People who have had severe reactions to stings should have an anaphylaxis kit. They should keep it nearby if there is any chance of a sting. A doctor has to write a prescription for these kits. Examples are EpiPen and Twinject. Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it. This photo shows a localized reaction to a bee sting.
There is mild redness in an oval 4 inches 10 cm wide of the left upper arm. The stinger looks like a tiny black dot in the center of the sting. There are many different methods of removal. Removing the stinger quickly is more important than the method of removal used.
The main symptoms are hives with trouble breathing and swallowing. It starts within 2 hours of the sting. This severe reaction to bee stings happens in 4 out of a 1, children. After a bee sting, some children just develop hives all over or face swelling. Hives or face swelling alone may be able to be treated at home. But, at times, these symptoms can also lead to anaphylaxis.
Be sure to call your doctor now to help decide. Prevention of Bee Stings Don't go barefoot if bees are around. Be careful in gardens and orchards. Insect repellents do not work against these stinging insects. When to Call for Bee or Yellow Jacket Sting Call Now Past severe allergic reaction to bee stings not just hives and stung less than 2 hours ago Wheezing or trouble breathing Hoarseness, cough or tightness in the throat or chest Trouble swallowing or drooling Speech is slurred Acts or talks confused Passed out fainted or too weak to stand You think your child has a life-threatening emergency Call Doctor or Seek Care Now Sting inside the mouth Sting on the eye Stomach pain or vomiting More than 5 stings for 10 pounds 5 kg of weight.
In teens, more than 50 stings. Fever and sting looks infected spreading redness Your child looks or acts very sick You think your child needs to be seen, and the problem is urgent Contact Doctor Within 24 Hours More than 48 hours since the sting and redness getting larger.
Note: Infection is not common. It does not start until at least hours after the sting. Redness that starts in the first 24 hours is due to venom. If you can, raise the body part where you were stung. Take an over-the-counter pain reliever, such as acetaminophen Tylenol, for example or ibuprofen Advil, for example. Take an antihistamine to help with the itching. Read and follow the warnings on the label. And don't give antihistamines to your child unless you've checked with the doctor first.
Other treatment If you or your child has severe reactions, your doctor may prescribe an epinephrine shot that you keep with you or your child at all times. Preventing stings To reduce your chances of being stung: Stay away from places where insects nest. Wear shoes, long sleeves, and long pants when you are outdoors. Don't wear perfume or scented lotions. Stinging insect hypersensitivity: A practice parameter update Annals of Allergy Asthma Immunology , 1 : 28— Accessed February 3, Allergy diagnostic testing: An updated practice parameter.
House H Insect bites and stings. In MR Dambro, ed. Philadelphia: Lippincott Williams and Wilkins. Reisman RE Insect sting allergy. Totowa, NJ: Humana Press. Schwartz LB Systemic anaphylaxis, food allergy, and insect sting allergy. In L Goldman, A Shafer, eds. Philadelphia: Saunders. Tankersley MS The stinging impact of the imported fire ant. Current Opinion in Allergy and Clinical Immunology, 8 4 : — Credits Current as of: November 6, Top of the page Next Section: Related Information.
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