Sleeping with the buttocks elevated at night?
Hello, doctor.
I would like to ask, recently my one-and-a-half-year-old son has been sleeping on his stomach at night with his bottom raised.
I keep turning him back to lie flat, but after a while, he flips back onto his stomach again.
My mother-in-law is concerned that this might be due to pinworms.
Should I take him to see a doctor for an examination? If so, can I just take him to a general pediatric clinic for the check-up? Thank you.
Le Bao, 20~29 year old female. Ask Date: 2018/02/22
Dr. Xiao Kaiwen reply Pediatrics
Sleeping with the buttocks elevated is not related to pinworm infection.
The symptoms of a pinworm infection occur when the female worms crawl to the anal area at night to lay eggs, causing severe anal itching that leads to scratching (which can happen regardless of the position of the buttocks).
Typically, this position is due to the baby being in a curled-up posture while in the womb; sleeping in a prone, curled position can provide a sense of relaxation, reminiscent of being in the mother's uterus, which can make the baby feel more secure.
If the child does not exhibit any discomfort during sleep, observation is sufficient.
Reply Date: 2018/02/22
More Info
When it comes to your toddler's sleeping position, particularly the tendency to sleep on their stomach with their bottom raised, it's understandable to be concerned about potential health issues such as pinworms. However, it's important to note that while certain behaviors can be indicative of discomfort or health problems, they are not definitive signs of specific conditions.
Pinworms, or Enterobius vermicularis, are a common parasitic infection in children, characterized by symptoms such as itching around the anus, irritability, and sometimes sleep disturbances. However, the sleeping position you described—sleeping on the stomach with the buttocks elevated—can also be a natural sleeping posture for toddlers. Many children find comfort in this position, as it may provide a sense of security or simply be a habit they have developed.
That said, if your child is exhibiting other symptoms such as persistent itching, irritability, or changes in appetite, it would be prudent to consult a pediatrician. A healthcare provider can perform a simple examination and may recommend a "tape test," which involves placing a piece of clear tape around the anal area to collect any eggs that may be present. This test is typically done in the morning before the child bathes or uses the toilet, as it can help confirm the presence of pinworms.
In terms of where to seek help, a general pediatric clinic is an appropriate place to start. Pediatricians are well-equipped to handle such concerns and can provide guidance on whether further testing or treatment is necessary. If pinworms are confirmed, treatment usually involves over-the-counter medications or prescriptions that are safe for children.
In addition to seeking medical advice, it’s also a good idea to maintain good hygiene practices. Encourage your child to wash their hands regularly, especially after using the bathroom and before meals. Regularly washing bed linens and clothing can also help prevent reinfection.
In summary, while your child's sleeping position alone is not a clear indicator of pinworms, it is wise to monitor for other symptoms and consult a pediatrician if you have concerns. They can provide a thorough evaluation and recommend appropriate steps to ensure your child's health and comfort.
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