Bees and Spiders and Ticks…Oh My!

Bees and Spiders and Ticks…Oh My!

By Nina Cavalli, MD, FAAP

With the warmer months coming in Florida, that means more outdoor time. And with that comes more encounters with the creepy crawly bugs living in our backyards. If your child gets stung or bitten by an insect, you want to make them feel better soon. A big hug, soap, and water are usually enough to manage most situations. But if symptoms persist, here are a few additional options to try.

Bee Stings

If your child is stung by a bee (or wasp, yellow jacket), they will likely have pain at the site and some itchiness, redness, and possible swelling. Symptoms may last a couple of days.

Here’s what to do for a sting:

Promptly remove the stinger if it’s sticking out of their skin. The longer it stays in, the more toxin gets released, which can worsen symptoms.

Wash the area to reduce the risk of infection.

Apply ice, which can help minimize pain and swelling.

Use calamine lotion or hydrocortisone cream to ease itching.

If swelling persists, you can give your child an over-the-counter antihistamine like Benadryl. An over-the-counter pain reliever like acetaminophen or ibuprofen also helps.

In rare cases, stings may lead to anaphylaxis, a severe allergic reaction.

Signs of an allergic reaction include:

  • Hives
  • Swelling (face, throat, or mouth)
  • Wheezing or difficulty swallowing
  • Restlessness or anxiety
  • Rapid pulse
  • Dizziness or loss of consciousness

If your child develops any of these symptoms, seek medical help immediately.

Mosquito bites

Mosquito bites are prevalent and itchy, but severe reactions are rare.

Although itchiness can lead to repetitive scratching, encourage children not to scratch. Covering bites with a bandage or clothing and some hydrocortisone cream or calamine lotion is helpful. Scratching can lead to potential infection. Signs of infection can include:

  • Swelling at the site of the bite
  • Yellowish drainage or crusting over the bite
  • Warm to the touch or fever
  • Muscle weakness
  • Contact your pediatrician if any of these arise

Spider bites

Spiders can bite, but most spider bites are harmless and will improve without any special treatment. Washing the site with soap and water is usually sufficient.

If the bite hurts, you can also apply an ice pack to numb it. An age-appropriate dose of over-the-counter pain medication may also be useful.

Some spider bites can be more serious, but these are rare.

The black widow and brown recluse spiders are of greater concern. These spiders can be found in the Southern United States. Symptoms may include:

  • Swelling
  • Fluid-filled blister (brown recluse only)
  • Increasing pain and stiffness
  • Chills
  • Fever

Call your pediatrician immediately if your child has any of the above symptoms. If the bite is on your child’s arm or leg, elevate it while seeking medical advice. Allergic reactions are rare but require immediate attention.

Tick bites

Tick bites are usually easy to diagnose as the critter is usually still attached to the skin when you find it. If you find a tick on your child, remove it immediately using a pair of tweezers, taking care to remove the whole tick. Do this by getting close to the skin before pulling it out. After removing the tick, clean the area with rubbing alcohol. You can also apply antibiotic ointment or calamine lotion to help with itching.

Save the removed tick in a baggie or other container for potential testing in case your child develops signs of Lyme disease, which could include:

  • A large, red, ring-like mark around the tick bite
  • Fever
  • Headache
  • Feeling tired
  • Muscle aches
  • Swollen lymph nodes
  • Rash

Contact your child’s pediatrician if a tick bite leads to the above symptoms. Treatment with antibiotics in the early part of Lyme disease is necessary to avoid the spread of infection to the joints, heart, and nervous system.

Bug bites and stings can be scary, but most only cause temporary discomfort. Severe reactions are rare. Children are usually back to normal before you know it.

If you have questions or are concerned about your child’s symptoms, contact Celebration Pediatrics at (407) 566-9700. Our experienced pediatric team is here to help keep your child healthy, comfortable, and safe. 

Reference – Cleveland Clinic health essentials, How To Treat Your Child’s Sting or Bite at Home, July 9, 2023

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