If bee stings are left untreated it can cause a life-threatening condition known as anaphylaxis. If a person has epinephrine medication, administer an injection immediately. A second injection can be given 5-15 minutes later if the medics haven't arrived and the person's condition hasn't improved.
Pain and other symptoms of a bee sting can worsen if you don't get the stinger out quickly. The longer the stinger stays in your skin, the more venom it releases, adding to your pain and swelling. This can also increase the chances of an allergic reaction.
First, look at the stung area closely. You'll likely see a red bump. If a stinger was left behind, you'll also see a small black filament sticking out of the center. It may have a bulbous end, which is the venom sac.
You should be concerned with the sting and seek medical attention if your body's allergic reaction to it spreads throughout your body. This reaction might come in the form of symptoms such as: Itching and hives. Paleness.
You should call 911 and seek immediate emergency treatment if you or someone near you develops a severe reaction to a bee sting or if there are multiple bee stings. The following symptoms are a sign of an allergic reaction: Nausea, vomiting, and/or diarrhea. Stomach cramps.
Emergency treatment for allergic reactions
Epinephrine (adrenaline) to reduce your body's allergic response. Oxygen, to help you breathe. Intravenous (IV) antihistamines and cortisone to reduce inflammation of your air passages and improve breathing. A beta agonist (such as albuterol) to relieve breathing symptoms.
You probably won't have a severe allergic reaction the first time you are stung. But even if your first reaction to a sting is mild, allergic reactions can get worse with each sting. Your next reaction may be more severe or even deadly.
Severe pain or burning at the site lasts 1 to 2 hours. Normal swelling from venom can increase for 48 hours after the sting. The redness can last 3 days. The swelling can last 7 days.
If you are stung, calmly walk away from the area to avoid additional attacks. Remove the stinger. If the stinger remains in your skin, remove it by scraping over it with your fingernail or a piece of gauze. Never use tweezers to remove a stinger, as squeezing it can cause more venom to release into your skin.
These stings will look like a bad mosquito bite, with swelling at the bite site. The area will be red, the center may be white and there may be a small brown stinger still in your skin. A welt may also form.
Approximately 10 percent of people develop severe redness and swelling after a sting. This is called a large local reaction. The area may become large (4 inches [10 cm] or more) over 1 to 2 days and then slowly resolve over 5 to 10 days.
Normal reactions typically include intense pain, itching, and redness with swelling at the sting site up to the size of quarter. Large local reactions extend out from the site of the sting and involve redness with swelling that can at times involve the entire arm or leg.
Large Local Reactions and Bee Sting Swelling Days Later
A local reaction can produce very uncomfortable pain, itching, and swelling. Some of this swelling can be delayed, increasing over 24 to 48 hours. It may take 3 to 10 days for these symptoms to resolve.
The body typically starts to break down histamine within a few hours, which is why the itchiness from a bee sting usually goes away within a day or two. However, in some cases, the body does not break down histamine as quickly. This can cause the itchiness to last for days or even weeks.
These observations suggest that after an insect sting, patients may develop delayed-onset allergic symptoms that range from typical anaphylaxis to serum sickness and are mediated by venom-specific IgE. VIT is recommended for patients with these reactions.
A less common — but still potentially very dangerous — reaction to an insect sting is bee sting serum sickness. In this instance, your immune system reacts to the foreign toxin introduced into your body by the bee sting. Typically, bee sting serum sickness occurs a few days or a week after the insect sting.
It's important to note that redness, swelling, and pain are common symptoms after a bee sting, so wait a few days before you start suspecting infection. Dr. Wright notes that infections appear in as little as a few days, but they can also take weeks to present, leading you to believe that your wound is healing.
It is possible to have a severe allergic reaction to a bee sting that is not life-threatening. Symptoms can include hives, feeling nauseous or lightheaded, stomach cramps, vomiting, diarrhea, low blood pressure and swelling in areas other than the general sting site.
Antibiotics are not required for most insect bites and stings. In practice, it can be challenging to differentiate between inflammation and infection as both may present with erythema and swelling. Signs of inflammatory or allergic reaction (common) include: rapid onset.
A large local reaction can be defined as swelling at the site of the sting exceeding 10 centimeters. These symptoms may continue developing for up to a few hours after the incident. If the sting happened on your arms or legs, the symptoms could last for days or weeks while still being considered a local reaction.
Symptoms of a severe allergic reaction (called an anaphylactic reaction or anaphylaxis) may include one or more of the following: Trouble breathing. Hives that appear as a red, itchy rash and spread to areas beyond the sting.
Large local reactions are characterized by redness and swelling that extends from the sting site over a large surrounding area. These reactions often peak within 48 to 72 hours and last up to 10 days.
Anaphylactic reaction to a bee sting can start within two hours of the incident and rapidly progress. Hives will develop on the face and body, followed by other symptoms, such as headache, dizziness, fainting, nausea, vomiting, and difficulty breathing and swallowing.