When do you deworm? How does your body tell you it’s time to deworm?
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Intestinal worms can cause a rash or itching around the rectum or vulva. In some cases, you will pass a worm in your stool during a bowel movement. Some people may have intestinal worms for years without experiencing any symptoms. Sometimes the worms are visible in the anal area, underwear, or in the toilet. In stools, the worms look like small pieces of white cotton thread. Because of their size and white color, pinworms are difficult to see. The male worm is rarely seen because it remains inside the intestine. For most people, treatment will involve taking a single dose of a medication called mebendazole to kill the worms. If necessary, another dose can be taken after 2 weeks. During treatment and for a few weeks afterwards, it’s also important to follow strict hygiene measures to avoid spreading the threadworm egg.
People usually have very strong immunity to parasites. If something about your job or location exposes you to more than the usual level of parasitism, see a doctor, who can provide a test for parasites to verify that you have them, and prescriptions to treat them. It is important to not take unnecessary treatment for parasites as this actually causes the parasites in our environment to develop immunity to medications. For the same reason, it’s also very important to only treat based on tests that verify which parasite is present, and treat only with medication that targets that specific parasite.