Overview
You may see tiny white threads around the anus at night or in stool.
Eggs get under fingernails from scratching and spread to the mouth.
Symptoms
Common signs:
- Itchy bottom at night
Less common
- Poor sleep
- Irritability
When to get medical care
Causes
Swallowing pinworm eggs.
Does it spread or run in families?
- Yes, it can spread from person to person.
- How it spreads: germs from poop getting into the mouth.
- Washing hands often and staying home when sick help protect others.
Who is more likely to get it
- Children
- Families of children
Possible complications
Diagnosis
A tape test finds eggs.
Questions you may be asked
- Itching at night
- Others in home
The exam
Press clear tape to the skin first thing in the morning.
Treatment
Treat and clean at the same time.
Self-care
- Take the medicine, then a second dose in 2 weeks
- Wash hands, especially before eating
- Trim nails short
- Shower in the morning
- Wash bedding, towels, and pajamas in hot water
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| Pyrantel pamoate | Pinworms | Over the counter; follow the label. |
| Prescription | Pinworms |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Prevention
To prevent it:
- Handwashing
- Short nails
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to a gastroenterologist or a colon and rectal surgeon.
Back to school, work, or sports
- You usually don't need to miss school or work. Wash hands often.
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- Some infections can pass to the baby during pregnancy or birth. Tell your provider if you've been exposed.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
Outlook
Cured with treatment.
Myths and facts
Myth: Pinworms mean a home is dirty.
Fact: Pinworms are very common in children and spread easily in any home.
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Sources
Last updated 2026-11-12.