INSECT BITES

INSECT BITES
Bee Stings/ Yellow Jacket Stings

These stings cause immediate painful red bumps. Although the pain is usually better in 2 hours, the swelling may increase for up to 24 hours.

Treatment starts with removing the stinger if it is still present by scraping it off. Next rub each sting with either a cotton ball soaked in meat tenderizer solution or baking soda solution for 20 minutes. This will neutralize the venom and relieve the pain. Massaging with an ice cube also helps. Give acetaminophen or ibuprofen immediately for relief of pain. Also give Benadryl orally if there is any significant swelling. Some children have more extensive local reactions to bee stings and they should take Benadryl orally every 6 hours for 24-48 hours to help prevent extensive swelling.

Anaphylaxis (life threatening allergic reaction) can happen with bee stings. Call 911 if your child has any difficulty with breathing or swallowing if hives develop or if there is swelling of the lips and face. Give Benadryl immediately if available.

Itchy Painful Insect Bites
Mosquito bites cause itchy red sores that can vary in size from a dot to 1/2 inch. The larger size does not mean your child is allergic to the insect bite. Bites near the eye or ear often cause massive swelling.

To treat bites apply calamine lotion or baking soda paste to the area. If the itch is severe over the counter one percent hydrocortisone cream can be applied four times a day. Benadryl by mouth for severe itching or swelling can also be given. Often bites near eyes and ears will need Benadryl orally every 6 hours for 24-48 hours to control the swelling and redness. Benadryl creams are not recommended. If bites become crusty with pus or develop red streaks the child should be seen in the office to evaluate for infection. Keeping bite areas clean and minimizing itching reduce the risk of infection.

Prevention of insect bites is recommended for children. DEET products formulated for children (less than 10 % DEET) are safe to use up to twice a day. Apply repellant mainly to clothing and avoid mouth, eyes and hands.

The information provided on this website is not a substitute for professional care.
You should consult your own physician or other health care provider for specific advice and treatment,
which advice and treatment will be based upon your individual facts and circumstances.