Conversation: The conversation between human and AI assistant.
[|Human|] my dtr, which is 4 yrs old with no medical hx and is up to date with immunizations 45 38lbs, has been c/o a deep itch to her coccyx area and we took her to a pedi Dr and after consulting another Dr. they decided to r/o pin worms so we did the tx and then repeated again a week later. she continues to complain of this itchness for the last two-three month but she says Dr said i have worms but the pills will kill them with time right and this morning she woke up with a excorated area where she scratched all night. i noted several small pinpoint bumbs (pin point in size) around excorated area. any ideas of what this might be?
[|AI|]  Hello dear!its pin worm infestation and the cause of her repeated infection might be her nails in which their tiny eggs are embedded. I would advise you to change her bedsheets after she woke up because at night when the child start itching, it will cause the eggs of the worms to fell on bedsheet, and then they can again infect the child or even someone in close contact. I would advise maintaining good hygiene and give her spy. Vermont(mebendazole) 5 ml twice daily for 3 days along with spy. Levimasole one bottle stat(whole once) it has 15 ml only. Hope it will help. You can also apply juridic acid cream to the area of excoriation. Avoid constipation by giving high fiber diet. Wishing your child good health :-)