Pinworm Test (2024)

Definition

A pinworm test is a method used to identify a pinworm infection. Pinworms are small, thin worms that commonly infect young children, although anyone can be infected.

Alternative Names

Oxyuriasis test; Enterobiasis test; Tape test

How the Test is Performed

When a person has a pinworm infection, adult pinworms live in the intestine and colon. At night, the female adult worms deposit their eggs outside the rectum near the anal area.

One way to detect pinworms is to shine a flashlight on the anal area. The worms are tiny, white, and threadlike. If none are seen, check for 2 or 3 additional nights.

The best way to diagnose this infection is to do a tape test. The best time to do this is in the morning before bathing, because pinworms lay their eggs at night.

Steps for the test are:

  • Firmly press the sticky side of a 1-inch (2.5 centimeters) strip of cellophane tape over the anal area for a few seconds. The eggs stick to the tape.
  • The tape is then transferred to a glass slide, sticky side down. Put the piece of tape in a plastic bag and seal the bag.
  • Wash your hands well.
  • Take the bag to your health care provider. The provider will check the tape to see if there are eggs.

The tape test may need to be done on 3 separate days to improve the chances of detecting the eggs.

You may be given a special pinworm test kit. If so, follow instructions on how to use it.

How to Prepare for the Test

No special preparation is necessary.

How the Test will Feel

The skin around the anus may have minor irritation from the tape.

Why the Test is Performed

This test is performed to check for pinworms, which can cause itching in the anal area.

What Abnormal Results Mean

If adult pinworms or eggs are found, the person has a pinworm infection. Usually, all household members need to be treated with medicine. This is because pinworms are easily passed back and forth within a household.

Risks

There are no risks with this test.

References

Dent AE, Kazura JW. Enterobiasis (Enterobius vermicularis). In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 320.

Mejia R, Weatherhead J, Hotez PJ. Intestinal nematodes (roundworms). In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 286.

Pinworm Test (2024)

FAQs

How do doctors test for pinworms? ›

To obtain a sample, a piece of cellophane tape is pressed against the patient's anal opening. The sticky side of the tape picks up the pinworm eggs and the tape is then stuck to a microscope slide. The eggs can be viewed under the microscope, as seen above.

How do I tell if I have pinworms? ›

What are the symptoms of a pinworm infection?
  1. Itching around the anal area, difficulty sleeping and irritability.
  2. If it is a severe infection, symptoms may include: nervousness. restlessness. loss of appetite. weight loss. girls may experience vagin*l itching and irritation (vaginitis), if pinworms are near the vagin*.

How do you prove you have pinworms? ›

If an infection is suspected, scotch tape or a pinworm paddle (supplied by your doctor) is applied to the anal region. The eggs stick to the tape or paddle and are later identified using a microscope. The test should be done first thing in the morning since bathing or using the bathroom may remove the eggs.

What can be mistaken for pinworms? ›

Although pinworms can be seen by the naked eye, they may be confused with bits of white thread or proglottids of Dipylidium caninum, a tapeworm of dogs and cats that occasionally infects children.

What kills pinworms naturally? ›

Raw garlic

Garlic is said to kill any existing eggs and prevent female pinworms from laying more eggs. You can ingest it in small doses or apply it topically like a salve. If you wish to ingest the garlic, dice up a clove and mix it into pasta or sprinkle it on bread. You can also eat the garlic on its own.

What happens if pinworms go untreated? ›

Do pinworms go away if they're untreated? No. Untreated pinworms lay more eggs, making it easier to spread the infection. Your child will need medicine to get rid of them.

Will pinworms be visible in poop? ›

The worm may be seen around the anus or on the child's bottom. It is especially active at night or early morning. Rarely, the pinworm is seen on the surface of a stool. The pinworm's secretions are a strong skin irritant and cause the itching.

Do I have pinworms or am I paranoid? ›

You might have anal itching, especially at night. You could also have stomach pain, nausea, or vagin*l itching. Sometimes, pinworms can be seen around your anus or on your underwear or bed sheets about 2-3 hours after you've gone to bed. Pinworms can cause insomnia, restlessness, and irritability.

What triggers pinworms? ›

Accidentally swallowing or breathing in pinworm eggs causes a pinworm infection. The tiny (microscopic) eggs can be carried to your mouth by contaminated food, drink or your fingers. Once swallowed, the eggs hatch in the intestines and mature into adult worms within a few weeks.

What does pinworm poop look like? ›

Sometimes worms are visible in the anal area, on underwear, or in the toilet. In stool, they look like small pieces of white cotton thread.

How do I tell if I have a parasite? ›

Signs and Symptoms
  1. Abdominal pain.
  2. Diarrhea.
  3. Nausea or vomiting.
  4. Gas or bloating.
  5. Dysentery (loose stools containing blood and mucus)
  6. Rash or itching around the rectum or vulva.
  7. Stomach pain or tenderness.
  8. Feeling tired.

Will pinworms go away on their own? ›

If autoinfection does not occur, pinworm infection is self-limiting due to the short life span of adult worms (11, 13).

How is pinworm infection confirmed? ›

There are three ways, with your help, your provider can diagnose pinworm infection: Look for pinworms around the anus 2 – 3 hours after the who may be infected person goes to sleep. Conduct a "tape test" to collect possible pinworm eggs around the anus.

Do pinworms show up in urine? ›

Diagnosis of Enterobius infestation is made by either scotch-tape test or finding worms or typical planoconvex ova in stool or rarely in urine sample. Routine examination of stool sample gives positive diagnosis in only 5%–15% of patients.

Should I go to the doctor if I think I have pinworms? ›

Call Your Doctor If:

Pinworm is seen. Skin around the anus gets red or tender. Anal itching lasts more than 1 week.

Do pinworms show up on xray? ›

If you're infested with worms, the mass of worms may be visible in an X-ray of the abdomen.

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