Generally, worms, specifically threadworms (pinworms), are usually not the cause of significant pain for kids. The primary symptom is intense itching around the anus.
What Worms Cause and Don't Cause
Here's a breakdown of what to expect with a threadworm infection:
- Itching: The most common and bothersome symptom is anal itching, especially at night when the female worms lay their eggs. This itching can be very distracting and uncomfortable.
- Restlessness: The itching can disturb sleep, leading to restlessness and irritability.
- Loss of Appetite: Some children may experience a decreased appetite.
- Rash and Infection: Scratching the itchy area can lead to a red, irritated rash around the anus. This rash can sometimes become infected, which can then become painful.
- Tummy Pain: According to the provided reference, threadworms are usually not the cause of tummy pain.
When to See a Doctor
While threadworm infections are generally mild, it's always a good idea to consult a doctor if:
- The itching is severe and persistent.
- You suspect a secondary infection (redness, swelling, pus).
- You are unsure if it is threadworms or another condition.
- Symptoms persist after over-the-counter treatment.
Summary
While threadworms primarily cause itching and discomfort, leading to restlessness and potential skin irritation from scratching, they are not usually a direct cause of pain for children. However, infected scratches can be painful.
