Bee, Wasp, Hornet, and Fire Ant Stings

Stings from these insects are typically limited to annoying pain, itching, and redness. Applying ice and taking acetaminophen (Tylenol) may relieve pain and discomfort, while over-the-counter antihistamines such as diphenhydramine (Benadryl) or clemastine (Tavist) can help reduce itching. If local, yet mild symptoms persist, you may apply 1% hydrocortisone cream or make a paste of baking soda and water and apply it to the skin. Do this at least twice daily to relieve your symptoms, which should ease after two days. If the redness spreads to more than two inches from the site of the bite, seek medical attention. (See allergy medications for acetaminophen and diphenhydramine guidelines.)

Rarely, individuals may develop potentially life-threatening allergic reactions to stings. If you develop difficulty breathing, a rapid heart rate, swelling about the face or mouth, nausea and/or vomiting, hives, dizziness, or mental confusion after an insect bite, seek medical attention immediately.

Anyone with a history of such reactions should always carry epinephrine for injection. If you do not start treatment shortly after the sting, you may experience severe breathing difficulties, blood pressure collapse, and in some cases, death. Most epinephrine kits contain injection instructions.(see epinephrine/epipen for guidelines.)