October 6th, 2008 McNeil Products Ltd.
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All About Worms
Although we don't like to talk about them, worms are actually very common, particularly in children. They are not a sign of poor hygiene or an unhealthy lifestyle.

The first sign that your child has worms can cause panic, leading you to visit the doctor as soon as possible. However, spending time waiting for an appointment and sitting in the waiting room to see your GP or nurse may not be necessary. If you are unsure, it is recommended that you consult your doctor. Threadworms (also known as pinworms) are the most common worm infestation in the UK and can be easily treated with a single dose remedy available from your local pharmacist.

This section aims to provide information on the different type of worm infestations found in children and adults, and how to identify them.

Threadworm (also known as pinworm)
Threadworm (Enterobius vermicularis) is a common worm infection in the UK. In fact, up to 40% of children under the age of 10 years may have threadworm1. Both children and adults can be affected, although worms are mostly found in children.

The key symptom of threadworm infestation is an itchy bottom, however you may also see the actual worms. Threadworms are tiny, white worms approximately half an inch (1cm) long and look like threads of cotton – hence the name threadworms.

Click here to find out more about breaking the threadworm lifecycle, threadworm symptoms and treating threadworms.

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Ringworm looks like a rash that is scaly, red and itchy. The patch is either ring-shaped or oval on the skin, and can vary in size from a few millimetres to several centimetres in diameter. The rash expands slowly, healing from the centre, resulting in a ring-like appearance. Depending on the severity of the infection, ringworm can be treated by using an antifungal treatment, such as Daktarin Cream™ (contains Miconazole Nitrate).

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Ringworm


Roundworm
Roundworm (Ascaris lumbricides) is a common human parasite that inhabits the intestine. It is estimated that 98% of people around the world either have a nematode infestation or have had one at some time. However, roundworm is rare in the UK.

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Roundworms differ in size from 15-30cm long and 2-6mm in diameter and can be seen in the faeces. Often there are no symptoms, however when there are more than a few worms, the most common symptoms are: abdominal discomfort and pain, nausea, vomiting, irritability, loss of appetite, and disturbed sleep. In heavy infestations of worms, the sufferer can get pneumonia or the bowel may become blocked.

Treatment can be prescribed by your GP. Good hygiene, including thorough hand washing, will reduce the spread of roundworms.

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Roundworm


Hookworm
Hookworm (Ankylostoma duodenale Nector americanius) has been almost eradicated from Europe and the U.S.A. However, it is still found in tropical and subtropical areas, like Asia, Africa, Central and South America and South Pacific.

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Anyone can be infected by hookworms, they are mostly found in people aged 15 to 25 years. Hookworms usually enter the body by penetrating the skin. The Ankylostoma worm can also enter the body if its larvae are swallowed through eating contaminated fruit and vegetables.

The symptoms of hookworms include: pain in the abdomen, nausea, pallor, worms in the stool and a general feeling of weakness. Sometimes the sufferer can also have a dry, irritating cough and iron deficiency (anaemia) may develop. For this reason, it is worth contacting your GP who can arrange a blood test to check for iron deficiency, as well as prescribing an anthelmintic, to get rid of the worms.

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Hookworm


Tapeworm
Tapeworm is a rare worm infestation in the UK. It can vary in size depending on the type of tapeworm infection, from 15cm to 8 metres. The tapeworm gets its name because its segments and body are very flat, like a piece of tape. Small segments, about the size of a rice grain, detach from the tapeworm's body and sometimes are seen in the stools.

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They live by drawing nutrients from the food in the gut. Health problems occur when the tapeworm becomes too large and blocks the bowel, robbing the sufferer of nutrients. There are different types of tapeworm that can be found in the intestines.
  • The Beef Tapeworm
  • The Pork Tapeworm
  • The Broad Fish Tapeworm
  • The Dog Tapeworm


  • To prevent tapeworm infections, all food should be prepared and cooked properly, although infections from meat in the UK are rare as the animals are usually treated against worms. It is also important to wash fruit and vegetables thoroughly, especially when travelling. Good hygiene, including thorough hand washing after using the toilet, playing with animals and before meals will reduce the spread of tapeworm. If you suspect a family member has tapeworm, you should consult your GP who can prescribe a suitable treatment for them.

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    Tapeworm

    Tapeworm


    Whipworm
    Whipworm (Trichuriasis) is found worldwide, but is more common in warmer, wet regions. It gets its name because it looks like a whip.

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    The infection is picked up when the worm’s eggs or larvae are swallowed by eating or drinking contaminated food or water, but they have little effect on the body. However, worms living in the appendix may cause symptoms similar to acute appendicitis. In heavy infections, there can be abdominal pain, mucous diarrhoea, blood-streaked stool and loss of weight. Treatment can be prescribed by your GP, and good hygiene, including thorough hand washing, will reduce the spread of whipworm.

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    Whipworm


    What can I do?
    Effective treatment for threadworms is available from pharmacies. Pharmacists can also advise on how to prevent the problem from coming back.

    It is important to identify the type of worm and seriousness of the infestation. Simple treatments are available from your pharmacist for other worm infestations (such as threadworm). Your GP should be consulted in the case of hookworm or tapeworm that can cause additional complications.

    Generally, basic hygiene measures can help prevent worm infestations:
    • Wash your hands after going to the toilet or handling animals
    • Wash your hands before eating
    • Ensure meat is properly cooked and fruit and vegetables are washed
    • Keep children away from dog faeces (encourage your local council to enforce pooper-scooper rules in public places and keep dogs out of playgrounds)





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