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Pinworm Test

Medical Author: Robert Ferry Jr., MD
Medical Editor: Jay W. Marks, MD

Introduction to pinworm infection

Pinworm infection is caused by the pinworm (Enterobius vermicularis), a small, white worm. The pinworm is about the length of a staple and lives for the most part in the rectum of humans. While an infected person is asleep, female pinworms exit the intestines through the anus and deposit eggs on the skin around the anus. Within a few hours of being deposited on the skin around the anus, pinworm eggs become infectious (capable of infecting another person). Pinworm eggs can survive up to two weeks on clothing, bedding, or other objects.

What is the pinworm test?

If pinworms are suspected, transparent adhesive tape or a pinworm paddle (supplied by your healthcare provider) is applied to the anal region.

The pinworm eggs adhere to the sticky tape or paddle and are identified by examination under an ordinary microscope.

When should the pinworm test be done?

The test should be done as soon as you wake up in the morning (because bathing or having a bowel movement may remove eggs). The exam may require several samples for a positive diagnosis.

Aside from the anal region, what other area can be tested for pinworms?

Samples taken from under the fingernails may also contain eggs (since scratching of the anal area is common).

Can I see the pinworms myself?

At night, the adult worms can sometimes be seen directly on the bedclothes or around the anal area.


Last Editorial Review: 9/24/2007




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Pinworm Test

What is anal itching?

Anal itching is the irritation of the skin at the exit of the rectum, known as the anus, accompanied by the desire to scratch. Although itching may be a reaction to chemicals in the stool, it often implies that there is inflammation of the anal area. The intensity of anal itching and the amount of inflammation increases from the direct trauma of scratching and the presence of moisture. At its most intense, anal itching causes intolerable discomfort that often is described as burning and soreness.

What causes anal itching?

  • Anal itching can be caused by irritating chemicals in the foods we eat, such as are found in spices, hot sauces, and peppers.

  • Anal itching also can be caused by the irritation of continuous moisture in the anus caused by frequent liquid stools, diarrhea, or escape of small amounts of stool (incontinence). Moisture increases the possibility of infections of the a...

Read the Anal Itching article »



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