<human>: from last night my 19 month old son is twisting and turning taking off is diaper and scratching is bottom it seems like sometime the itching get intense because he cries and wakes out of his sleep,i figure he has worm should i take him to the doctor or go to the pharmacy.
<bot>: Thank you for sharing your query on Chat Doctor, I have carefully worked through your case and I think your son have some occurs infestation, You need to go to the doctor for an evaluation and proper treatment, but I can help you to prevent reinfection: The patient and family hygiene must be improved, the whole family needs to wash their hands before eating, your sons toys must be wash and disinfect, the treatment is much more effective if the children family are treated at the same time, washing sheets and all clothes help to eliminate pin worm eggs The Occurs should be treated 3 times at 3 weeks intervals. Fallow-up is recommended if the pin worm symptoms persist longer than 2 weeks or if signs of bacterial super infection occur. Please kindly rate if my advice has been helpful Wishing you a good health Chat Doctor. 