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At night use a flashlight to inspect the anal area. The worms are tiny, white, and threadlike. If none are seen, check for 2 or 3 additional nights.
The best way to diagnose this infection is to do a tape test. The best time to collect a sample is in the morning before bathing because the eggs are laid at night. The sticky side of a 1 inch strip of cellophane tape is pressed firmly over the anal area for a few seconds. The eggs stick to the tape. The tape is then transferred to a glass slide, sticky side down. The slide should then be examined by your medical provider to look for eggs.
To improve the chances of picking up the eggs, this test may need to be done on three separate days.
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