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Pinworm guide

Pinworm (enterobiasis) treatment online in Virginia and West Virginia

A classic-history and red-flag review for pinworm in adults and children age 4 and older, then a weight-based over-the-counter treatment given now and repeated in two weeks, with a household hygiene plan.

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Start a $59 online review for Pinworm.

Pinworm is a common and easily treated cause of nighttime anal itching, often passed around a household after one child has it. This visit reviews the history and warning signs, then recommends a weight-based over-the-counter deworming medicine (pyrantel pamoate) given once now and repeated in two weeks, along with a household hygiene plan. For a child, a parent or guardian completes the visit and enters the child's weight so the dose is correct.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visitSee response windows

Quick facts

  • You must be physically in Virginia and West Virginia at the time of request
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • Itching around the anus that is worst at night
  • Restless sleep during the itching
  • Sometimes thin white thread-like worms around the anus or in the stool
  • Another household member, often a child, with pinworm

May fit online care

  • Adults & children 4+ (with a parent or legal guardian)
  • Adult, or a child age 4 or older with a parent or guardian completing the visit
  • The story is classic nighttime anal itching
  • No belly pain, fever, weight loss, or rectal bleeding
  • Willing to treat the whole household and follow the hygiene steps

Look for another care setting

  • Severe belly pain, a rigid or swollen belly, or trouble passing stool or gas
  • Vomiting, especially green or bloody, or vomiting blood
  • Rectal bleeding, black or tarry stools, or a high fever with belly pain
  • Pregnancy or possible pregnancy (adult patients), or symptoms not typical of pinworm

What to have ready

  • When the itching is worst and how long it has lasted
  • Whether anyone else at home has pinworm
  • The child's current weight if the visit is for a child
  • Any allergies and current medications

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

How is pinworm treated?

The usual treatment is a weight-based dose of an over-the-counter deworming medicine (pyrantel pamoate) taken once now and repeated in about two weeks, because a second dose clears worms that hatch after the first. Treating the whole household at the same time and washing bedding and clothing in hot water helps prevent reinfection.

Can a child be treated?

Yes. Children age 4 and older can be treated with a parent or guardian completing the visit and entering the child's weight so the over-the-counter dose is correct.

When should pinworm be seen in person instead?

Please seek in-person or emergency care for severe belly pain, a swollen rigid belly, trouble passing stool or gas, green or bloody vomiting, rectal bleeding, or a high fever with belly pain. Symptoms that are not typical of pinworm, such as weight loss or ongoing diarrhea, also need an exam.