatch.

Children can get threadworms again after they’ve been treated for them if they get the eggs in their mouth. This is why it’s important to encourage children to wash their hands regularly.

Page last reviewed: 26 January 2021
Next review due: 26 January 2024

Threadworms | Causes, Symptoms and Treatment

What do threadworms look like?

What are threadworms?

Dr Sarah Jarvis MBE

Threadworms are small, thin, white, thread-like worms between 2 mm and 13 mm long. They infect human guts (intestines). Worms in children are common but anyone of any age can be affected. The image shows two female pinworms next to a ruler. The markings on the ruler are 1 mm apart.

Threadworms

Erich gasboy, Public Domain, via Wikimedia Commons

The life cycle of threadworms

Threadworms live for about 5-6 weeks in the gut and then die. Before they die, the female worms lay tiny eggs around the back passage (anus). This tends to occur at night when you are warm and still in bed. The eggs are too small to see without a microscope, but cause itching around the anus due to accompanying irritating mucus. You then scratch around the anus to relieve the itching. You often do this without realising while you are asleep. When you scratch, eggs get on to your fingers and under your nails. You may then swallow some eggs if you put a finger into your mouth.

Also, threadworm eggs can survive for up to two weeks outside the body. They fall off the skin around the anus and can fall on to bedding, clothes, etc. They can then get wafted in the air as you change clothes, bedding, etc, and become part of the dust in a home. Some eggs may settle on food or toothbrushes. So, children may swallow some eggs at first by playing with other children who have eggs on their fingers, or from food, drink, toothbrushes or dust that have been contaminated with threadworm eggs.

Any eggs that you swallow then hatch and grow into adult worms in the gut. So a cycle of threadworm infection can go on and on. Rarely, threadworms in the nose have been discovered. Some people want to know how many threadworms live in your gut. The answer is that the number varies from person to person.

Threadworm symptoms

The common symptoms include:

• You can spot worms in your poo (faeces) or near to the back passage (anus).
• Severe itching around the anus.
• Waking up during the night as a result of the itching.

Threadworms look like thin, white, cotton threads. Sometimes you can see threadworms in poo (faeces). If you cannot see threadworms in the faeces, but suspect your child has threadworms (if they have an itchy bottom), try looking at the child’s back passage (anus). Worms in toddlers may be less easy to spot than in babies because they move around so much, but you can check with a torch in the late evening after the child has gone to sleep. Part the child’s buttocks and look at the opening of the anus. If the child has threadworms you can often see one or two coming out of the anus. The reason that threadworms come out at night is thought to be due to the still, warm environment that occurs when the child is sleeping. Female threadworms will leave the anus to lay eggs on the skin. Do not be alarmed! Ask a pharmacist for advice on treatment in the next day or so.

If there is any doubt about the diagnosis, your doctor may ask you to do a sticky tape test to confirm the presence of threadworms. To do this you press some clear see-through tape on to the skin around the anus first thing in the morning, before wiping or bathing. You then place the tape on a glass slide or put it in a specimen container. The tape is then sent to the laboratory to be looked at under a microscope to see if any threadworm eggs are stuck to the tape.

Are threadworms harmful?

Not usually. Often, the worst thing about them is the itch and discomfort around the back passage (anus). This sometimes wakes children from sleep. Scratching may make the anus sore. Large numbers of threadworms may possibly cause mild tummy (abdominal) pains and make a child irritable. In girls, threadworms can wander forwards and lay their eggs in the vagina or urethra (the tube through which you pass urine). A doctor may check for threadworms in young girls with a vaginal discharge, bedwetting, or problems with passing urine. Rarely, threadworms can cause other problems such as loss of appetite and weight loss.

Threadworms treatment

All household members, including adults and those without symptoms, should be treated. This is because many people with threadworm infection do not have any symptoms. However, they will still pass out eggs which can then infect other people. If one member of a household is infected, it is common for others also to be infected. So, everyone needs treatment!

The common treatments are:

• To take a threadworm medicine to kill the worms in your gut; and
• Hygiene measures to clear eggs which may be around your back passage (anus) or in your home.

Note: for babies under the age of 3 months, only hygiene measures are possible, as no medicine is licensed for this age group.

How to get rid of threadworms naturally

Medication will kill the worms in the gut, but not the eggs that have been laid around the anus. These can survive for up to two weeks outside the body on underwear, in bedding, in the dust, etc (as described above). So, hygiene measures aim to clear any eggs from the body and the home, and to prevent any eggs from being swallowed. This will then break the cycle of re-infection.

• First, as a one off, aim to clear eggs from where they may be in your home. This means:
• Wash sleepwear, bed linen, towels and cuddly toys. This can be done at normal temperatures so long as the washing is well rinsed.
• Vacuum and damp-dust your home. Throw out the cloth after use. Pay particular attention to bedrooms, including vacuuming mattresses and where children play.
• Thoroughly clean the bathroom by damp-dusting surfaces, washing the cloth frequently in hot water. Throw out the cloth after use.
• Then, every member of the household should do the following for two weeks:
• Wear close-fitting underpants or knickers in bed, and change every morning. This is so that if you scratch in your sleep, you will not touch the skin near the anus. (Also, consider wearing cotton gloves at night, as this may also help to prevent scratching with fingernails during the night.)
• Every morning have a bath, or wash around the anus, to get rid of any eggs laid overnight. You must do this straightaway after getting up from bed.
• Ideally, change and wash nightwear each day.

And general hygiene measures which you should always aim to do to prevent getting threadworms again:

• Wash hands and scrub under the nails first thing in the morning, after using the toilet or changing nappies, and before eating or preparing food.
• Try not to bite your nails or suck fingers, and discourage children from doing so.
• If possible, avoid sharing towels or flannels.
• Keep toothbrushes in a closed cupboard. Rinse well before use.

However, it may not be your home which is a main source of threadworm eggs. Your children may come into contact with eggs in schools or nurseries, particularly in the toilets if they are not cleaned properly. This is why your child may have recurring threadworms, even if your home and personal hygiene are of a very high standard.

Medication

Mebendazole is the usual treatment for people aged over 2 years. If children are over 6 months but under 2 years, they can still take the medicine but it is unlicensed. Threadworm liquid medicine is available for children, and threadworm tablets for adults. All household members, including adults and those without symptoms, should take a dose at the same time. Just one dose kills the worms. A second dose two weeks after the first is sometimes needed if the infection has not cleared (which may occur if you swallow some eggs after taking the medication).

You can buy mebendazole from pharmacies. You can also get it on prescription. If you are pregnant or breastfeeding then see the notes later.

After taking the first dose of medication for threadworms, it is essential to follow the hygiene measures outlined above.

What if I am pregnant or breastfeeding?

Pregnancy

If you are pregnant , during the first third of the pregnancy (first trimester) you should not take medicines which kill worms. However, hygiene measures alone may work. The worms die after about six weeks. Provided that you do not swallow any new eggs, no new worms will grow to replace them. So, if you continue the hygiene measures described above for six weeks, this should break the cycle of re-infection, and clear your gut of threadworms.

If treatment with medication is considered necessary for threadworms when pregnant, your doctor may advise mebendazole in the second or third trimester. However, strictly speaking, mebendazole is not licensed to be used during pregnancy.

Breastfeeding

If you are breastfeeding, again, six weeks of hygiene measures alone are the preferred treatment. If treatment with medication is considered necessary, your doctor may advise mebendazole. However, strictly speaking, mebendazole is not licensed to be used for breastfeeding mothers.

Can a child with threadworms go to school?

Yes. There is no need to keep a child with threadworms off school, nursery, etc. The hygiene measures described above will mean that children will not have any eggs on their fingers when they go out from the home each day, and so are unlikely to infect others.

Pinworms – Causes, Symptoms, Treatment, Diagnosis

The Facts

The pinworm, or Enterobius vermicularis, is a small parasitic worm that can live inside the human lower intestine. Only 3 mm to 10 mm long, it causes an intense itching in the area of an infected person’s anus, especially at night.

Pinworms usually infect people as a result of overcrowding in schools and family groupings or due to unsanitary living conditions and poor food preparation. However, they usually don’t indicate poor personal hygiene. They can be commonly found in institutional settings such as dormitories and mental health hospitals or homes.

They’re the most common parasite to affect North American children, with estimates that one-third of Canadian children will have pinworms at some time in their life.

Causes

At night, the female worm leaves her home in an infected person’s lower intestinal tract. She slips out of her host’s rectum and lays eggs in the folds of skin around the edge of the anus. The eggs are deposited in a sticky, jelly-like substance that, along with the wriggling of the mother pinworm, causes severe itching. The eggs can be transferred to the fingers, either by directly scratching the anal area or by way of clothing or bedding. They can then be carried to the mouth and swallowed or can be transmitted to others by touch.

Since the eggs can survive for up to 20 days, they might be found in bedding and clothing. If these materials are shaken, it is even possible to spread the eggs in the air and swallow them directly. Once eaten, the eggs hatch in the intestine and develop into adult worms within 2 to 6 weeks. Adult worms can live for approximately 3 months and an adult female can lay more than 10,000 eggs in her lifetime.

Pinworm eggs attached to the skin around the anus hatch within 6 hours, and the emerging larvae migrate back into the anus to reside and mature within the lower intestine. For the eggs that fell off onto adjacent clothing or bedding, they can survive for as long as 3 weeks at room temperature – waiting for unsuspecting hands to carry them into the mouth. Humans are the only natural host of pinworms.

Symptoms and Complications

Pinworms mainly infest children 5 to 10 years old, most of whom have no symptoms apart from itching around the anus, which may then become raw from scratching. Pinworms are uncommon in children less than 2 years old. In girls, pinworm infection can cause vaginal itching and irritation (vaginitis).

In severe cases, weight loss, restlessness, irritability, and loss of appetite may occur. In a few rare cases, attacks of appendicitis may have been caused by pinworms blocking the appendix.

Making the Diagnosis

A diagnosis of a pinworm infection is made by finding the female worm or the eggs. To find a female worm, examine the area around an infected person’s anus at night with a flashlight. The person should be sleeping for at least an hour before inspection. The white, hair-thin female worm is only about 10 mm long (males average 3 mm), but it wriggles and is clearly visible to the eye without a microscope. Any worms that are discovered should be placed in alcohol or vinegar and taken to the clinic or doctor for diagnosis.

Another method of diagnosis involves the use of a piece of sticky tape to pick up any eggs or worms that may be around the anal area in the morning before washing or a bowel movement. Pat the folds of skin around the anus with the sticky side of the tape. Then fold the tape on itself, sticky side down, and take it to the doctor. The eggs and worms caught on the tape can be identified under a microscope. This test may have to be repeated 5 times. Pinworms can also sometimes be seen in stool samples.

Treatment and Prevention

Pinworms cause no harm or discomfort apart from anal itching, and treatment cures most cases. The key is to break the 6-week cycle of pinworm reinfection by killing any live pinworms and preventing the ingestion of eggs. A diagnosis should be confirmed before treating with medications.

Medications kill only the adult worms and have no effect on developing eggs and larvae. The prescription of choice is mebendazole* and the non-prescription medication of choice is pyrantel pamoate. Both mebendazole and pyrantel pamoate are given as a single dose and repeated in 2 weeks to kill any newly ingested eggs.

Since the eggs can be easily spread, everyone in the household must be treated with the medication, even if they do not have any symptoms. Reinfection is still common because live eggs continue to be excreted in feces for up to a week after the treatment.

It is essential to machine wash all bedding, clothing, and toys in order to kill all the eggs. You can relieve itching in the anal area with petroleum jelly or anti-itching creams and ointments. Wash your hands frequently, especially after going to the toilet, after scratching, and before eating, and keep your fingernails short to reduce the chance of picking up pinworm eggs.

During the week after treatment, all family members should wear cotton underpants that have been washed in hot soapy water. They should be worn all day and changed twice daily. Children should wear closed sleeping garments or snug underpants to prevent hand contact and contamination of bedding. People who have been infected should shower every morning to help eliminate any eggs on the skin. Wash night clothes, underwear and hand towels daily. Clean bedding often and avoid shaking bed linens and clothing prior to washing.

All material copyright MediResource Inc. 1996 – 2021. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/condition/getcondition/Pinworms

Why Does My Butthole Itch? 14 Reasons for An Itchy Anus

Let’s not be coy here: Everyone has a butthole—and sometimes, buttholes get itchy.

But before digging into why your butthole gets itchy, let’s clarify one thing: I’m talking about your itchy anus in particular—not your entire butt. (It’s kind of an important distinction, says WH advisor Samantha Nazareth, MD, a gastroenterologist who practices in New York City.)

The irritation—technically known as pruritus ani, per the U.S. National Library of Medicine (NLM)—can occur inside the anus or the perianal area, which is essentially the skin surrounding the anal opening.

If you are experiencing anal itching, it’s pertinent that you don’t scratch yourself silly. While there’s nothing wrong with scratching an acute itch, such as a bug bite, constant or “chronic” scratching can feed into what pros call the “itch-scratch” cycle.

This causes more skin inflammation and thus worse itch, says Brian Kim, MD, co-director of the Center for the Study of Itch at Washington University School of Medicine. If you *must* scratch, be as gentle as possible and try to keep it to a minimum, says Dr. Kim.

Okay, but why is my butthole so itchy? The discomfort can happen due to a range of issues—and the key to eliminating anal itching is figuring out the underlying cause. (Keep calm, it’s usually not a big deal.) Read on to get to the bottom of your, err, bottom issues—and to find relief from anal itching both in the short term and long term.

1. You’re wiping all wrong.

Dr. Nazareth always asks her patients about their bathroom hygiene habits. Are you an aggressive wiper? Do you not feel clean unless you use wet wipes? “Too many of us are wiping ourselves to death with toilet paper and then using wet wipes afterward,” says Dr. Nazareth. Those practices are bound to cause irritation or even anal fissures (tiny cuts or tears). Your skin is super sensitive down there.

On the flip side, you might not be wiping enough—leftover poop in the anal area, along with extra moisture, is also a recipe for irritation, says Dr. Nazareth.

The happy medium? “Ideally, if you’re at home, the best way is going into the tub or using a shower head to clean the area with the force of the water. No soap needed. Then pat dry the area. It’s the best way short of using a bidet,” says Dr. Nazareth. If you’re out and about at a friend’s house, say, and not in a stall, when nature calls, she recommends using a little warm water on the TP and going for the pat-dry afterward.

2. You’re fixated on having “good” hygiene.

Hey, I get it, we all can be a little Monica Geller-y at times. But obsessively cleaning your nether regions until they practically sparkle is not a good idea. In fact, it’s a fairly common culprit of an itchy butt, according to Dr. Kim.

Using things like topical alcohol swabs, wet wipes, scented soaps, and even a natural skin cleanser like witch hazel to keep the perianal area clean or to treat the already-present itchiness can cause irritation and even an allergic contact dermatitis, which is a developed hypersensitivity to an allergen, Dr. Kim explains. “This can further aggravate the itch because now you have two problems,” Dr. Kim says. Uh oh.

Bottom (sorry, had to) line here? Don’t be overly concerned with perfect hygiene—meaning skip the wet wipes, which contain chemicals that can cause allergic reactions, and using harsh or scented soaps, Dr. Kim says. And when it comes to shower time, Dr. Kim recommends simply using gentle soaps like unscented Dove soap or a Vanicream cleansing bar.

3. You have hemorrhoids.

Hemorrhoids are inflamed, swollen veins around your anus or in your lower rectum, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Typically, external hemorrhoids—ones that form under the skin and around the anus—are the cause for itching.

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Constipation (a.k.a. difficulty passing bowel movements) is often the cause of hemorrhoids—you know, from the pushing and extra time spent on the toilet. “I often suggest the Squatty Potty to my hemorrhoids patients,” says Dr. Nazareth, which can help the passage of bowel movements. Another smart tip to avoid flare-ups? Getting enough fiber in your diet to make things flow a little more…smoothly.

4. You might have pinworms.

Okay, this is pretty unlikely, but it’s still possible. Pinworms are small parasites that can live in your colon and rectum, per the NLM. They’re spread by the fecal-oral route (yes, that’s exactly what it sounds like) either directly or indirectly (through contaminated clothing, bedding, food, etc. ).

This infection is most common in children, and many people who are infected don’t have symptoms at all. If you have symptoms, they’re most commonly intense anal (or vaginal) itching that can interfere with daily life. But here’s the catch: “You won’t be able to diagnose this at home,” says Dr. Nazareth. “You must get checked by a doctor via a stool sample.”

As for treatment, mild infections can go away on their own, but medication is sometimes needed, per the NLM.

5. You have a yeast infection.

Yep, these can happen anywhere—not just in your vagina. When a fungus called candida (the scientific name for yeast, which naturally occurs inside your body) grows at a quicker rate than usual (usually caused by antibiotics or a weakened immune system), it can cause an infection of the area, according to the CDC. Sitting in sweaty workout clothes (guilty) can create a yeast-friendly environment too, says Dr. Nazareth.

Your best defense is to get out of those sweat-soaked clothes and shower post-workout. Already have a yeast infection that brought on anal itching? Dr. Nazareth suggests opting for an anti-fungal ointment or wearing loose clothing at home. “Ideally, don’t wear underwear at all and choose some loose-fitting pants to let things air out in their ‘natural’ state,” she says.

6. You might have scabies.

This is another rare one, but you might as well know what scabies are, right? They’re a parasite—like pinworms—that burrow into the outer layer of your skin and lay eggs there, says Dr. Nazareth. But scabies will itch everywhere, *not* just your butt (whew).

The symptoms (intense itchiness and sores) can take as long as four to eight weeks to show up. And while scabies can be treated with medication for your skin, your home will need to be treated as well.


7. You might have a skin condition.

Have you recently started using a new bath product? An allergic irritation to a fragrance or other product could be the culprit, says Dr. Nazareth. You can also get other itchy skin disorders, like psoriasis (a buildup of skin cells that causes red, itchy patches) or eczema (itchy, inflamed scales on the skin) between the cheeks, too.

If you suspect you have either of these conditions, it’s best to see your dermatologist to find the best treatment for you (oral medications, steroid creams, or light therapy) and your sensitive skin in that area.

8. You have anal fissures.

Anal fissures occur when there is a split or tear in the rectal opening, says Soma Mandal, MD, a board-certified internist at Summit Medical Group in Berkeley Heights, New Jersey. They usually crop up after an episode of constipation, but can also occur after diarrhea.

If you feel pain back there when you’re going number two, or see blood on your TP, you might be dealing with a fissure. “The itching occurs as the fissure heals and alternately reopens,” says Dr. Mandal. The best thing you can do is try to keep the area clean as the fissure heals (which takes a week or two), and make sure you’re getting enough fiber so your BMs are soft (that way, you’ll avoid re-tearing or causing another fissure).

9. You’re taking laxatives or having diarrhea.

Anal itching can be triggered by continuous moisture and subsequent irritation in the anus and rectal area, which you’re susceptible to when you have diarrhea, fecal incontinence, or are just pooping a lot because of laxatives or other meds, and are constantly wiping, says Dr. Mandal.

Reducing or cutting out foods and drinks that can cause diarrhea and just not-so-great poops, like coffee, soda, alcohol, citrus foods, chocolate, spicy foods, and tomatoes, may help you find relief. Talk to your doctor or a GI specialist to determine the root cause of your BM issues and find an appropriate treatment plan.

10. You have skin tags.

Anal skin tags are common (and benign) skin tissue that form in the rectal area, says Dr. Mandal. They feel like small raised bumps and can cause discomfort and itching.

“The skin around the anus is typically looser so the area can expand with bowel movements,” she explains. “If a blood vessel expands near the anus, it can result in a skin tag, as the extra skin bulge lasts even after the blood vessel swelling decreases.”

Just like with skin tags on any other part of your body, you shouldn’t attempt to remove them yourself. Talk to your doctor to find out if they can safely remove them for you or refer to you a dermatologist or other specialist who can.

11. You might (but likely don’t) have anal cancer.

Okay, so anal itching does not automatically mean you have anal cancer. But, rarely, anal itching can be a symptom of anal and/or colon cancer—especially if it’s accompanied by bleeding, says Dr. Nazareth. In the case of anal bleeding, you should see your doctor. While it’s likely something benign, like hemorrhoids, Dr. Nazareth says it’s still wise to get the all-clear from your doc, especially if you’re BIPOC, which means you’re at a greater risk of developing colon cancer, notes Dr. Mandal.

12. You’re eating the wrong foods.



What goes in…must come out. So, it shouldn’t be too shocking to learn that your diet might be to blame for your bum’s itchiness. Again, the typical culinary culprits are acidic and irritating foods like coffee, citrus, spicy foods, and alcohol—essentially the same list of foods that might cause acid reflux.

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Unfortunately, it’s not really clear how or why eating these acidic and irritating foods causes anal itching. “But we know that acidic substances can be damaging to the skin barrier, which triggers itch,” Dr. Kim explains. “Essentially, when you scratch or irritate the barrier, it can falsely set off an ‘alarm,’ which causes unnecessary inflammation.”

A simple solution? Switch up your diet and—hopefully!— watch the itch disappear. (And if the itchiness prevails, consulting a doc is always a safe bet. )

13. You might have an STD.

If your butt is begging to be scratched, it might mean you have a sexually transmitted disease such as herpes or anal warts caused by the human papilloma virus (HPV). Given that the symptoms are on your butt, they were likely contracted through anal sex. In the case of HPV, the warts—which have a cauliflower-like appearance and are darker than normal skin tone—are to blame for the itch, Dr. Kim says. “They stick out and get irritated in the close space. The inflammation then causes the itch.”

Feel something bumpy down there? Then you should definitely visit your doc—for a few reasons. First, your doc will help with treatment likely by prescribing meds to apply to the warts several times a week until complete, according to the NLM.

Second, HPV isn’t something you want to ignore. While most high-risk HPV infections go away within one to two years and do not cause cancer, per the NLM, some can be long term and, if not treated correctly, may cause cancer.

14. You might have nerve damage.

Many experts also speculate that anal itching might be neurological, especially in the case of patients with back issues. “If you have a history of lower back injury or pain along with numbness or weakness due to injuries in the lower back, it’s possible that other nerves, such as those that supply sensation to the anus, are also damaged,” Dr. Kim explains.

Treatment for nerve damage varies and can range from physical therapy to surgery. Be sure to discuss your medical history—including any previous back injuries—with your doctor to figure out what’s going on.

Nicole Blades
Nicole Blades is a novelist, speaker, and freelance journalist who covers women’s health, race and culture, books and publishing, and stories of reinvention for various national print and digital magazines.

Elizabeth Bacharach
Elizabeth Bacharach is the Assistant Editor at Women’s Health where she writes and edits content about mental and physical health, food and nutrition, sexual health, and lifestyle trends across WomensHealthMag. com and the print magazine.

Emilia Benton
Emilia Benton is a Houston-based freelance writer and editor.

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90,000 Children’s masturbation: norm or pathology?

Did you find your child playing with genitals? Were you so shocked and overwhelmed that you didn’t know how to react? Is it fun, promiscuity or illness? There are many rumors about the dangers of childhood masturbation (masturbation), mostly unfounded. Almost all young children at one time or another in their lives are engaged in this, this is completely normal. For example, even before one year old, the baby begins to study parts of his body, including the genitals.Many mothers notice that the baby is touching the “intimate place” with her hands. For babies of the first year of life , such a phenomenon is nothing more than an acquaintance with their body.

At the age of 2-3 years , children develop an active interest in their genitals and the genitals of their peers. Communicating with children of the opposite sex, the baby makes an important discovery: there are differences between boys and girls. During this period, the child begins to relate himself to a certain sex, answering the question: “Are you a boy or a girl?”, Understands some anatomical differences between the sexes.Returning from kindergarten, the baby can solemnly declare: “I want to write while standing, like Vanya.” A boy may be surprised at the lack of such an important detail in girls: “Why doesn’t Masha have such a faucet like mine?” It is very important to answer these questions, no matter how funny and naive they may seem. Explain that boys and girls are built differently, so a girl cannot pee while standing, she has genitals on the inside and boys have them on the outside. Emphasize that gender is given to a person from birth for life.At this age, children continue to explore their bodies, touch their genitals, listening to the sensations from various touches. By 4-5 years children begin to be interested in the issues of conception and birth. “Where did I come from? How did I get in the tummy? How did I get out of there? ” And also the preschooler looks closely at the relationship between a man and a woman, using his observations in games, for example, “Daughters – Mothers”. Now your son can happily tell you that he married Lena from kindergarten and she is his wife.And Lena always brags to her parents that she has a husband. At this age, most children already hide during masturbation, as they understand that adults condemn these actions. Many parents do not even suspect that their child is masturbating. If your child is hiding, touching his genitals, it means that he understands the intimacy of his actions.


When to sound the alarm
It happens that parents constantly find their child masturbating, he cannot sleep without it, or does it in public (during a lesson, in a store, at home with his parents). In this case, we are talking, most likely, about obsessive masturbation that occurs as a result of some psychological problems in the child. A child, trying to relieve internal stress, calm, lull himself, resorts to this way of solving the problem. And no matter how much you talk to him about the dangers of his actions, no matter how many promises that this will not happen again, he will not be able to control his behavior until the parents understand the true reason.

Reasons for compulsive masturbation
Reasons can lie both on the surface and be hidden somewhere in the depths.Therefore, the parents and the child himself may not even be aware of them.
1. Lack of physical contact and affection from the parents.
From birth, it is very important for a baby that parents show their love through touching, stroking, kissing, affectionate words, and playing together. Kiss goodnight, wish good night, sit on mom’s lap, ride on dad’s back, ask for hands – all these pleasant little things make the child feel needed, loved, long-awaited. If parents do not pay enough attention to bodily contact with the child, this can lead to the fact that he will compensate for the lack of bodily sensations with the help of masturbation.
2. Feeling of loneliness, uselessness, abandonment.
These feelings can arise in a child in a situation of separation of parents, the appearance of a new family from one of the parents after a divorce, the birth of another child. It may seem to the kid that mom or dad no longer love him, they forgot about him.During this period, the support of those close to the child is simply necessary.
3. Authoritarian parenting style.
If a child is constantly under pressure, everything is decided for him, his opinion and desires do not interest adults, he gradually gets used to his passive role of “victim”. Becomes depressed, lack of initiative and dependent. To relieve internal stress, the child finds solace in masturbation.
4. Physical punishment.
From an anatomical point of view, physical punishment (spanking, spanking) promotes the flow of blood to the genital area, involuntarily sexually arousing the child.In addition, they have a negative impact on the psyche of the child. If parents choose physical ones as punishment, beat the child, then he gets used to the fact that this is normal. Physical punishment makes the child feel inferior, humiliated, and lowers self-esteem. The child can also masturbate to “defuse”.
5. Lack of hygiene, tight clothing, diaper rash.
All of these can cause itching in the genital area and lead to specific sensations that the child will repeat.
6. Force-feeding.
Often parents worry that the baby has eaten little, remained hungry, begin to fight with him, literally shove in food, forcing everything to finish to the end. Parents have good intentions, but the effect is negative, causing aversion to food. But that is not all. If the child does not experience the pleasure of eating, then other sensitive areas of the body are turned on. The area of ​​the mucous membrane of the lips and mouth is associated with the genital area.If the first is “silent”, then the second is excited. The kid begins to touch the genitals.
7. Lack of neatness skills.
A small child, studying his body, is unaware that he has intimate parts. But gradually, the children develop a sense of shame. That is why it is important to instill in the baby the skills of neatness and hygiene rules, to explain that there are intimate actions that the child must perform on their own: take out the pot, wipe the bottom, wash, do not go naked, especially in front of the parent of the opposite sex.Sometimes parents, despite the fact that the child is already able to do it himself, continue to perform all intimate procedures for him. For example, if the mother of a 5-year-old son washes his genitals herself, this can cause pleasant sensations in the child, which he later wants to repeat.
8. Imitation of elders.
Psychologists have a saying: “The door to the parents’ bedroom should always be closed for children.” If possible, it is advisable that the child sleeps in a separate room.And if living conditions do not allow, then you can make a children’s area in the room, separating it with a wardrobe, curtain or screen. One way or another, but the child must understand that the parents have their own life, where he cannot enter. A child can become an accidental witness, waking up at night at the most “inappropriate” moment.


What to do? How to react?
If you find your child masturbating, the main thing is to keep calm.Don’t scream or scare your baby with horror stories. At this moment, more than ever, he needs your endurance and tact.
If this is a small child, then you can take him by the hands, calmly say that this is not necessary, then switching his attention to something else.
With an older child, you definitely need to talk about what happened. Explain that you know what it does, it’s even called a special term. Tell that many children do this to feel the pleasant sensation of touching their genitals.Sometimes they touch intimate parts when something disturbs and disturbs them. Ask your child: “Perhaps you are also worried about something, so you do it.” Do not press on the child, he is most likely scared and depressed. Calm him down, assure him that you do not judge him, that this will not affect your love for him.
It happens that a child masturbates in front of other people, for example, at home, when the whole family is watching TV. In such situations, be sure to tell your child that it is not customary to do this in front of other people, but you can do it in the bathroom or toilet when no one sees him.Some parents fear that allowing their child to masturbate will lead to promiscuity, “unnecessary questions and interests. ” But, as you know, “the forbidden fruit is sweet.” When you calmly talk with him on this topic, do not forbid, but set restrictions (“you can, but when you are left alone”), after a while the child will calm down and stop doing it.
Some doctors and psychologists recommend that parents carefully monitor their children, do not close the door to the child’s room, exclude exciting food, tight clothing, excessive caress of adults, grow nails for the child, that is, in their opinion, create conditions that will not contribute to sexual stimulation of the child and as a result, reduce the likelihood of masturbation.However, do not forget that compulsive masturbation is a consequence of psychological discomfort. Even if we control every step of the child so that he does not masturbate, this will not solve the problem. After all, when you have a toothache, you take pain relievers, but this is only a temporary solution to the problem. The process that caused the toothache requires the intervention of a dentist.
As a rule, parents are embarrassed to discuss such a delicate topic with a stranger, even a specialist.But do not forget that if a child compulsively masturbates, it is necessary to find a reason and, with the help of a psychologist, to understand the situation.
And in conclusion, I would like to remind you that your threats and punishments for the baby are worse than masturbation. It is the wrong reaction of the parents that can harm the child and lead to sad consequences in the future.

Child masturbation

Infant masturbation (typical mainly for girls) is accompanied by typical manifestations: legs are drawn together or crossed and very tightly compressed; the body is tense and elongated (sometimes the child becomes in the “bridge”), the baby blushes, grunts, squeezing and unclenching the hips – this continues for several minutes, after which the child relaxes with satisfaction, breathing calms down, the skin takes on a normal color.All this is so reminiscent of reaching an orgasm that adults usually do not have any doubts about the nature of what is happening – and confusion arises, questions arise … Is it harmful? Science and life have shown: “No, it is not harmful!” Here are some facts from the observations of experts. The boy’s penis begins to come to a state of erection at 17 weeks of intrauterine development. And children begin to touch their genitals long before birth. However, if for the majority of parents this remains “unknown”, then they begin to face this from 40 to 52 weeks after birth, which also often frightens them.But if it were harmful, then nature would make our hands shorter! As for the infant masturbation described above, it usually disappears without a trace by the year. And only in very rare cases, it can indicate serious diseases of the nervous system, which is determined only by a doctor. Causes of Child Masturbation Usually between the ages of 2-3 and 5-6, children begin to take an interest in learning about the differences between the female and male body. They look at naked children and adults with interest, but the sensations of their own bodies are no less interesting for them.Children often play with the genitals, touch them, pull at them, scratch them … The interest here is purely cognitive! But, if the sensations that the child experiences at the same time become for him the dominant source of positive emotions, then he begins to resort to stimulation of the genitals all the time, as a result, masturbation arises. The ways of children’s masturbation are extremely diverse: with hands, toys, a blanket clamped between the legs, rubbing against linen, furniture, a strong stream of shower. They can make a painful and frightening impression on parents, but in themselves they do not indicate either the promiscuity of the child or the fact that this is a disease.Parents need to try to understand what it is in the child’s life that makes him masturbate. It is important to remember that the child himself cannot be held responsible for what is happening and needs help, and not prohibitions and punishments. If you just rudely scold and forbid touching the genitals, then this will cause the opposite effect. The child will try with all his might to find out: why you can touch everything – and the nose, and the handle, and the leg, and the tummy … but a little lower – it is impossible! Some parents in their “pedagogical” measures show extreme cruelty, for example, they burn their hands with fire or hit them with a ruler, etc.In no case should you punish, scold, and even more so beat the child. He will become secretive, intimidated and will still find a place and a time when you cannot control him, for example, in the bathroom or toilet. Punishment by parents almost never helps to rid the child of the habit of masturbation. Thus, this behavior of parents only reinforces the desire of their child to masturbate. After all, as you know, the forbidden fruit is sweet. Masturbation can be attributed to both medico-hygienic and psychological reasons.The first include tight clothing, narrowing of the foreskin in boys, vaginal discharge in girls, worms, various inflammations, for example, thrush, any discomfort in the genital area. Such phenomena cause severe itching. And the more the child scratches the genitals, the more the itching intensifies. But the child cannot not scratch, as the itching is very strong. Brushing is a pleasure in itself (for example, when bitten by a mosquito), and then in an intimate place! The child fidgets, sitting still, rubs against objects, rubs the genitals through clothes or directly.Psychological reasons include situations of emotional discomfort – boredom, loneliness, abandonment, lack of attention of loved ones and significant people, offensive or infringing on the dignity of the child by the actions of adults. Masturbation can also be a reaction to situations of trouble in the family. Many psychologists and doctors believe that in such cases we are talking about chronically unhappy children, for whom masturbation acts as a comforting means – in this way these children relieve the tension of their libido (the energy that directs any organism to enjoyment, and not necessarily sexual). How to avoid reinforcement of masturbation? Here are some simple tips to avoid child masturbation. * As soon as you notice that the child is interested in sex differences, explain them to him. However, remember that at the age of 2.5 – 4 years, the child does not need details. Just tell him that girls and boys have different urinary organs so that he does not show increased interest in this topic in the future. If you do not explain this to him, then he himself will start looking for answers to his questions (which he may not ask out loud).After all, there are numerous cases of children demonstrating their genitals in kindergartens (the toilet is common!). * It is important to pay attention to the child’s clothes – they should not be tight in the crotch. Therefore, tight tight jeans are fashionable clothes, but uncomfortable for children who are in constant motion. Tight clothing can constantly press on the genitals or irritate them while moving. A child, feeling uncomfortable with such clothes, will constantly correct it, unfasten the zipper, and have to touch the genitals. * It is best to teach the child to sleep on its side, placing both palms under the cheek. Some babies like to sleep on their stomachs. This is also a safe position in terms of possible masturbation. But if the child prefers to sleep on his back, then it is best to teach him to put his hands on top of the blanket, not explaining the true reason, but coming up with some plausible explanation. * If you are helping a preschool child wash, do not rub the genitals with a hard washcloth, or gently touch or stroke them.Treat them like a normal part of the body, then the child will treat them as well. * Teach your child to play and have fun. In other words, it is important to teach your baby, so that even being alone, he could independently occupy himself with something interesting (besides masturbation). And if the problem persists …? If, nevertheless, the child does not stop masturbating before 8 – 10 years of age, be sure to consult a child psychiatrist or sex therapist.Often at this age, masturbation may be due to the influence of sexually anxious adults or adolescents with mental disabilities. The need for masturbation may be due to the increased hypersexuality of the child or premature psychosexual development. Many children are unable to cope with their hypersexuality on their own. And since the satisfaction of sexual attraction is pleasant to him, and dissatisfaction, on the contrary, causes mental discomfort and unpleasant sensations, then he seeks to please himself as best he can.At this age, the child is not able to realize the consequences of an early formed libido in the form of surrogate forms. “Suffering” a child in such cases is absolutely useless. You should know that manifestations of premature psychosexual development can and should be treated. If this violation is not eliminated in time, then the child will form a stable stereotype of surrogate realization of sexual desire.

The Tale of the Monkey Sucking His Thumb
Once upon a time there was a Monkey who loved to suck his thumb.She did this quite often: when she was worried, when she was happy, when she wanted to calm down before bed. She did it like this (we show it on a monkey with a magnetic finger). In general, on the one hand, it was a very useful habit. How can you calm down if you don’t know how to do it? And the finger in the mouth helps a lot. But, on the other hand, this habit sometimes got in the way. Other monkeys often said to her:
– Well, why are you sucking your thumb? Are you not full? Maybe eat another banana?
(What else do you think the other monkeys might have said? Here is a great opportunity for parents to find out which words of theirs about this habit most offend the child).
All these words made our Monkey very sad and offended. And how other monkeys do not understand that it is useful and pleasant to suck your thumb.
Once such an amazing story happened to our Monkey.
She, along with her friend, went for bananas to the very edge of the forest where her tribe lived. At first, the friends merrily jumped from tree to tree, laughed and joked, moved very quickly. However, after a while, the friends realized that they were lost.Our Monkey got scared and put her finger in her mouth with a habitual gesture. At that moment, the frightened friend, too, slipped off the branch and began to fall. Our Monkey had to cope with its fear – there is no time to be afraid, because a friend is in danger. The monkey pulled her finger out of her mouth and jumped to help her friend. She made it just in time and pulled her friend onto a branch.
“Thank you,” the friend said. – I was a little scared and confused, I even forgot to hold on to the branches with my paws. You saved me.
– I think, – answered our Monkey, after rescuing a friend she felt calm and confident, even as if a little older.- We will definitely find our way. Only tomorrow, it’s already evening. We will have a fruit supper, sleep, and in the morning we will go.
The monkeys had supper and began to go to bed. Our Monkey, as usual, lay down, curled up in a ball and stuck a finger in his mouth – she always fell asleep like that at home. After lying like this for some time, she felt that she was freezing.
– Let’s hug, – timidly whispered, chattering teeth, a friend, – I’m so cold that I seem to start to catch a cold.
And again, our Monkey had to get a finger out of his mouth in order to firmly hug his girlfriend with two paws and keep warm.
In the morning the monkeys woke up – none of them got sick, after all, they warmed each other with their warmth. The morning really turned out to be wiser than the evening – the friends climbed to the top of the tallest tree and were able to see the way home. On the way, they picked up as many bananas as they could carry.
The tribe greeted them with joyful shouts and friendly hugs. The monkey’s friends treated everyone to bananas and smiled cheerfully. And our Monkey thought: “It’s great that now I can choose: I want to suck my finger, I don’t want to – I don’t suck! After all, if I could not choose, then my friend would have fallen and hit painfully, and then at night we would have caught a cold and got sick.What a fine fellow I am! ” The monkey carefully looked at her finger, smiled, and did not put it in his mouth.

GLISTS | translation and examples of use | Czech language

He said that she had worms and almost poisoned her with worms !	Namluvil jí, že se jí v břiše usadili červi, pak jí vnutil léky na odčervení a Angelinu tím málem otrávil!
We have invented the pill… which gives birth to worms from former mistresses.	Objevil sem tabletu … díky které budou mít ex-přítelkyně parazity.
She gets worms from her former mistresses.	Je to tableta, díky které budou mít ex-přítelkyně parazity.
Can she get worms from ex-lovers?	Můžou díky ní také ex-přítelové mít parazity?
This medicine is intended for use… to get worms from ex-mistresses!	Je to lék pro celý svět … díky kterému budou mít ex-přítelkyně parazity!
There is a newest remedy for worms , which I must definitely try on you, my four-legged friend.	Našel jsem nový odčervovací kapky … který na tobě chci vyzkoušet, můj čtyřnohý kamaráde.
– Medicine from worms for duck.	-To je pro kachnu proti červům.
Packie Walker said that he once had a gastric lavage because he swallowed dog pills from worms .	Packy Walker říkal, že mu museli vypumpovat žaludek protože snědl pilule na odčervování psů.
Really? What about those worms that rip people’s ass apart?	A co ty lasičky, který lezou ze zadku?
Eat a tablet from worms and get out.	Nech se odčervit a zmiz. Já mám práci.
How did Pepe upset me, apart from worms and diarrhea?	A kdy mě zklamal Pepe, mimo červů a průjmu?
At the moment we have already collected lice and worms .	Takže už máme ve sbírce vši a škrkavky.
All goblins must have no visible worms .	Každý skřet se musí vyvarovat viditelných červů.
Like, well, a man on call … Or treat dogs from worms … Inspector of sorting.	Třeba jako mužská šlapka … odblešovač psů … revizor kadibudek.
So if you don’t want to suffer from worms ,		Pokud “pařížské”, protože Nechci se dostat červy, ano.
John? They feed on rot and feed worms .	Ke komu se bude tvůj malý syn modlit, Johne? Temní jsou cizinci, spící na vlacích .. Mají krev na postelích ..
I found this pill here in the office. But it is not from worms or eczema, like all normal pills.	Tuhle pilulku jsem našel tady v kanceláři, ale není proti červům nebo ekzému, jako normální prášek.
Once a month Jenna wraps these worms pills that I hate into pieces of cheese that I love.	Jednou za měsíc vezme Jenna ty dirofilariózní pilulky, které nesnáším, a dá je do sýru, který miluju.
So much so that you can take a swab from them for worms .	Můžou klidně stát v rohu a rozdávat zdarma inspekci konečníku.
Based on the information I was given, you are spending £ 2 a month on powder from worms .	Podle těch zpráv, které jsem dostal, vydáte 2 libry měsíčně za odčervovací prášek.
Horses catch worms through the water.	Koně ty červy chytnou z vody ve žlabu.
Does this really save horses from worms ?	Opravdu to zabírá?
How many tablets from worms , Mr. Ellin.	To je spousta odčervovacích tablet.
Nothing from worms for … viruses.	Cokoliv od tasemnice k virům.
Healthy gums, no worms , no fleas.	Zdravé dásně, žádní červi ani blechy.
As the veterinarian said, somewhere she got an infectious mosquito, and she … got a lot of heartworms worms .	Podle veterináře se zapletla s komárem a chytla vlasovce.
C worms .	Tasemnice.
C worms ?	Tasemnice?
We have a patient with a bunch of worms in the intestines, so he’s very happy. And I can’t stop scratching my head, because the patient vomited at me, and now I am sure that someone is crawling there, and this is not something that someone wants to experience …	Já se ale nemůžu přestat drbat, protože mě pacientka pozvracela, a já mám pocit, že se mi plazí ve vlasech, což by nikdo nechtěl…

Online Veterinarian Consultation – Treatment of Dogs | Veterinary clinic MegaVet

Hello, I really need your help. We have a Rottweiler girl, she is 4 years old by human standards, we just do not know how to calculate the age of dogs … She was recently completely healthy, but suddenly she became inactive, began to eat nothing, did not drink, began to limp, soon her hind legs began to be taken away, began to lie more, it is difficult to lift her, since she herself does not get up, her nose is dry and warm, even a little hot, sour in her eyes, her eyes are half-closed, her stomach is swollen strongly, it hurts when touched, she whines, often sleeps, and this frightens, recently she pooped for the first time, the stool is very black, sometimes her stomach growls, she often began to drink water, we give her only liquid, kifir, but today she pulled it out for the first time, her hind legs were almost taken away, she does not walk, even if we try her raise, she whines, the limbs, including the front, during her sleep, straighten, firm, we also raise our head and she seems to be unable to turn (when she is lying), sometimes with painful sensations of her limbs, they tremble, breathe very often , and meekly, the ribs widened, protrude, before, when we just took her, she hurt, there was severe vomiting every day, often very much, trembled, in my opinion it was a plague, but we cured her, she never got sick, she was cheerful and cheerful, the problem was the fact that she eats a lot and does not drink so much, now she only sips water, even in that place, not where the priest is, but there… Today she noticed brown droplets, thought her period) she has, she is infertile with us, she never gave birth, although we brought dogs together, we have a small city, in Moldova, and there is only one veterinarian in the city, but he is young, he said that she has neurological, and due to the fact that our dog is only in variety or only on a chain, her joints worn out, and now this affected her paws, he injected something for 3 days, but now he said that more will not, because he is busy, and said that he did not know how to cure her, did not know what kind of illness she had.Help please, tell us what to do? We have nowhere else to turn, as we have the only veterinarian in town! Help … I don’t want something to happen to Gerda, I tried to explain all the symptoms to you

Hello! According to your description, it is very similar that the dog has pyometra (inflammation of the uterus). You urgently need to have an abdominal ultrasound scan and, if confirmed, operate on the dog.

90,000 Free Veterinarian Consultation – Cat Treatment | Veterinary clinic MegaVet

Hello, my cat has been sick for 3 weeks, everything started after taking pyrazetam, 4 days after taking pyrazetam, he began to eat badly, he always ate only what we eat, and then I decided to pamper me with dry food so that I would start eating again, he started and only he refused food from other food, after a week he became lethargic, ate very little and drank little, was terribly emaciated, constantly lay with it mainly on his tummy, tucking his hind legs under him, and pulled the front left forward, if he lay on his side, then only on the right (the lying posture is still the same), turned to the veterinarian, prescribed gentamicin 1 cube 2p.3 days a day and active coal. After 2 days of treatment, the appetite returned a little, but another problem immediately started – it began to swell up the stomach, began to walk very badly, the temperature all this time was 37.7-38, again refusal to eat, only drank not often and little by little, fed from a syringe, there was no stool for 2 days, vet-r prescribed a one-time castor oil 6 drops and active coal, went off every other day, but very steep, the stomach is still swollen, palpation is not very tight .. writes times 4 a day, before that it takes a long time to set up. The day before yesterday, trying to climb into a chair, he fell on this big belly (I was not at home at that moment, I determined this by an overturned chair and a barely living cat), after the fall, he screamed terribly, made him 0, 1ml no-shpy, by the middle of the night it became a little easier for him, he could not move any more, for the next half day (this is yesterday) he even wrote for himself, his stomach was a little dry, neither ate nor drank.Yesterday we went to the wind-ru, having examined it again, prescribed gentamicin, atoxil, a cleansing enema, they did not take tests, said that there was stagnation in the intestines, but as for me, it looks like dropsy, the cat never ate yesterday (fed with a syringe), I drank a little myself. Condition for today: he can hardly move with his hind legs spread wide, he shakes very much, his stomach is swollen again, does not eat, he drinks only broth (just a little) and water, lies all the time, very weak. The temperature is the same , breathing even, pulse 220. stool cool, but already wet, ammonia smell of urine.Please tell me that with my cat, there is no way to go to the city to another specialist, he will recover or not, and he may still need some medications, maybe diuretics (I started giving him 1 tsp. Sorry for so much text, but I decided to describe the problem in more detail. Thank you in advance for your reply.

Hello! It is very difficult to determine what is wrong with your cat without an examination. A bloated belly can mean a buildup of fluid in it. It is necessary to do an ultrasound of the abdominal cavity and see.If an ultrasound is not possible, then let the doctor at least make a puncture and see if there is liquid or not, and what kind of liquid it is. Cats often have infectious peritonitis, which, unfortunately, cannot be cured, but your animal’s symptoms are similar.

The Law on the Prohibition of Barking was adopted in the second reading

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