❌ → Go to Step 4. Step 4 – Do the spots move, look like flat rice grains, or cause abdominal pain + weight loss? ✅ Yes → Possible tapeworm or other parasite. See a doctor for stool ova/parasite exam.
❌ → Go to Step 3. Step 3 – Do you have anal itching, especially at night? ✅ Yes → Highly suggestive of pinworms . Perform the “tape test” (see below). puntitos blancos en las heces
❌ → Likely mucus from IBS or minor inflammation. Monitor for other digestive symptoms. 4. The Tape Test for Pinworms (Must do if itching) Pinworms lay eggs around the anus at night. The eggs are invisible, but the worms themselves may appear as tiny white dots. ❌ → Go to Step 4
