Allergies Health Center

What are allergies to insect stings?

When you are stung by an insect, poisons and other toxins enter your skin. It's normal to have some swelling, redness, pain, and itching around the sting. But you may have an allergic reaction if your immune system reacts strongly to allergens in the sting.

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.

What causes an allergic reaction to insect stings?

An allergic reaction occurs when your immune system reacts strongly to the allergens in the sting.

A few types of stinging insects cause most allergic reactions. They are:

• Bees.
• Wasps.
• Hornets.
• Yellow jackets.
• Fire ants.

What are the symptoms?

Symptoms of an allergic reaction can range from mild to severe.

Mild reactions may cause:

• Redness, pain, and swelling around the sting.
• Itching around the sting or anywhere on your body.

Large, local reactions may cause the same symptoms as mild reactions, plus:

• Redness and swelling that affects an entire arm, leg, or large part of your body.
• Fever.
• Nausea.
• Fatigue.

Severe reactions may cause:

• Hives.
• Swelling of your tongue, throat, or other body parts.
• Anaphylaxis, which is a severe, life-threatening reaction that requires emergency treatment. It causes confusion, trouble breathing, and other symptoms.

How are allergies to insect stings diagnosed?

Your doctor may do a physical exam and ask you questions about your symptoms and past health. He or she also may want you to have allergy tests after you get better from the allergic reaction. Allergy tests, such as skin prick tests or blood tests, can help you find out which types of insect stings you are most allergic to.

How are they treated?

If you are stung

• For a severe reaction, such as confusion and trouble breathing:
  • Call 911 if you don't have an allergy kit.
  • If you have your allergy kit, use the antihistamine medicine and epinephrine shot. Then go to the emergency room.
• For a large, local or mild reaction, you can usually treat it at home.
  • Use an ice pack to reduce swelling. If you can, raise the body part where you were stung.
  • Take a nonprescription pain reliever, such as aspirin, acetaminophen (Tylenol, for example), or ibuprofen (Advil, for example). Do not give aspirin to anyone younger than age 20 because of the risk of Reye syndrome.
  • Take an antihistamine to help with the itching. Read and follow the warnings on the label. And don't give antihistamines to your child unless you've checked with the doctor first.

Other treatment

If you or your child has severe reactions, your doctor may prescribe epinephrine, such as an EpiPen, and antihistamine medicine that you keep in an allergy kit. Keep the kit with you or your child at all times. Teach others, such as teachers, friends, or coworkers, what to do if you're stung and how to give the shot. Also, be sure to wear a medical alert bracelet or other jewelry that lists your allergies. During an emergency, these can save your life.