Enterobiasis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The symptoms may include painful itching around the anus, restless sleep, poor appetite, and failure to gain weight.
History and Symptoms
Most of the individuals with pinworm infection are asymptomatic. The main symptoms are pruritus ani and perineal pruritus, i.e., itching in and around the anus and around the perineum. The itching occurs mainly during the night. The most common clinical manifestation of a pinworm infection is an itchy anal region. When the infection is heavy, there can be a secondary bacterial infection due to the irritation and scratching of the anal area. Often the patient will complain of teeth grinding, and insomnia due to disturbed sleep, or even abdominal pain or appendicitis. Infection of the female genital tract has been well reported.
Common symptoms
- Pruritus ani
- Perineal pruritus
- Perianal pain or soreness
Less common symptoms
- Restlessness
- Insomnia
- Fatigue
- Emotional instability
- Enuresis
- Perivulvar itch
- Abdominal pain
- Loss of appetite and weight(uncommon, but can occur in severe infections)
- Difficulty sleeping and restlessness due to the itching that occurs during the night.
- Intense itching around the anus.
- Irritability due to itching and interrupted sleep.
- Irritated or infected skin around the anus, from constant scratching.
- Irritation or discomfort of the vagina in young girls (if an adult worm enters the vagina rather than the anus).
- Loss of appetite and weight (uncommon, but can occur in severe infections).