<s>[INST] Hi doc. Jus wondering if u can help me wit a problem I m having for a good while wit my daughter who is 3 nd a half yrs old. Goes to bed no problem but wakes up during da nite for no reason. Sometimes it maybe da toilet nd other times to come into mummy s bed. Any suggestions for me?? Pls [/INST] Hi,Thanks and welcome to healthcare magic.Waking up during night suggests it may be thread worm infection.Usually the worms come out during night and lay eggs over the perineum .This causes intense itching and colicky pain.Single dose ivermectin 0.2 mg/ kg at night will eradicate worms.A second dose may be given after one week if necessary.personal hygiene and simultaneous administration of the drugs to all the members of the family will prevent recurrence.Ofcourse UTI and amoebic colitis have to be ruled out.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam. </s>