Question
Last night, my daughter complained of pain in her buttocks. Upon examination, a small white worm about 1.5 millimeters long was found near her vaginal opening. How should this situation be handled?
Answer
If white threadlike worms are found around a child’s anus or vaginal opening, it may be a sign of pinworm infection. It is recommended to check the skin creases around the anus one to three hours after bedtime. For treatment, the first choice of medication is embonate, at a dose of 5 milligrams per kilogram, taken once at bedtime, and repeated once after 2 to 3 weeks. In addition, clean the perineum and perianal area every night before bedtime, and apply pinworm cream locally to kill worms and relieve itching. After treatment, a stool examination should be repeated 3 to 4 months later to confirm that there are no worm eggs. In terms of daily hygiene, ensure that the child washes their hands before eating and avoid eating unwashed fruits and vegetables. If the child shows loss of appetite or diarrhea…