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How Do You Get Worms? Main Causes, Signs and Treatment

Jack Thomas Carter Bennett • 2026-05-25 • Reviewed by Sofia Lindberg

Few things unsettle a household quiet like a child who can’t stop scratching their bottom at bedtime, and if you’ve ever woken up to that frantic squirm, you’ve probably asked yourself — how do you get worms in the first place? The answer, according to NHS guidance, is almost always the same: microscopic eggs that travel from someone’s anus to your mouth via hands, surfaces, food, or bedding.

Children with threadworms at any one time: up to 50% ·
Common transmission route: ingesting microscopic eggs from contaminated surfaces or food ·
Egg survival on surfaces: up to 2 weeks at room temperature ·
Treatment success with single dose: over 90%

Quick snapshot

1Threadworms (Pinworms)
2Roundworms
3Hookworms
4Tapeworms
  • Acquired by eating undercooked infected meat (CDC U.S. public health agency)
  • Can reach several meters in length (NHS UK health service)
  • Often asymptomatic for long periods (Cleveland Clinic U.S. hospital)
  • Treatment with praziquantel or niclosamide (Healthdirect Australia government health service)

Five key facts about worm infections at a glance — what causes them, how they enter the body, and what standard treatment looks like.

Fact Detail
Most common worm in humans globally Threadworm (pinworm)
How threadworm eggs enter the body Ingestion from contaminated hands or surfaces
Time from ingestion to egg-laying 2 to 6 weeks
Standard single-dose medication Mebendazole
When to retake treatment Second dose after 2 weeks

What is the main cause of worms?

How threadworm eggs spread from person to person

  • Female pinworms leave the intestine at night and deposit eggs on the skin around the anus — typically 10,000 to 15,000 eggs per worm, according to CDC (U.S. public health agency).
  • Those eggs become capable of infecting other people within 2 to 3 hours of being laid (CDC).
  • When the infected person scratches the itchy area, eggs get trapped under fingernails. From there they transfer to shared objects — towels, toys, toilet seats, door handles, bedding (NHS (UK health service)).
  • Another person touches that surface, picks up eggs on their fingers, then touches their mouth. That’s the full cycle: an
Jack Thomas Carter Bennett

About the author

Jack Thomas Carter Bennett

Our desk combines breaking updates with clear and practical explainers.