Question

For the past three days, the child has been experiencing anal pain at night, frequently reaching out to scratch the area. The child’s mental state is good, and appetite is normal. However, after consuming milk, they often complain of stomach pain. They sleep well at night, have dry stools, normal urine, and no significant weight change. This condition usually occurs at night. Past treatment and effectiveness: Not treated yet. Needed assistance: Want to inquire what this might be? Is it a disease? Do I need to seek medical attention?

Answer

  1. All imidazole compounds are effective. For example, albendazole, known as Intestinal Worm Clear, is taken at a dose of 400mg once, with almost 100% cure rate. However, due to the easy recurrence of parasitic infection, a second treatment should be administered 2-4 weeks after the initial treatment.
  2. Phenylbutazone (trade name Piroxicam), for children the dosage is 5mg per kilogram of body weight, for adults not exceeding 250mg in total dose. Take it once at bedtime (do not chew the tablet). To prevent recurrence, a second dose should be taken 14 days after the initial treatment; it is effective with few side effects, occasional nausea and dry vomiting.
  3. Thiethylpyridine for adults is 250mg, for children 5mg/kg. Take it once on an empty stomach; it has a significant anthelmintic effect.