Bee or Yellow Jacket Stings
What is a sting?
Honey bees, bumble bees, hornets, wasps, and yellow jackets can
all sting. Most stings are by yellow jackets. These stings cause
immediate painful red bumps. The pain is usually better in 2
hours. The swelling, however, may increase for up to 48 hours and
last for up to 7 days.
Multiple stings (more than 10) can cause vomiting, diarrhea, a
headache, and fever. If your child has multiple stings, he should
usually be seen by a healthcare provider. These symptoms are
related to the amount of venom received. This is not an allergic
reaction, which would cause trouble breathing, trouble swallowing,
hives, or passing out.
How can I take care of my child?
- Treatment
If you see a little black dot in the bite, the stinger is
still present (this only occurs with bee stings). Remove it by
scraping it off. If only a small fragment remains, it will
come out on its own. Do not squeeze the stinger, because it
might release more venom. Rub each sting for 20 minutes with a
cotton ball soaked in a meat tenderizer/water solution. (Avoid
the area around the eye.) This will neutralize the venom and
relieve the pain and swelling. If meat tenderizer is not
available, apply an aluminum-based deodorant or a baking soda
solution for 20 minutes. For persistent pain, massage with an
ice cube for 10 minutes. Give acetaminophen immediately for
relief of pain and burning. For itching, apply hydrocortisone
cream.
- Prevention
Some bee stings can be prevented by avoiding gardens and
orchards and by not going barefoot. Teach children not to
disturb beehives or hornet nests. Insect repellents are not
effective against these stinging insects.
When should I call my child's healthcare provider?
Call IMMEDIATELY (or call 911) if:
- Breathing or swallowing is difficult.
Call during office hours if:
- The swelling or redness continues to spread after 48 hours.
- Swelling of the hand (or foot) spreads past the wrist (or
ankle).
- You have other questions or concerns.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by
RelayHealth.
Last modified: 2008-08-11
Last reviewed: 2008-06-09
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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