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Infectious Illnesses
Question #14065
207 days ago
339

How to get cure and what medication shouldItake? - #14065

Shreya.m

At night timeI feel itching around the anus because of worm infectionI just saw only one pinworm confirmly. AndI've taken two albendazole tablet but yetI'm feeling high temperature and itching around the anus.. what medication shouldi take please tell.I'm afraid of this!šŸ˜” I'm unmarried and 20year old

300 INR (~3.53 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
207 days ago
5

Ok understood, RX, 1) Tab albendazole 400 1 tab after food at night and other dose after 14 days 2) Tab levocetrizine 5 mg 1 tab at bedtime for 5 days

Take Albendazole 400 mg once now and repeat after 14 days, Add Cetirizine nightly for itching, Maintain strict hygiene and treat the entire household. You’ll start feeling better within 2–3 days and fully clear after the second dose.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a ā€œprocedure thing.ā€ I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
207 days ago
5

Hello

Tab Albendazole 400 mg (one tablet) once usually after food. Repeat the same dose after 2 weeks (to kill any worms that hatched from remaining eggs). Tab Cetrizine once at night

The itching can persist for a few days after taking the medicine because worms and their eggs may still be present

But If your fever is high (≄38°C / 100.4°F) or you feel weak, dizzy, or have abdominal pain,please see a doctor in person soon for examination and possibly a stool test.

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Given that you’ve already taken albendazole, which is an effective antiparasitic commonly used for treating pinworm infections, it’s important to consider a few steps you can take next. Sometimes, a single dose may not be sufficient and it might be necessary to repeat the dose after two weeks to ensure complete eradication of the worms. It’s crucial to adhere to your physician’s instructions regarding dosage and timing, as self-medicating can lead to improper treatment. If you’re experiencing a fever, this might indicate either a severe infection or another underlying problem. It’s essential to consult with a healthcare provider to rule out any complications or concurrent infections.

In addition to medication, maintain strict personal hygiene to avoid reinfection. This includes washing your hands thoroughly, especially before eating and after using the restroom, keeping your nails short to minimize the chances of carrying eggs, and washing bedding and undergarments in hot water daily until the infection resolves. As for the itching, keeping the anal area clean and using over-the-counter antihistamines might help, but consult your doctor for suitable remedies if itching persists or worsens. If your symptoms do not start to improve or if the fever continues, seeing a doctor for further evaluation is essential to ensure that nothing more serious is occurring.

Be cautious and avoid delay in seeking attention if symptoms worsen, as prompt treatment is best for avoiding complications. Keeping a note of any additional symptoms and sharing with your healthcare provider can be very helpful in getting a thorough assessment.

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say ā€œdon’t chase labs, chase the patient’s storyā€... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
207 days ago
5

Hello Shreya Finding a tiny white worm from the anus along with fever, fatigue, and anal itching suggests you may have a parasitic infection (like pinworm/enterobiasis) along with a possible vaginal infection. This is not usually life-threatening, but it requires proper treatment to clear both infections. You should consult your gynecologist and a general physician or gastroenterologist immediately so they can confirm the type of worm, prescribe anti-parasitic medication, and continue treatment for the vaginal infection once your culture results are available. Meanwhile, maintain strict hygiene: wash hands, keep nails short and avoid scratching the anal area.

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Dr. Varunkumar J
I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.
207 days ago
5

Hi Dear Shreya, Sometimes there might be Hemmorhoids causing mucositis Kindly take TAB DAFLON 500mg 1-0-1 for 7 days TAKE LOX 4% gel local application If symptoms persist kindly visit a nearby General surgeon take care

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the ā€œBest Editorā€ award by Innovative Publications, and Athena Publications recognized me as an ā€œexcellent reviewer,ā€ which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
207 days ago
5

Hello dear See it seems intestinal infection which could be associated with food poisoning or dysentery Iam suggesting some tests. Please get them done for confirmation Scotch tape test Esr Stool examination Esr Sigmoidoscopy if recommended by gastroenterologist Esr Anal USG Please share the result with gastroenterologist for better clarity Also donot take any medication including albendazole without consulting the concerned physician Hopefully you recover soon Regards

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Dr. Bheruram Netar
I am working in general medicine opd from 3 years now and that gave me wide exposure to all kind of patients walking in with different complain, sometimes mild, sometimes really serious. Most common I handle are seasonal allergies, gestational issues during pregnancy, diabetes and hypertension, but I also see cases of infections like dengue or malaria that need quick attention. In OPD you never know what the next case will be, one moment its a child with fever and next a adult with uncontrolled blood sugar, and I learnt to switch fast and think clear. I focus on proper diagnosis first, using detailed history and examination rather than rushing, cause many conditions overlap and can confuse. For example a viral fever might look like dengue in early days, or hypertension can stay hidden till it shows as headache or dizziness. I try to explain to patients in simple words what is happening with their health, as many come with fear and half information. Making them comfortable and giving them trust matters more than only prescribing medicines. Over these years I also developed a flexible approach in management, not every patient need same treatment plan. Like gestational diabetes require a very diff care compared to a young person with type 1 diabetes. Lifestyle counselling became important part of my practice, talking about diet, exercise, sleep routine and follow-up. Even with allergies or seasonal flu, guiding them on prevention and hygiene reduce re-occurence a lot. In opd practice volume is high and decision making has to be quick but safe. Sometimes you only have a few minutes, still I try to balance efficiency with personal care. Seeing patients recover and come back with gratitude motivate me everyday. Working across such diverse case made me more confident, but also humble because medicine is never fully predictable. There are times I doubt, recheck, ask for labs before final call, and I think that caution is also strength.
207 days ago
5

Anal itching (also called pruritus ani) can be caused by intestinal worm infections, especially pinworms (Enterobius vermicularis) — the most common cause of this symptom, particularly in adlults too

āø»

🦠 Cause • Pinworms (threadworms) are small, white, thread-like worms. • They live in the intestine and come out at night to lay eggs around the anus, causing intense itching, especially at night. • Scratching can spread the eggs to bedding, clothes, and other people.

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Common Symptoms • Itching around the anus, worse at night. • Disturbed sleep due to itching. • Sometimes tiny white worms may be visible around the anus or in stool. • Irritation or rash around the anus from scratching.

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šŸ’Š Treatment

Treatment aims to kill the worms and prevent reinfection.

1. Anthelmintic (anti-worm) medications

Common, safe, and effective options: Medicine Adult dose Notes Mebendazole 100 mg once, repeat after 2 weeks Safe for most ages >2 years Albendazole 400 mg once, repeat after 2 weeks Take with food Tab pantop dsr once before break fast

Hygiene Measures (Essential to Prevent Reinfection) • Wash hands thoroughly after using the toilet and before eating. • Keep fingernails short and clean. • Daily morning baths to remove eggs. • Change underwear and bed linen daily during treatment. • Wash bedding and clothes in hot water. • Avoid scratching the area; wear tight-fitting underwear at night.

āø»

🩹 Symptom Relief • Apply calamine lotion or a mild hydrocortisone cream (1%) around the anus to reduce itching (short-term use only). • Maintain good anal hygiene — gently clean with water and mild soap, then pat dry. Thanks

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
206 days ago
5

Hello Shreya, I understand that this situation feels uncomfortable and worrying. But your condition is highly treatable.

Kindly get done a CBC and a Stool Routine & Microscopy. Review with these reports.

Till then start with this prescription - Tab. Albendazole + Ivermectin at night single dose Tab. Levocetirizne 5mg at night Ɨ 7 days.

Also consider a physical consultation with a Physician for physical examination.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
204 days ago
5

Pinworm infection often causes night-time anal itching and mild fever due to irritation or re-infection from eggs on clothes or bedding. Since you’ve already taken albendazole twice, repeat one more dose after 14 days and maintain strict hygiene—wash hands often, trim nails, and change undergarments and bedsheets daily. If fever or itching persists beyond a few days, or if you notice abdominal pain or fatigue, please consult a general physician or gastroenterologist for a stool test and evaluation to rule out other intestinal infections needing different medication.

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