instruction: hello doctor my daughter who is three years old is believed to be having like tapeworms or threadworms she usually has itchy around her anus bloating feeling vomiting spitting and no appetite these days she is also losing weight day by day kindly prescribe medicines to remove the worms and include the required vitamins for her health
output: hello with the list of symptoms mentioned it appears to be due to worm infestation any abdominal pain restless sleep irritable did you notice white thread like worms in the potty does she eat mud any other family member having a similar complaint well do this examine the anal area around the anus in the night two hours after she goes asleep pinworms usually come out of anus during the night this is only for confirmation always need to be confirmed whether we are treating the cause as there are many ailments that need to be ruled out for an unintentional weight loss treatment includes a single dose of tablet albendazole 400 my to be taken by all the family members once irrespective of symptoms at once if she has severe itching apply lotion caladryl in and around itchy areas now the most important aspect prevention wash her or bathe her immediately as she gets up as this gets rid of the eggs that have stuck to her butt area with hot water change her underwear and bed linens every day trim her nails every alternate day not to scratch no nail biting wash her and your hands frequently