While some people may find a sting from insects to be a minor inconvenience that quickly resolves, it can be life-threatening for allergic children.

It is important for parents and caregivers to be aware of the signs of an allergic reaction to insect stings in children. These may include swelling beyond the sting site, difficulty breathing, hives, dizziness, or a rapid drop in blood pressure. If a child experiences any of these symptoms after being stung by an insect, seek medical attention immediately.

Preventive measures such as wearing appropriate clothing, using insect repellent, and avoiding areas where insects are known to nest can help reduce the risk of insect stings in children. Teaching children how to recognize different types of insects and how to safely avoid them can also be beneficial.

In cases where a child has a known allergy to insect stings, carrying an epinephrine injector (such as an EpiPen) and having an action plan in place can be life-saving. Make sure that teachers, caregivers, and other adults who spend time with the child are aware of their allergy and know how to respond in case of an emergency.

Facts About Stingers/Removal

Bees have stingers that detach from their bodies and release venom upon stinging. Prompt removal of the stinger can help reduce the amount of venom injected into the skin.

Although bee venom is typically not harmful, children with allergies may experience more severe reactions. It is important to remove the stinger to prevent infection.

If the stinger is visible, it can be flicked off. If it is embedded, tweezers or a grasping tool can be used to remove it. Avoid using fingers to prevent further stings.

After removing the stinger, wash the affected area with soap and water to reduce the risk of infection. Applying a cold compress can help reduce swelling and pain. If there are signs of an allergic reaction such as swelling, difficulty breathing, or dizziness, seek medical help immediately.

Local Reactions

Most individuals have mild reactions to insect stings, such as redness and swelling at the site. However, roughly 10% may develop stronger reactions with increased redness, itching, and pain. These local reactions can be managed at home with a cold compress and pain relief medication.

If symptoms persist, seeking medical assistance is recommended. In some cases, individuals may experience severe allergic reactions to insect stings, known as anaphylaxis. Symptoms of anaphylaxis include difficulty breathing, swelling of the face or throat, rapid pulse, and dizziness. Anaphylaxis is a medical emergency and requires immediate treatment with an epinephrine injection. It is important for individuals with a history of severe allergic reactions to carry an epinephrine auto-injector with them at all times.

Prevention

To prevent stings, it is advisable to keep children away from areas where bees congregate. Encouraging them to wear protective clothing and educating them on not provoking bees can help. Additionally, children with allergies should carry an epinephrine pen.

Systemic Allergic Reactions/Anaphylaxis

A single bee or wasp sting can lead to systemic allergic reactions or anaphylaxis. Identifying symptoms like swelling, hives, fainting, or vomiting and seeking immediate medical help or using an EpiPen if necessary is crucial.

What to Do in Case of Anaphylaxis

If a child is experiencing symptoms of anaphylaxis after an insect sting, it is important to act fast. Call emergency services immediately and administer an EpiPen if available. Keep the child calm and monitor their symptoms until help arrives.

Insect stings, although often minor, can be painful for children, most commonly inflicted by honeybees or yellow jackets.

What causes insect stings in a child?

Children may be stung by various insects like bees, wasps, yellow jackets, hornets, and fire ants. Yellow jackets are known to cause the highest number of allergic reactions in the U.S., while fire ants are prevalent in Southern states.

What are the symptoms of insect stings in a child?

Insect stings can cause localized reactions like pain, swelling, redness, itching, and hives. Generalized symptoms indicate a more severe reaction that requires immediate attention.

Some of the generalized symptoms include:

• Hives or rash all over the body
• Difficulty breathing or wheezing
• Swelling of the face, lips, or throat
• Dizziness or lightheadedness
• Nausea or vomiting
• Rapid heartbeat

If a child experiences any of these symptoms after an insect sting, it is important to seek medical help immediately as they may be experiencing a severe allergic reaction known as anaphylaxis.

How are insect stings in children diagnosed?

Healthcare providers evaluate the sting site and check for allergic reactions.

How are insect stings treated in a child?

Treatment for insect stings varies based on symptoms and severity. Basic first aid involves removing the stinger and applying a cold compress. Severe reactions necessitate urgent medical care.

What are possible complications of insect stings in a child?

Possible complications from insect stings include allergic reactions and infections. Prompt treatment of allergic reactions is essential, as they can be life-threatening. Infections may require antibiotics.

What can I do to prevent insect stings in my child?

Reduce the risk of stings by avoiding scented products, wearing protective clothing, using insect repellent, and staying away from bee nests. For allergic children, carrying an EpiPen and informing caregivers about the allergy is crucial.

• Ensure your child wears long-sleeve shirts and long pants when playing outside.
• Consult an allergist for testing and treatment of allergies.

Key points about insect stings in children

• Honeybees and yellow jackets are the most common sources of stings.
• Yellow jackets cause the most allergic reactions in the U.S.
• Swelling, pain, and redness at the sting site are the primary symptoms of an insect sting.
• Treatment includes removing the stinger, cleaning the area, and applying a cold pack.
• To prevent stings, teach your child to remain calm and walk away from insects.
• Inform your child’s school and caregivers about allergies and keep a bee sting kit handy.

Next steps

Tips for a successful visit to your child’s healthcare provider:

• Understand the purpose of the visit and what you hope to achieve.
• Prepare questions in advance.
• Take notes on the diagnosis, treatments, medications, and follow-up instructions.
• Learn about the prescribed treatment and its potential side effects.
• Discuss alternative treatment options.
• Understand recommended tests and procedures.
• Be aware of the consequences of not following the medical advice.
• Keep track of follow-up appointments.
• Familiarize yourself with how to reach the provider after hours in case of emergencies.

If you have any questions or concerns about a poisoning incident, contact your local poison control center at 1-800-222-1222. The Poison Control Center at CHOP provides free, confidential assistance staffed by pharmacy and nursing experts.

Quick take on bee and wasp stings

Toxicity Level: Ranging from minimal to severe

Common Sting Symptoms: Skin swelling, redness, pain, irritation, and itching at the sting site

When to Seek Immediate Help (Call 911): Difficulty breathing, dizziness, swelling around the face, lips, tongue, or neck

Has your child been stung by a bee or wasp?

When stung by a bee or wasp, venom is injected into the skin. While some experience minor symptoms, severe reactions can occur in allergic individuals.

Allergic to bee/wasp venom:

If you or your child is allergic to bee/wasp stings or shows signs of an allergic reaction like difficulty breathing, swelling, or rash, seek immediate medical help by calling 911 or visiting the emergency room. Anaphylaxis is rare but serious and requires swift action, including the use of an epinephrine auto-injector.

Not allergic to bee/wasp venom:

If there is no allergy, the risk from the sting is minimal. Common symptoms can be alleviated by pain relief, anti-itch creams, and cold packs.

Bumblebees may seem adorable, but they can cause painful stings to children. Taking precautions and prompt action can help manage bee stings effectively.

Get Rid of the Stinger

Removing the stinger promptly is crucial to prevent further complications. Various methods can be used to extract the stinger. Pain relief medication and cold packs can help alleviate discomfort and swelling.

Deal with the Symptoms

If your child is experiencing severe symptoms like difficulty breathing or swelling, seek immediate medical attention. To prevent bee stings, educate your child about bee-friendly environments and precautions to take.