Good hygiene should stop reinfection visa the mouth but these little critters can lay their eggs just inside the anus as well as outside where you can't wash them away, so just washing your hands and your surrounding living environment might not be enough to keep them away and 'stop the cycle'.
I've read in the Pripsen Info leaflet that threadworms are at the height of their breeding from October to well into the depths of winter, if you look at the forum posts the majority of people presented with threadworm problems are posting them in the Winter months. It makes me wonder if many (or most?) of us have them in our systems all the year round but it's only when numbers are great enough to cause symptoms that we notice them.
Another thing is a symptom not really mentioned in all the formal advice on websites about threadworms, are shooting pains. I've read (like many other people I'm sure) that when the females lay their eggs, they release an irritant which when deposited just outside the anus will cause itching, but in my experience, in other places such as in the ears, top of the nose, eyes and vagina this irritant as well as causing itching, can cause really nasty shooting pains. I've even felt this through my lower abdomen and if you have a fissure in the bowel/rectum similar pains may be felt in this area. Other symptoms for the nose include scabs on the inside of the septum and sore red eyes if in the eyes, both these symptoms are caused by the irritant the female releases.
Probably my most painful experience with the worms was when I woke up in the middle of the night with the most awful shooting pains in my right eye and I could feel some movement (which I now realize must have been the worm wriggling). The next day I had a large sticky mass in my eye which I removed with a cotton bud. I took Mebendazole in the form of an Ovex tablet with a repeat 14 days later and got no further symptoms. I'm quite sure then that this worm was an adult one (otherwise it would not have been mature enough to produce eggs), so the idea worms can't live for long in facial cavities because they're not supposed to be there, is a complete fallacy as far as I'm concerned!
I was given Piperazine Phosphate powder (Pripsen) when we had an infestation when my children were under 2yrs old. This works differently to the Mebendazole which deprives them of glucose. The Piperazine Phosphate by Pripsen paralyzes the worms and the tablets also contain Senna, a herbal mild laxative which helps expel them. It seemed to work well for us but will not get rid of the worms in other parts of the body (eyes, nose, ears, vagina), for that I recommend Mebendazole. After taking the Mebendazole you might feel tired and headachey as the dead and decaying worms in your guts release toxins before you're able to expel them, nice huh?
People say the eggs can't be seen - I suspect that individual eggs might not be seen and especially when they are dry and prone to being airborne but in my experience, when you have a large infestation and wash the anus area in the morning, if you scrape the area with your nails, you'll get the sticky substance + eggs under your nails. In large numbers, the eggs are viewable. Needless to say scrub them out thoroughly with a good nail brush after!!
To avoid reinfection visa the mouth, on taking your first tablet, do a huge houseclean; wash all bedding and bed clothes - I doubt very much if boil washing your sheets will have much effect on the eggs (but if it makes you feel better, by all means do it!), I do suggest not over-filling your washing machine, so leaving enough room to rinse and 'wash the eggs away', vacuum, damp dust (so as to try and stop any dry eggs becoming airborne and being ingested) my advice is to turn your mattress if you're able to before applying fresh bedding, though some more modern beds are designed not to be turned unfortunately. I also wipe down as many surfaces as possible including computer 0
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