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Pediatrics/Worms in stomach issue

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Question
Hello Doctor,

I am Sudha from Chennai and My daughter Manasa is 4.6 years old.

In last October, we gave her medicine for stomach worm (after 6 months of earlier dose), which was a one time 10ml syrup. In 2 months, she again started itching at her butt. When I saw her rectum, a very tiny thread like white colour worm I could see. This time, our pediatrician suggested some heavy dosage 5ml per dose to be given twice a day for 3 days. And this was in Jan.

Now this is March and my baby started itching her butt and yesterday I saw the same tiny worm on her butt.

Why is it so frequently she gets it? Is it a symptom of some major issue? Is it fine to give her worm syrup one shot 10ml syrup to her even in a 2/3 months gap?

How to stop the frequency of getting the worms?

Please advice. Waiting eagerly for the answer.

Thanks
Sudha

Answer
Hi Sudha,

Actually, there are different medications available for deworming. The most commonly used is Albendazole and its dose is 10 ml once only. Another common medication is Mebendazole: Its dose is 5mL two times a day for 3 days. For this medicine, it is just appropriate (NOT "heavy" dose!!).

However, it is to be noted that these medicines act only on worms not on their eggs (which must also be present whenever worms are present). Hence, course of these medicines must be repeated after 2-3 WEEKS to break this cycle (as eggs become worms in 2-3 weeks). If this is not done, it leads to recurrence, as in your daughter's case.

Another cause of recurrence can obviously be re-infection. Please be more careful of the hygiene (nail-cutting, avoidance of playing in mud: especially barefoot, food and water hygiene).


Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India

www.KumarChildClinic.com

Pediatrics

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Dr. Puneet Kumar

Expertise

I would be happy to answer general queries on prevention and treatment of ailments in newborn, infant, toddler, child or an adolescent. Needless to say, it will not be possible to answer any query requiring specific diagnosis of a particular subject.

Experience

I have worked in various capacities (medical officer, resident, senior resident, consultant) in public as well as private sector in Pediatrics and Neonatology. Today, I have over 15 years of experience in the field.

Organizations
Currently, I am running my own clinic (Kumar Child Clinic) in Dwarka, New Delhi and am attached to Lifeline Hospital, Dwarka as consultant pediatrics and neonatology. I am also developing my clinic website into a comprehensive child health/ parenting website (http://www.kumarchildclinic.com)

Publications
(a) Chapter "National Immunization Schedule" in Frontiers of Social Pediatrics, Jaypee Publishers: 2nd edition, 2016. (b) Article, "All about Pertussis vaccines" in special issue of Indian Journal of Practical Pediatrics, July-Sept 2015 (c) Three chapters (DTP vaccines, Pneumococcal vaccines and Poliovirus vaccines) in "Textbook of Pediatrics for Post-graduates" First edition: 2015. (c) Chapter: "Alternative delivery methods of vaccines" in IAP textbook of Vaccines, First edition, 2014 (published by IAP/ Jaypee Brothers) (d) Special Article: "50 years of Immunization in India: Progress and Future" in January 2013 issue of Indian Pediatrics (e) Four chapters in "FAQ: Book on Vaccines and Immunization Practices" First edition, 2011 AND 2nd edition, 2015 published by Jaypee Brothers. (f) Three articles in special issue of Journal of Pediatric Sciences on “Controversies and Challenges in Pediatric Vaccination Today" in Sept, 2010. Co-edited the series also. http://www.pediatricsciences.com/issue/view/1050000010 (f) Regular column, “How do I treat” in Pediascene (www.pediascene.com) (g) Review article, “Role of Anti-Poliovirus Agents in Polio eradication and beyond” in Polio Pulse, April, 2008. (h) Chapter on “Acute Infectious Diarrhea” in Textbook of Infectious Diseases in Children. (An IAP Publication), 2007. 2nd edition in 2011. (i) Book-Review (IAP Pediatric Drug Formulary, 2004) in Pediascene, March 2005 (http://www.pediascene.com/page.php?cid=6&catid=9&id=132 ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

Education/Credentials
After MBBS, I have done DNB residency in Pediatrics.

Awards and Honors
Winner of IAP practising pediatrician's quiz in 2001.

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