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It is believed that itching may worsen at night due to the various changes in the circadian rhythm. The circadian rhythm is the bodyâs âinternal clockâ of sorts where different biological processes seem to correlate with a 24 hour period on a daily basis.
Female worms then move to the child's anal area, especially at night, and deposit more eggs. This may cause intense itching. The area may even become infected. When the child scratches the anal area, the eggs can get under the child's fingernails.