What to do if your child has worms on his buttocks

If a child has worms on his buttocks, it is usually a symptom of ascariasis. It is relatively normal for children to have ascariasis, and the impact is relatively large. Because children with ascariasis will suffer from malnutrition, they must go to the hospital for treatment in time. There are many ways to treat ascariasis. Here we will introduce the treatment methods of ascariasis in detail.

1. General rehabilitation therapy

Pay attention to rest and strengthen nutrition. For those with severe anemia, give them nutritious diet, vitamins and iron supplements before deworming.

2. TCM classification and TCM treatment

1. Worm-infested intestine

Abdominal pain around the navel that comes and goes. Noisy and hungry easily, and in severe cases, the patient may vomit or expel worms, grind teeth in sleep, drool, and have an itchy nose. The tongue coating is thin, yellow or white, and the pulse is deep and stringy.

[Treatment method] Anesthetize the ascaris to relieve pain.

[Prescription] Wumei Pills with modifications: 45 grams of black plum, 8 grams of Sichuan pepper, 3.5 grams of asarum, 5 grams of cinnamon, 5 grams of dried ginger, 5 grams of aconite, 6 grams of coptis chinensis, 7 grams of phellodendron, 8 grams of ginseng, 7 grams of angelica, and 4 grams of licorice.

2. Weak spleen and stomach

The patient has been suffering from worm disease for a long time, his face is pale and thin, his sclera, cheeks and nails are covered with worm spots, he is listless, has a poor appetite and is irritable. The tongue is pale red, the coating is thin white and the pulse is thready and weak.

[Treatment method] Strengthen the spleen and harmonize the stomach.

[Prescription] Wuwei Yigong San with modifications: 12g Codonopsis pilosula, 8g stir-fried Atractylodes macrocephala, 12g Poria cocos, 10g Tangerine peel, 4g Licorice root.

3. Modern Western Medicine and Western Medicine Treatment Methods

1. Comprehensive treatment

(1) Piperazine citrate (piperazine): 4 g per day for adults and 0. 1～o. 15 g/kg body weight, maximum dose 3 g, take once in the morning on an empty stomach or before bedtime, for 2 consecutive days. (Each tablet of pagoda candy contains 200 mg of citric acid, and each milliliter of anti-worm syrup contains 160 mg).

(2) Levamisole: 1.5-2.5 mg/kg body weight, taken on an empty stomach or before bedtime. If the worms are not completely expelled, take it again after one week.

(3) Enteric Worm Clear: 200-400 mg, taken all at once, can crush roundworms in the body, so no complete roundworms will be excreted after taking the medicine.

(4) Anti-insect spirit: 10 mg/kg body weight, taken all at once.

2. Treatment of concurrent conditions

(1) Biliary ascariasis: Antispasmodics and analgesics: Aspirin o. 5 grams, 3 times a day, 1 gram for the first time, take for 3 consecutive days, atropine o. 5 mg, intramuscular injection, pethidine 50 mg intramuscular injection: amyl nitrite o. 2 ml, break it and inhale it once every half minute, use it for 3 to 4 times, vitamin K8 mg, intramuscular injection, twice a day. Antibiotics should be added for patients with concurrent infection. Early deworming can be done to prevent bile duct infection and bile duct necrosis.

(2) Ascaris ileus: Incomplete obstruction can be treated with medical therapy, including fasting, intravenous rehydration, gastrointestinal decompression when paying attention to the balance of water, electrolytes and acid-base, sedation, antispasmodics and analgesia. After the abdominal pain is relieved, deworming can be done by taking 80 to 150 ml of soybean oil or peanut oil to loosen and relieve the ascaris clusters. If medical treatment fails, surgery may be considered.