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A Smelly Remedy for a Yucky Problem

Garlic head on a cutting board.

Garlic is an age-old home remedy for pinworms. Studies on its effectiveness are scarce, but it’s worth a try.

by James Hubbard, M.D., M.P.H.

Warning: Gross-out level 8/10.

Someone on the Homestead Survival Facebook page asked me, if there’s no way to get to a doctor, how does a person get rid of pinworms? Good question. There are plenty of home remedies, but there’s little objective proof they work.

Garlic for Pinworms: Worth a Try(?)

Using garlic is an age-old remedy for pinworms. We know it kills the worms and eggs through direct contact in a lab, but that’s different than going through the digestive system. The only study I could find using the stuff in a person showed a seven percent cure rate. Even the authors were surprised and suggested further study, but I found none.

I suspect some reasons for the lack of studies are: (1) There are good pharmaceutical cures, such as prescription mebendazole and over-the-counter pyrantel (not to be taken if pregnant). (2) No one’s going to pay for a study using garlic. (Is there a Garlic Association?) (3) A pinworm infestation is not considered life-threatening. But I hear it can make your butthole itch like crazy. They like to come out at night, so that can certainly mess with your sleep.

Two Steps to Killing Pinworms at Home

So, what do you do if you can’t get the medicine? I’ve done a little research, and here are some suggestions for getting rid of those nasty creepy crawlies.

First, it helps to know the pinworm life cycle: You ingest or inhale a bunch of eggs (where there’s one, there are hundreds); they hatch in your intestine, have sex, the males die. In about two to three months, the females crawl out your anus and lay eggs—up to ten thousand per worm. Then, the females die.

Wait a couple of hours after bedtime, and you can usually see a few worms with a flashlight. Just spread the cheeks, and you’ll see what looks like little half-inch pieces of wiggly thread. The wiggling causes the itching. Sometimes you can see the same thing in a bowel movement. If someone has a microscope, you can stick a strip of clear tape next to the anus, rip off the tape, and see the eggs under low power.

Getting Rid of Pinworms, Step 1: Ingest a Killer.

The mebendazole or pyrantel kills the worms, and either works well. Take another dose two weeks later to kill the new worms that have hatched. Pinworms are easy to get, so everyone in the house is going to need to be treated at the same time.

If you don’t have medication, try the garlic. You can eat the cloves if you dare, or sprinkle it on food. The book Where There Is No Doctor suggests you crush or finely chop four garlic cloves and mix in milk, water, or juice. Drink one glass four times a day. Again, everyone must be treated.

Eating pumpkins seeds is another home remedy.

Getting Rid of Pinworms, Step 2: Groom and Wash.

This is also your best bet to avoid reinfection, even if you took the medicine.

Remember the life cycle: eggs out the butt, ingested back into the mouth. That’s much easier done than you would expect. In fact, it’s a sure thing if you don’t take precautions. And it can take three months from ingestion to egg laying.

So.

Everyone’s going to have to do this for three months:

  1. Clip fingernails short. At night, everyone’s going to scratch. Clipping will help keep those microscopic eggs from getting under the fingernails and avoid damaging your skin at night.
  2. Wear snug-fitting underwear to keep the worms from getting on bedsheets.
  3. First thing every morning, wash the rectal area with soap and water. In hot water, wash underwear, bed linens, and anything else that might have been exposed. If you have the resources, vacuum the area. Wash your hands thoroughly.
  4. Apply petroleum jelly around the rectum at night. It helps the itching. If you have garlic, add a little to the jelly to kill the eggs.

How to Keep Pinworms Out in the First Place

You get pinworms from other people. The eggs are not just in the outdoor air floating around. Your best bet to avoid getting them is to avoid anyone with symptoms and avoid anything that person might have touched. Many times that’s not an alternative, so:

  • Don’t sleep in the same bed with someone who has pinworms.
  • Wash your hands with soap and water frequently. Wash for thirty seconds. Be sure to clean under your fingernails.
  • Consider wearing a surgical mask if you’re the one having to clean up. Wash your hands immediately after cleaning.
  • Avoid touching your face. It’s such a habit that that’s almost impossible, hence the frequent washing of the hands.
  • If the medicine is available, and there’s no reason not to, take it and make sure everyone else does as well.

If anyone has any experience with these treatments or others, I’d love for you to comment.

**Update: I’ve answered your FAQs about pinworms here.**

  • Joy

    I love eating raw garlic.. If I do that and my kids have it but they are taking pyrantel.. If we repeatly do the treatment is it possible to still get it, if the rest of the family member doesn’t do the treatment..

  • kiki112

    I’m scared that if I tell my mom she will be upset what should I do I’m 11

  • Die pinworms DIE!!!

    Hi will wild garlic work aswell? Also I’m pretty sure I’m getting them from my school (it’s not the most sanitary school) and I have no idea how to avoid them :( Please someone help me kill them (violently wold be nice ;P) and keep them away. Thanks

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Sorry, I don’t know anything about wild garlic and would not use it.

  • Rachel

    my sister has these long black things and sometimes white things coming out of her skin. from what i’ve looked up they seem to be stick pin worms but i dont know what these look like. my sister has been dealingn with this for some time. we live in small town and no one seems to know what it is and treat her like she’s imagining it. i’ve seen them it’s gross. can someone help please?

  • :/

    This is my 4th time getting pinworms. This last time i did not tell my mom, but succeeded in making them go away for a while (longer than the medication) with sticking garlic or a q-tip up my butt. The q-tip honestly worked even better than the garlic. This helped keeping the worms out and therefore stopping the eggs. Recently i was on a trip and i stayed in a hotel, and ate the provided food. Im not sure if that has anything to do with my pinworms this time.

  • Heather

    Years ago I developed pinworms & was embarrassed to tell my parents (looking back, I regret suffering for the time I did! This was pre-google days so I wawas unaware they were common & didn’t even know what they were called) One random day, my mom’s hippy friend who is an herbalist looked at me, knowing nothing about my pinworms suggested I try ParaCleanse by natures sunshine. It worked it just one 10 day treatment. They are pre-packaged all natural capsules you take twice a day. You can now it on Amazon for just over $20. I also noticed an increase in energy after the cleanse. One note about the herbs, they can cause a laxative effect in some people… So plan accordingly

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Thanks, Heather.

  • Shelbie

    Hi, I’ve had pin worms for about 3-4 years now, and I’m 15 years old. After a little while of having them I used pin worm medicine for a while, I took it regularly and they seemed to go away, but they came back. After I told my mom that they came back I had her chop up garlic & mix it with olive oil. I’ve been using it for a while now around & in my anus, and it doesn’t seem to do the trick. Does olive oil make it less effective? Or should I be doing more to get rid of them? We don’t have money to buy more medicine to treat it so I’m sticking to home remedies.

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      If you’ll read the post carefully, you’ll see that sometimes garlic works. Sometimes it doesn’t. Also, if everyone you’re close to is not treated, any person who has the pinworms will give them back to you. I’d recommend you read the multiple reader comments and see what they’ve tried, but nothing is as reliable to work as the over-the-counter or prescription medicine you take by mouth. Here’s another post I have on pinworms. http://www.thesurvivaldoctor.com/2013/03/14/how-to-treat-pinworms/

  • David

    Pinworms are really difficult to get rid of at least for the adults I’ve worked with in the past. We have tried a variety of home remedies including things that work on other parasites such as diatamacious earth and Black Walnuts but they have succeeded at surviving each time. What I have seen be successful is a couple steps. One, take the over the counter medication but instead of taking one dose, take it over 3 days. That begins to kill the worms but in most of the folks I work with didn’t kill them completely. Then you have to do something to contain the eggs to prevent them from getting back into your digestive system. Some folks use Noxzema but I am concerned that won’t contain the eggs well enough. It is probably better to use Vaseline or Watkins salve or something with a lot of consistency. You will have to use it every time you use the bathroom and then wash really well… After 2 weeks of this, take another 3 day dose of the over the counter meds. Then continue the salve (to contain the eggs) for 2 more weeks. At then end you should stop having problems. If not, repeat the process once again. These suckers are a pain in the butt… (pun intended). Good luck!

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Thanks, David

  • Lady4

    I found them on two of my children when they complained of itching. Took them both to the doctor. I explained that I saw pin worms, but the doctor would not prescribe anything. Sent us home with stool kits, which I returned the next day (making sure to collect some worms). I was then told it would take up to a week to get the stool results. I am furious. Anyone can take 2 mins on the internet to validate that they are pin worms, let alone a medical degree. I even had to argue that yes, the whole famly needs treated. So, we have no meds and I feel that the doctor has failed us. I am washing everything, following all other directions. Should I seek a new doctor at this point?

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Lady4, Changing doctors is totally up to you. I guess I would consider how long you’ve been with this one and if you’ve been please other than this.

      • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

        pyrantel is over-the-counter

      • Lady4

        I just don’t understand why she would wait for a lab confirmation and a week at that. My children are uncomfortable and itchy. They also are the only ones with symptoms. Why wait a whole week without treatment, when everyone needs treated. She also made a comment “Not to worry because they knew we were a nice family.” Like this was dirty or something? Yes, I have been mostly happy with her, but this situation has made me reevaluate.
        Any suggestions in the meantime in addition to the article?

  • Cali23

    I have had pinworms before and I itched like crazy I didn’t tell anyone because I was young and I didn’t know what it was and I thought it was normall… Well jokes on me it was terrifying It might have gone away or not but for a few years I didn’t really feel it but recently I got it then they were gone but they r coming back. I wash my hands all the time and my sheets and I don’t know how I keep getting these parasites. Please help I’ve seen a few remedies but I’m confused and I don’t know what the best thing to do to get rid of them. PLEASE HELP.. Thanks

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Read my post and another. http://www.thesurvivaldoctor.com/2013/03/14/how-to-treat-pinworms/ There are good over-the-counter medicines specifically for pinworms. Be sure to repeat the medicine about 2 weeks after the first. If that doesn’t do it, see a doctor. Remember all family members need to be treated. If read the posts and do everything and still have them, chances are, someone around you is giving them back to you.