Worm Infestation (Helmenthiasis)
This is one of the major health
problems among the children in many parts of the world. The
problem of worm infestation is very common in tropical countries
due to prevalent methods of defecation (passing stools) and
disposal of the waste, which in turn contaminates the soil.
It is normally seen more in warm and damp climate (mainly
after heavy rainfall).
It is more common in children
who are having ill health, who are malnourished (poorly nourished)
and who stay in places, which are unhygienic (specially staying
in hutments which are along the sides of the drainage gutters).
It is one of the common causes of abdominal pain, which arises
suddenly. No child with gases in abdomen should be dismissed
without being examined for worms. The worms which are normally
seen in the stool examination are as follows: -
1) Roundworm (Ascaris Lumbricoides)
2) Threadworm (Enterobius Vermicularis)
3) Hookworm (Aneylostoma Duodenale
or Necator Americanus)
4) Tapeworm (Taenia Saginata
or Taenia Solium).
Very commonly seen worm infestation
in children. It can cause vomiting and is one of the major
causes of intestinal obstruction in infants.
These worms are many-a-times
responsible for frequent night cough in children leading to
This is second commonest infestation
seen in children. Itching around anus is the symptom often
complained of by the children. This can cause sleeplessness
and can at times cause grinding of teeth.
The main principle of treatment consists of two parts: -
- Treating all the family members at the same time.
- General advice about cleanliness given to all (specially
cutting of nails).
- The itching around anus can be prevented by application
of antihistamine cream locally and wearing of cotton gloves.
- It is claimed that
single dose is effective but the drug should be repeated for
2 weeks with proper hygienic care regarding clothes.
It is commonly seen in children
in rural areas who normally walk bare-foot and children in
urban areas living near open grounds and fields. Anaemia is
the key symptom of the infestation. In patients, presenting
symptom is Anaemic without any H/O bleeding piles or excessive
menstrual bleeding (in females), one can say that this anaemia
must be due to Hookworm infestation. The other presenting
symptoms due to aneamia could be fatigue, weakness, discomfort
in the stomach and H/O - pica i.e. changed appetite craving
for slate, mud, charcoal may be present leading to abdominal
It is rare infestation and
normally seen in people who eat meat for a very long time.
The usual symptom presented is passing of segment of tapeworm
in the stool. The associated symptom can be loss of weight,
voracious appetite, pain and abdominal distention.
HOMOEOPATHIC REMEDIES FOR
Ascariasis - (Ascaris lumbricoids)
1) Cina, Sabadilla, Ign, Spigelia,
Stannum, Cuprum oxydatum Nigrum.
Calcerea Carbonica is useful
removing tendency of worms.
1) Abrotanum 2) Chelone 2)
Cina 4) Ratanhia 5)Spigelia
Ancylostoma duodonalae -
1) Carbon tetrachloride,2)
Chenopodium oil;3) Thymol
Taeniaesis - (Tapeworm)
Calc. Flour -
Long, round or Intestinal
Pain in abdomen with
Itching in anus especially at night in bed,
Grinding of teeth in children, pinworms.
This remedy acts by destroying
the excess of lactic acid, which may be necessary for the
life of these worms.
Common Remedies -
Calc. C, Cina, Santon, Spigelia,
Teucrium, Naphthalin, Silicea, Stan., Sabadilla.
1) Calcerea Carbonica -
Very useful remedy in removing
the tendency of worm infestation. The patient is usually fat,
short and fair with large & hard abdomen. Offensive flatulence,
chalky, grey or green watery stools; first hard then stickiness.
Diarrhoea with ravenous hunger.
Undigested stool after eating or drinking.
Tape, Round worms.
Child wants all muddy & dirty things, like chalk,
Scratches the wall & then puts finger in mouth.
Sour smelling stools.
2) Cina -
Craving for sweets, bread,
Violent hunger even after eating.
Wants to eat constantly,
Desires many & different things. Very irritable
Child always puts fingers in Anus, Scratching at anus.
Stools are watery & white coloured.
Screams with fright in sleep.
Boring of nose & rubbing of nose all the time on something,
twisting pain in abdomen.
3) Santonium -
Do Not give this remedy to
a child with Constipation or fever. Should be given in high
Grinding of teeth.Itching in nose.
Round worm infestation. Also threadworm with low appetite
associated with colour blindness & yellow vision.
Children getting cough at night.
4) Spigelia -
Fear of printed things, pins
& needles etc.
Foul odour of mouth.
Colicky pain in abdomen around umbilical region.
Stools with large lumps of mucus.
Tickling sensation in anus and itching in rectum.
Frequent ineffectual urging to stool.
Very offensive flatus.
Child refers to the navel as most painful part.
Expels worms fast.
Associated with (Left) sided Headache (migraine) or Heart
5) Teucrium Marum -
Itching of anus & constant
irritation in bed << Evening.
Nights are restless because of roundworm tickling.
Vomiting of large quantities of dark green material.
Constant hiccups << eating.
Loss of sense of smell.
6) Stannum -
Smell of cooking causes Vomiting
Bitter taste in mouth with sensation of emptiness.
Swollen abdomen with flatulence hot & smells like rotten
egg. Colicky pain in children >> by carrying them on
shoulder. Constipation stools, shy hard knotty & green
7) Silicea -
Useful for Tapeworms.
Stools offensive painless & lienteric.
Stools comes out witn difficulty.
When partly expelled; recedes again.
Retained for fear of pain.
Very sticky stools. Straining soft stools.
Aversion for cooked or
warm food,mother's milk.
Voracious appetite but gets satisfied easily.
Much rumbling sound in intestines