<s>[INST] Hi... My 3 yr old son feels lot of itching around his anus and complains of Stomach ache sometimes. His Anus is usually reddish and looks like having cracks. he had pinworms around a yr back but have never noticed them again. Though I have noticed twice, some small black thing on his anus recently. Pls help [/INST] Give anti worm syp albedazole 10 ml stat and maintain hand hygiene.  You may apply coconut oil at anal area </s>