The child then carries the worm eggs back to their mouth with their hands. Threadworm is spread when children scratch their bottom, causing the eggs to collect under the fingernails. It is estimated that one female threadworm can lay up to 16,000 eggs. The worms live in the lower intestine, but they come out of the anus over night to lay their eggs in the area between the buttocks, which causes your child’s bottom to feel very itchy. Threadworm gets its name because the worms look like white threads, which are about 1 cm long. You might see tiny white threads that may be moving. Take a torch, separate your child’s buttocks and look carefully around the anus (and the opening to the vagina in girls). You may be able to see threadworm if you examine your child at night. (Threadworms may cause or worsen vulvovaginitis in girls. In girls, there may also be redness and itching around the vaginal area.
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