Mosquito bites can expose you to serious diseases like West Nile virus or Zika. Mosquitoes are usually found near standing water. Tick bites can expose you to Rocky Mountain spotted fever or Lyme disease. They are usually found in wooded areas. Biting flies can be found around garbage or waste. Fire ant bites give burning sensations and pain. Flea bites often occur in clusters and you can often pick them up when around pets. Bedbugs give itchy red bumps that are usually in a pattern of two to three in a row and occur at night. (Learn more about diagnosis and treatment. ) Spider bites and, especially, scorpion stings can be more worrisome, even potentially deadly.
The reality, however, is that most bites are from unidentified bugs. In the worst-case scenario, they can be immediately dangerous because of the possibility of anaphylaxis.
If you see or feel any of those symptoms, call 911 immediately. If the person who was bitten has a history of severe allergy and carries epinephrine, those signs and symptoms tell you that it’s time to use the epinephrine. Call 911 first, then use the EpiPen (or whichever brand the person is carrying).
ItchingSwelling (other than the site of the sting)Shortness of breathHeart palpitationsChest painWeaknessDizzinessHives or redness
Here are some basic things you can do to ease the pain, itching, burning, or swelling from a bug bite or sting:
If you’ve been stung, remove the stinger if it is still in your skin. Apply an ice pack or cold compress to the site of the sting. Alternate on and off to prevent tissue damage and don’t place the ice directly on the skin. Usually 20 minutes on and 20 minutes off. If the person with the bite or sting has any involuntary muscle movements, call 911 immediately. Black widow spider bites can cause muscle spasms. For pain relief, try topical treatments like sting swabs, hydrocortisone lotion, or lidocaine preparations. Acetaminophen and ibuprofen are good for pain. You may want to use an antihistamine such as Benadryl if you have swelling.
Keep an eye out for signs of illness over the first few days following a bug bite. Fever, jaundice (skin or eyes turning yellow), sweating, or pus oozing from the site of the bite all require a call to the doctor.
HivesA large area of swelling and rednessBruisingLow-grade feverPus or drainageShortness of breathSwollen lymph nodes
Over-the-counter anti-itch remedies or calamine lotion can also help to soothe an itchy bug bite. Or you can make a paste of baking soda and a little water. Apply it to the area for 10 minutes, then wipe it off.
For more severe itching, an antihistamine like Benadryl can help.
