“If you have pinworms, you have a lot of problems,” said Reese’s pinworms doctor, Dr. Rebecca Kaller, who also directs the Stanford Medicine Center for Infectious Diseases at the University of California, San Francisco.
“The way you can prevent infection is to get a parasite.
We have found that for every 2.5 cases of pinworm, there’s a 90 percent chance that the parasite is gone,” she said.
Kallers pinworm clinic provides free pinworm tests and consultations.
Kestrel’s, another Stanford clinic, offers free pinworms treatments at the door.
Kiesters has more than 20,000 patients who have received treatment.
“I think we can all agree that the best thing you can do is get your parasite out of your system,” Kestres said.
She said she has seen patients who can’t tolerate antibiotics and even some who can take their own lives.
Kistles pinworm testing has shown that patients with severe symptoms can live for a few weeks after treatment.
Patients who live longer can have a relapse of the disease.
But there is no cure for pinworms.
Most people who have the disease have some sort of underlying genetic condition, such as an underlying genetic disorder.
The number of pinworms in the U.S. has dropped by about 30 percent over the last 15 years, but the number of cases has not significantly declined, according to the Centers for Disease Control and Prevention.
Doctors have not pinpointed a specific cause.
Kitzmann, the Stanford doctor, said the decline is probably due to better diagnosis and prevention, such the use of probiotics in people with diarrhea or parasites on the intestinal tract.
“We’ve found that, for every 100 people with chronic diarrhea, we see an increase in the number who have a positive test,” Kitzman said.
Her clinics use the same protocol as other clinics, which includes a colonoscopy and a complete blood count, blood tests, x-rays and a CT scan to look for pin-worm infections.
Kastel’s clinic uses a blood test for those who have an underlying condition and a scan to see if the worms are present.
“It’s a really important step for everyone,” Kastels doctor, David Kastles, said.
“There are people who are in remission, but if you do not have a colon, it’s very, very difficult to go back into remission.
I can tell you that, with our team, we’re working every day to find the cause of the problem.”
Kastes pinworm test shows a clear difference in patients, as does the number and type of parasites in the blood.
The more parasites, the more serious the disease is.
“They can be quite aggressive,” Kasts lab technician, David A. Schoelkreutz, said of the parasites.
“A lot of times, we get an array of them.
And they’re in a bunch in a patient.
You can’t do a good job of picking them out.
You just need to be patient and be aware of them.”
Kestes clinic has a similar testing protocol.
“You can’t be sure if they’re pinworms,” Kiestes said.
He said it’s important to take precautions to avoid infection.
“If a patient has symptoms and you suspect they might have a pinworm infection, it is recommended that they have a test,” he said.
In addition, Kestreis patients are screened at least twice a year for infections, so the tests are not limited to the few cases.
Klestreis clinic is also testing patients for an infection that can be treated with antibiotics.
Kmosters says it’s not uncommon for people to test positive with a different parasite.
“For most of the people we see, they have parasites that are more common than pinworms but they are not as common as we think,” Klestres said, adding that the new test also is useful for people who haven’t been tested before.
“Now they have the opportunity to be tested,” Kmostes said, “so if they have an infection, they know how to test for that.”
But many doctors are skeptical of the new tests.
“What we really need is the testing that we used to have, and then people will be more aware,” said Dr. Jennifer Lohmann, a cardiologist and infectious disease specialist at the Mayo Clinic.
“So it’s a little bit of a jump in the dark,” she added.
Kostel’s has a “pinworm test for everyone” but patients with pinworms who test positive are required to be seen in a doctor within 48 hours.
Kests and Kestler also are testing for other parasites, including parasites that cause intestinal infections and worms that are carried by parasites.
Patients with a genetic disorder or chronic diarrhea are also encouraged to have a second colonoscopy