<s>[INST] My daughter has had all of the symptoms of pinworms for years and we just found out that it was pinworms after be looked in her anal region. She has unusual discharge and irritability, cramps, loss of sleep, and intense itching in the vaginal and anal areas for years. Help me figure out what to do to stop it [/INST] Hello,First You have to make a diagnosis of pin worms. In my opinion You should do a stool collection test to check for parasites. Also, You can place a sticky piece of tape against your children rectum. Pin worm eggs will stick to the tape so than the doctor can look for pin worms or eggs under a microscope. The best time for a tape is at night or in the morning before a bath. If your tests comes back positive your doctor may prescribe medications like Mebendazole, Albendazole or Granted. Please note that this medications may be prescribed to all members of your household to prevent infection.Also, You should wash bedsheets, towels, underwear and nightclothes every few days and change underwear and bed linen every day.  Shower in the morning (it can help reduce the number of pin worm eggs). Try to keep fingernails short and wash your hands often to reduce risk of getting an infection. Do not scratch - ask your doctor for anti-itch cream. Eat fresh fruits and vegetables and try to limit sugar. Eating more garlic may also help. Hope I have answered your question. If you have any further questions I will be happy to help </s>