Kids and Health Care: Insect Stings and Bites
The two greatest risks to a child from most insect stings and bites are allergic reaction (which can be fatal) and infection (more likely and less serious).
If your child is stung by a bee, it will leave behind a stinger attached to a venom sac. Do not try to pull the stinger out, which may release more venom. Gently scrape it out with a blunt-edged object, such as a credit card or a dull knife. After doing so, or if your child was stung by a wasp, hornet or yellow jacket, take the following precautions:
- Wash the area with soap and water. Do this two to three times a day until the skin is healed.
- Apply a cold pack, an ice pack wrapped in a cloth, or a cold, wet washcloth for a few minutes.
- Apply a paste of baking soda and water and leave it on for 15 to 20 minutes.
- Give acetaminophen (such as Tylenol) for pain.
- Dab on a tiny bit of household ammonia. There are also over-the-counter products for insect stings that contain ammonia.
- Give an over-the-counter antihistamine, if your doctor says it's okay; follow dosage instructions for your child's age and weight.
- A sting in the mouth or nose warrants immediate medical attention because swelling may block airways.
You should also seek emergency care if you see any of the following symptoms, which may indicate an allergic reaction:
- large area of swelling;
- abnormal breathing;
- tightness in throat or chest;
- dizziness;
- hives or rash;
- fainting;
- nausea or vomiting; and
- persistent pain or swelling (more than 72 hours).
