Threadworms (pinworms) are tiny worms in your poo. They're common in children and spread easily. You can treat them without seeing a GP.

Check if it's threadworms

You can spot worms in your poo. They look like pieces of white thread.

You might also see them around your child's bottom (anus). The worms usually come out at night while your child is sleeping.

Other symptoms can include:

• extreme itching around the anus or vagina, particularly at night
• irritability and waking up during the night

Less common signs of worms include:

• weight loss
• wetting the bed
• irritated skin around the anus

A pharmacist can help with threadworms

Threadworms are one of the conditions covered by the Common Ailments Scheme which is an NHS service that patients can access for free advice and free treatment and is available from 99% of pharmacies in Wales. 
Find your nearest pharmacy here. 
Find more information on the service here. 

You also can buy medicine (mebendazole) for threadworms from pharmacies. This is usually a chewable tablet or liquid you swallow. 

Treat everyone in your household, even if they do not have symptoms. 

Tell your pharmacist if you need to treat a child under 2, or if you're pregnant or breastfeeding. Treatment might not be suitable and you may need to speak to a GP. 

Find a pharmacy

Things you should do at home

Medicine kills the threadworms, but it does not kill the eggs. Eggs can live for up to 2 weeks outside the body.

There are things you can do to stop becoming infected again.

Do:

• wash hands and scrub under fingernails - particularly before eating, after using the toilet or changing nappies
• encourage children to wash hands regularly
• bathe or shower every morning
• rinse toothbrushes before using them
• keep fingernails short
• wash sleepwear, sheets, towels and soft toys (at a hot temperature)
• disinfect kitchen and bathroom surfaces
• vacuum and dust with a damp cloth
• make sure children wear underwear at night - change it in the morning

Don't:

• do not shake clothing or bedding, to prevent eggs landing on other surfaces
• do not share towels or flannels
• do not bite nails or suck thumbs and fingers

Nursery, school and work

If you or your child has threadworms there's no need to stay off nursery, school or work.

How threadworms spread

Threadworms spread when their eggs are swallowed. They lay eggs around your bottom (anus), which make it itchy. The eggs get stuck on your fingers when you scratch. They can then pass on to anything you touch, including:

• clothes
• toys
• toothbrushes
• kitchen or bathroom surfaces
• bedding
• food
• pets

Eggs can then pass to other people when they touch these surfaces and then touch their mouth. They take around 2 weeks to hatch.

Children can get worms again after they've been treated for them if they get the eggs in their mouth. This is why it's important to encourage children to wash their hands regularly.