Should there be worms coming out of your puppy's butt or is it ill?

There should never be worms coming out of your dogs bum. Most likely your puppy has a parasite and should go to the vet. The vet will give your dog a pill and that will kill the parasites. If you do not get the puppy treated it can lead to poor health and even death. Also the parasites can be transmitted to you. Please take your puppy to the vet. If you can not afford a vet or there is not one close by worm medications are available at your local pet store, but I have found these to be inaffective at treating parasites. A vet is your best bet. Good Luck.