Itching around and inside the anus can be caused by several common conditions. Based on what you describe, external haemorrhoids (piles) are a more likely reason, especially since you have soft skin tags and normal bowel movements without blood. External haemorrhoids can leave small skin folds that may trap moisture or stool residue, leading to irritation and itching. Pinworm infection is another possible cause, but it usually has a few typical features. The itching is often worse at night and may disturb sleep. It can also spread easily to other family members. If these features are absent, pinworms are less likely. Taking albendazole would usually reduce symptoms if worms were the cause. Since your symptoms have continued despite treatment, it is more suggestive of irritation from haemorrhoids or local skin sensitivity rather than worms. Keeping the area clean and dry, avoiding scratching, and using gentle washing may help. If the itching persists or worsens, it is best to follow up with your doctor to reassess the condition and adjust treatment if needed.

Itching and a feeling of worms are common in intestinal worm infections, but sometimes albendazole alone may not fully treat certain types of worms, or the sensation could be due to other skin or nerve issues. See a doctor to identify the cause; they may do a stool test or recommend a different medicine or treatment to relieve your symptoms safely.

While night bruxism (teeth grinding during sleep) and loss of appetite are sometimes associated with intestinal worms, there is little clinical evidence to support a direct link. More often, these symptoms are caused by stress, anxiety, poor sleep, or dental issues. Please see your doctor for a proper evaluation, including a stool test to rule out parasites, and a dentist to manage teeth grinding.

Passing a worm in your stool means you have a worm infection. You should see a doctor for proper identification and treatment, as the type of worm determines the medicine and dose. Maintain good hygiene, wash hands, trim nails, and wash fruits/vegetables to prevent reinfection. Your doctor may also suggest treatment for family members if needed.

For a typical intestinal worm infection, doctors usually prescribe albendazole or mebendazole, which are effective against common worms like roundworms, pinworms, and hookworms. The dose and duration depend on your age and the type of worm. Do not self-medicate repeatedly; it is best to confirm the infection with a doctor so you get the right medicine and dose, and follow hygiene measures to prevent reinfection.

After taking Albendazole 400 mg Tablet, perianal itching may occur due to dying worms. You should wait at least 2 weeks before taking the next dose. During this time, maintain good hygiene, wash the anal area gently, and change your underwear regularly to prevent reinfection and reduce irritation. If the itching persists or worsens, please consult your doctor.