<s>[INST] does pin worms create abdominal pain? Also what are the symtoms if it gets into the ears.. as i there is an intermittent pain in my ears and found some black wax coming out of my ears.. although after removing that wax its not paining that much. Can u guide me further [/INST] Hi.Thanks for your query and an elucidate history.Pin worms can cause pain in abdomen only if they have obliterated the appendix base or there are associated other worms ( mixed worm infestation is known) Pin worms do not exist in ears. </s>