Insect bites

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Insect bites / stings?

Let's figure out what to use over the counter for insect bites.
Pharmacist

We will determine the type and nature of the insect bite and then get a pharmacist's over-the-counter recommendation.




Lady with insect bites on the arm

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Insect bites

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This first

Have you had a severe life threatening reaction to an insect bite before?
Pharmacist

Yes No

 

 

 

Insect bites

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Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Most likely will have the same reaction again.
  • You should only continue if you have not had an emergency reaction before or you know you are only susceptible to a particular type of insect only.

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Insect bites

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emergency situation?

Is your whole face or tongue swollen with this bite?

Or is inside the mouth swollen?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • It is going to get worse.
  • May be looking at an anaphylatic reaction.

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


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Is your throat feeling tight?
Pharmacist

 

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Has swallowing become more difficult since this insect bite?
Pharmacist

 

Seek urgent care or go to the emergency room.
Pharmacist

Here is why:

  • Anaphylasis

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


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Is your breathing getting troubled since this bite?
Pharmacist

 

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Do you feel you are gasping for air since this insect bite?
Pharmacist

 

Seek urgent care or ER visit.
Pharmacist

Here is why:

  • Anaphylasis

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


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Is this insect bite causing you to have chest pain?
Pharmacist

 

Seek urgent care or emergency room visit.
Pharmacist

Here is why:

  • Anaphylasis

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


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What about feeling weak since the bite?
Pharmacist

 

Seek urgent care or go to the emergency room.
Pharmacist

Here is why:

  • Anaphylasis

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


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Are you turning blue with this insect bite?
Pharmacist

 

Seek urgent care or emergency room visit.
Pharmacist

Here is why:

  • Anaphylasis

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


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Tried to rule out an emergency situation with this insect bite.
Pharmacist

Let's continue and figure out how to take care of this bite if you are not looking at an emergency.

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Insect bites

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Which insect bit you?

Know this:
Some insect bites or stings will produce swelling.
Pharmacist

Before we continue, if you were just bitten or felt like you were stung by something, remove any rings you may have on the finger, lips and so on. These places may swell.

 

Do you know the type of insect that bit you?
Pharmacist

No clue

 

Alright, let's see what to use over-the-counter.
Pharmacist

Most reactions insect bites cause may be similar. Let's see what a pharmacist recommend to help with an insect bite that is available over the counter.

Would you like to do this or visit the nearest urgent care clinic?

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Next question

 

 

 

 

Bites

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What bit you?

No clue?
That's alright. Let's try to figure it out.
Pharmacist

The most common questions regarding insect bites are:

  • Does this look like a mosquito bite?
  • Is this a spider bite to you?
  • I have no idea what bite me. Can you tell?

It is always a good idea to take the time to know what bit you and take a picture of it if possible. This will help in case of a medical emergency that might require an antidote.

Let's see what we can come up with regarding what bit you.

 

When bitten, did you feel an immediate pain and now the area is showing redness?

Wheal and flare?
Pharmacist

 

Yes?
We are thinking fire ant bites.
Pharmacist

Symptoms and signs of a fire ant sting are immediate pain followed by a raised itchy area (wheal) and spreading (flare) lesion.

 

Did you feel and immediate burning or transient pain?

With the affected area itching?
Pharmacist

 

Yes?
Suspecting being stung by honeybees, wasps, yellow jackets or hornets.
Pharmacist

 

Is the bite area red, swollen?

With induration (hardening) up to a few inch across?
Pharmacist

 

Yes?
Suspecting being stung by honeybees, bumblebees, wasps, yellow jackets or hornets.
Pharmacist

The reactions are immediate burning, transient pain, and itching, with an area of redness, swelling and hardening up to a few inches across.

 

Alright.
Those were signs of being stung by a bee or wasp family.
Pharmacist
Close

The reactions are usually immediate burning, transient pain, and itching, with an area of redness, swelling and induration up to a few inches across.

Swelling and redness usually peak at 48 hours, can last for a week and involve an entire part of the body like the arm, hand, neck or leg.

If this is not the case with you, then let's continue and see what else we can come up with

Or perhaps you would like to see what a pharmacist recommend over the counter.

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Insect bites

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What could it be?

When bitten, did you feel an intense throbbing and burning pain?

And now you have a red spotty rash?
Pharmacist

If you are very susceptible, you may experience:

  • Swelling
  • Headache
  • Abdominal pain
  • Nausea.

 

Yes?
Probably rubbed or pressed against a Puss Moth caterpillar.
Pharmacist

Tap on the "FYI" button for a brief description of the Puss Moth.

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They are toxic caterpillars that resemble a tuft of cotton or fur with color varying from yellow to gray to reddish brown.

Puss moth caterpillars live in shade trees and shrubbery around homes and schools and in parks.

When a puss moth caterpillar presses against the skin, hairs become embedded in the skin and these can cause significant reactions.

These reactions include severe throbbing pain, burning, and a rash with red spots.

Treatments for the skin reactions may include putting tape on the site and pulling it off to remove the embedded hairs.

FYI

 

Sometimes where the bite occurred and the pattern of the reaction can help determine what bit you.
Pharmacist

Let's use this to narrow the cause down.

 

Yes?

 

Are the bite spots in groups of three or four?

And mainly on the ankles, around the waist, knees and elbow bends?
Pharmacist

 

We are thinking flea bites.
Pharmacist

Pressing on the rash may make it turn white.

Pharmacist

 

Are they on the neck, face and ear area?
Pharmacist

 

Suspecting being bitten by black flies
Pharmacist

Pharmacist

 


Let's see if you are looking at a spider bite.
Pharmacist

Or would you like to see what a pharmacist recommend over the counter for insect bites assuming you know by now what bit you?

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Insect Bites

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Is it a spider bite?

Most spider bites produce a harmless itching or stinging that goes away in a day or two.
Pharmacist

But brown spiders (violin, fiddleback, brown recluse) and widow spiders (black widow) can be very dangerous.

Let's see what we can come up with.

 

When the bite occurred, did you feel a sharp, stinging pain like a pinprick?
Pharmacist

 

Yes?

 

Are there 2 puncture marks in the skin at the bite area?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • You are more than likely looking at a black widow bite.

Discuss the symptoms of black widow bite. (pubmed first aid).


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Those two questions were to eliminate a black widow bite.
Pharmacist

According to the CDC, a bite from a black widow can be distinguished from other insect bites by the two puncture marks it makes in the skin.

The bite starts with a slight swelling and redness at the site. There is usually pain at the bite area which then spread to the chest, abdomen or the whole body.

If you suspect, this is the case, then seek urgent care. Else, let's continue.

 

Yes?

 

Was this bite painless initially, then started getting itchy?
Pharmacist

 

Yes?

 

Is there a bull's eye on the bite site?

This bull's eye may be red and slightly swollen.
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Looking at a possible brown spider bite.
  • This bull's eye will become larger, fill with blood, rupture and turn into an ulcer.

Take this seriously. Systemic effects such as fever, chills, nausea, vomiting, muscle pain, rash, seizures, hypotension, blood clots, blood cell destruction and kidney failure are possible and responsible for all reported deaths from brown spider.

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Those were the signs of a brown spider bite.
Pharmacist

If you don't think it is a dangerous spider bite, let's see if it is a tick bite or something of that group or even a bed bug bite.

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Insect Bites

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What bit you?

Are the bite marks itchy and red?

Maybe with a darker red spot in the middle.
Pharmacist

 

 

Are the marks located on the face, neck, arms, back, hands and torso?
Pharmacist

 

Yes?

 

Are these marks arranged in a rough line?

Arranged in clusters?
Pharmacist

 


Possibly bed bugs that bit you.
Pharmacist

Expand some more

 

Are you experiencing severe itching?

With red bumps that look like pimples on the affected areas?
Pharmacist

In severe cases, the bite may look similar to the skin reaction from exposure to poison ivy

 

Yes?
You may be looking at chigger bites.
Pharmacist

Bites that lead to severe itching usually occur about 3 to 6 hours after the chiggers attach to the skin.

Most chigger bites occur in thin-skinned areas of the body like the ankles, waist, groin, armpits and backs of knees.

A skin rash may appear on parts of the body that are exposed and this rash may stop where clothes meets the legs. This is often a clue that the rash is due to chigger bites.

 

Was there a tick logged on your skin and now you are seeing a rash?
Pharmacist

 

Yes?

 

Are you experiencing fever or flu-like symptoms with this bite?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Looking at a tick bite

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Are you experiencing itchy, soft, pale bumps?

That are pink or red?
Pharmacist

If you are highly sensitive, you may have a much larger area of itching.

Bear in mind, that these signs may not have appeared for up to 2 days after the bite.

 

Yes?
More than likely looking at mosquito bites.
Pharmacist

If a mosquito bite seems to be associated with more serious signs and symptoms - such as fever, severe headaches, body aches, nausea and vomiting - contact the doctor or visit the nearest urgent care clinic.

 


There are other types of insect bites that were not covered.
Pharmacist

The reactions these insect bites cause may be similar. Let's see what a pharmacist recommend to help with an insect bite.

Would you like to do this or visit the nearest urgent care clinic?

Nearest Clinic Pharmacist