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Insect Stings

WHAT YOU SHOULD KNOW

Most insect stings leave a painful or itchy red lump that may have a tiny hole in the center. Sometimes the stinger remains in the skin. Unless you are allergic to the stings, most cause no problems.

Causes

Mosquitoes, fleas, ticks, chiggers, bedbugs, ants, bees, wasps, spiders, or other insects all can leave annoying bites.

Signs/Symptoms

Typically, you'll find a red lump, often accompanied by pain, swelling, itching, or a rash. You may also have a fever, headache, or dizziness; and you may feel nauseated or throw up. If you develop chest pain, a tight-feeling in your throat or chest, and trouble breathing seek care immediately. These are signs of a dangerous, even life-threatening, allergic reaction.

Care

If necessary, the doctor can recommend medicine for minor pain, swelling, or itching. Symptoms of an allergic reaction demand emergency treatment at a hospital. (See ""Insect-Sting Allergy.'')

WHAT YOU SHOULD DO

  • Take the stinger out by scraping it off with your fingernail, the edge of a credit card, or a knife blade. Do not squeeze it.
  • Wash the sting with soap and water, then put ice on it.
  • Raise and rest the area of the sting.
  • To help reduce swelling and itching, soak a clean washcloth or towel in cold water, wring it out, and put it on the sting. Leave it on for 10 to 20 minutes out of every hour.
  • After 24 to 48 hours, a warm compress can be used to soothe the area and reduce swelling.
  • To relieve pain, make a paste with water and either meat tenderizer or baking soda and rub it on the bite or sting for 5 minutes.
  • To further reduce the itching and swelling, use over-the counter medicines such as diphenhydramine elixir (be sure not to drink or drive while taking this medication) or hydrocortisone cream. If you are using calamine lotion with diphenhydramine do not take diphenhydramine by mouth at the same time.
  • If you are allergic to insect stings and have a self-treatment kit, give yourself the shot of epinephrine (eh-pih-NEF-rin) immediately, without waiting for the rash, itching, or swelling to start. Then call your doctor right away to make sure you are out of danger.
  • To keep from getting bitten or stung again follow the directions listed under ""Insect-Sting Allergy.''

Call Your Doctor If...

  • Your symptoms do not improve in a few days.
  • The area beyond the bite or sting becomes red, warm, tender, and swollen. These are signs of infection.
  • You have a high temperature.

Seek Care Immediately If...

  • You have symptoms of an allergic reaction (wheezing or trouble breathing, chest pain, fainting, raised red patches on the skin that itch, upset stomach, vomiting, cramping, or diarrhea). THIS IS AN EMERGENCY!

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