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Insect-Sting Allergy

WHAT YOU SHOULD KNOW

If you are allergic to insects, a sting can produce uncomfortable or even life-threatening symptoms. In susceptible people, a sting causes the body to produce a flood of histamine, a chemical that may cause swelling, itching, and rash. In a severe reaction, you may even have trouble breathing.

Signs/Symptoms

A typical allergic reaction includes a red lump, pain, swelling, itching, and a rash. You may also run a fever, develop a headache, feel dizzy, or faint. Some people develop an upset stomach and throw up. Really dangerous symptoms include tightness in your chest or throat, and trouble breathing.

Care

If you experience chest pain, a tight throat, or trouble breathing and do not have emergency medicine, get to the hospital right away. People with a severe allergy to insect bites are usually prescribed an emergency kit containing epinephrine (eh-pih-NEF-rin). A shot of this drug is needed as soon as the bite occurs.

WHAT YOU SHOULD DO

  • If you are allergic to bug bites and stings, carry a card, or wear a medical necklace or bracelet identifying your allergy. The card or tag should list your name, your doctor's name and phone number, and type of allergy you have. Also be sure to carry an emergency kit with you at all times and make certain that both you and your family know how to use it.
  • If you are stung:
    • Stay calm. Get medical help immediately. If you can't reach your doctor, call 0 (operator) or 911, or go to the nearest emergency room.
    • Take the insect's stinger out by scraping it off with your fingernail or a knife blade. Do not squeeze it. Apply a paste of meat tenderizer and water to the bite while seeking medical care.
    • If you have a self-treatment kit, inject the epinephrine immediately, without waiting for symptoms to start. Then see your doctor to make sure the danger has passed.
  • To keep from getting stung:
    • If you are caught in or near a swarm of bees or wasps, move away slowly. Don't swat at them. Never strike, stir up, or throw anything at a wasp nest or beehive.
    • Stay away from places that may attract stinging insects. Yellow jackets nest in the ground and hornets in trees and bushes. Every type of stinging insect is attracted to flowers. Bees are more likely to sting in gloomy weather than on bright sunny days.
    • Stay away from wood piles. Be very careful when gardening or mowing the lawn. Also take precautions in picnic areas, orchards, beaches, and other places where there are exposed foods, fragrances, and bright colors.
    • Use insect repellent on skin and clothing when you are outside.
    • Do not wear hair sprays, aftershave lotions, perfumes, suntan lotions, and other scented cosmetics when outdoors. Floral odors are especially attractive to bees and wasps.
    • Do not wear floppy, bright-colored, or flower-print clothing outdoors.
    • Protect yourself outdoors by wearing long sleeves, slacks, shoes, and socks. Wear gloves when gardening or doing other outdoor chores.
    • Check window screens for openings where insects can get in. Look around outside your home for insect nests. Keep your car windows closed when driving.
    • Keep an insecticide spray that kills stinging insects handy at home, in your car, and whenever you are outdoors.
    • Never drink from a bottle or can that might have a hidden insect inside. Check objects for insects before touching, sitting, or brushing against them.

Call Your Doctor If...

  • You have been bitten or stung and your skin is swelling, itching, and has a rash; but you are not having trouble breathing.
  • You have taken a shot of epinephrine after being bitten or stung, even if symptoms fail to appear.

Seek Care Immediately If...

  • You are having trouble breathing, feel chest pain, or have a tight throat, even if you have taken a shot of epinephrine. THIS IS AN EMERGENCY. Call 911 or 0 (operator) to get to the nearest hospital or clinic. Do not drive yourself!

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