![]() These shots can reduce or eliminate the allergic response to a bee sting. If you don’t have an EpiPen, but you’ve had a previous severe allergic reaction to bee venom, talk to your doctor about getting one, or see if you’re a candidate for allergy shots. The EpiPen can cause side effects like heart racing, and the anaphylactic reaction can present again once the medication wears off,” she says. “If you know that you’re allergic to bee venom, make sure that you have a nonexpired epinephrine injection (EpiPen) on hand at all times,” Shainhouse says. “If you do inject an EpiPen after a bite, call 911 right away. (11,12) Antihistamines like cetirizine (Zyrtec), fexofenadine (Allegra), and loratadine (Claritin) offer the best penetration into the skin. Take ibuprofen (Advil) or acetaminophen (Tylenol) to ease pain and burning, or an oral antihistamine for symptoms of a mild to moderate allergic reaction. It’s okay to self-treat with over-the-counter medications. If you’re stung on your arm or leg, keep it elevated. Next, clean the sting area with soap and water to reduce the risk of infection, and apply a cold compress to calm the swelling and pain. (11) Instead, she recommends gently scraping it with a credit card to remove it, or use the edge of your fingernail. Don’t pluck or squeeze the stinger with tweezers - that can cause more venom to enter the bite, says Shainhouse. If you’re stung by a bee, get to a safe place and remove the stinger as soon as possible. See a doctor if you’re swarmed by bees and receive multiple stings. This is more common in children and older adults, as well as in those who have a history of heart or respiratory problems. It’s important to note that multiple bee stings can be toxic and become a medical emergency even for someone who isn’t allergic to bee stings. If not treated early, anaphylaxis can lead to loss of consciousness and death. These symptoms can occur within seconds or minutes of exposure to an allergen. ![]() You should also seek emergency medical attention if you develop other symptoms of a life-threatening reaction, such as: (1,10,11) “Call 911 immediately at the first signs of difficulty breathing, swallowing, vomiting and diarrhea, weakness, sweating, confusion, or full-body swelling,” warns Tsippora Shainhouse, MD, a board-certified dermatologist based in the Los Angeles area. People who are severely allergic to bees can develop a whole-body allergic reaction called anaphylaxis. These measures are part of an Insect Sting Action Plan to prevent exposure to insects and treat an insect sting once it occurs.Keep in mind that some allergic reactions to bee venom are life-threatening. Nonetheless, children with more severe or life-threatening reactions are candidates for venom immunotherapy. Children with skin symptoms alone have only a 10 percent risk of systemic allergic reactions and aren't considered candidates for skin testing or immunotherapy. Adults who have a positive venom skin test generally are considered candidates for specific-venom allergy shots (immunotherapy). After reaching maintenance doses of immunotherapy, 95 percent of insect venom-treated people are able to tolerate single stings, and sting reactions that occur are generally milder. Take allergy shots to prevent future insect sting reactions. Keep the emergency pack stocked with: antihistamine (liquid or chewable tablet) an epinephrine injection device (if prescribed) a rescue inhaler if you have asthma and an action plan card that describes the treatment steps to take and the importance of calling 911 or going to the closest medical facility once the medication is given. Wear a medical alert bracelet or necklace stating that you (or your child) are allergic to bee stings, wasp stings or yellow jacket stings. If your doctor suggests, take a single dose of oral steroids soon after the sting. Take an oral antihistamine (preferably one that is non-sedating). ![]() History of Large Local Allergic Reactions to Insect Stings Take aspirin for pain, and use ice to reduce swelling. Local Reaction Without a History of Sting Allergy
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