<s>[INST] 4 days ago we found out our 6 year old has pinworms. He and our 4 & 10 month old sons all shared a bath about a week ago. Tonight we have 6 yr old Albenza (200mg), 4 yr old Pyrantle 5ml and the 10 month old Pyrantle 2.5ml. What can we expect through the night and next few days? Will their actions change? Will they be sleepy? How will I know the difference between sleepy and respiratory distress, especially tonight with an infant? Should I expect to see the worms in their stool in the morning or will it take longer? I m Beside myself because we never take antibiotics or medicine for that matter and always treat things the homeopathic or natural route. We have been giving them several cloves of garlic the past 2 days and applying garlic oil to their rectum along with the hygenic measures. [/INST] Hi, Thanks for posting in Chat Doctor. I have read your description and understand your concern. Pin worm is an intestinal infection caused by tiny parasitic worms.  To treat pin worm infection, it is recommended an antiworm medication like Albendazole 200 mg, which is given in one dose and repeated in 2 weeks. Although medicine takes care of the worm infection, the itching may continue for about a week. Regular handwashing and routine household cleaning, including frequent changing of underwear and bed linens will help prevent the spread of pin worm infection within the family and its reinfection. Hope the information provided would be helpful. All the best. </s>