How to Treat a Bee or Wasp Sting if it s Still Swelling After 48 Hours

7. Spray garbage cans regularly with insecticide, and keep the cans covered.

Are You Allergic to Insect Stings?

If you get stung by a bee, wasp, yellow jacket, hornet, or fire ant, would you know if you had an allergic reaction?

Those are the insect stings that most often trigger allergies. Most people aren’t allergic. By knowing the difference, you can decide if you need to see a doctor.

3 Types of Reactions

The severity of symptoms from a sting varies from person to person. But in general:

A normal reaction sets off pain, swelling, and redness around the sting site.

A large local reaction causes swelling that extends beyond the sting site. For example, a person stung on the ankle may have swelling of the entire leg. While it often looks alarming, it’s usually no more serious than a normal reaction. Large local reactions peak at about 48 hours and then gradually get better over 5 to 10 days.

The most serious reaction is an allergic one (described below). You’ll need to get it treated right away.

What Are the Symptoms of an Insect Sting Allergy?

A mild allergic reaction may cause one or more of these symptoms at the site of the sting:

Pain
Redness
Pimple-like spots
Mild to moderate swelling
Warmth
Itching

Severe allergic reactions (also called an anaphylactic reaction) are not that common. But when they happen, they’re emergencies.

Symptoms can include:

Trouble breathing
Hives that appear as a red, itchy rash and spread to areas beyond the sting
Swelling of the face, throat, or any part of the mouth or tongue
Wheezing or trouble swallowing
Restlessness and anxiety
Rapid pulse
Dizziness or a sharp drop in blood pressure
Stomachcramps, nausea, or diarrhea

Get emergency treatment as soon as possible.

How Common Are Insect Sting Allergies?

About 2 million Americans have allergies to the venom of stinging bugs. If you’re allergic to bee stings, you may also be allergic to yellow jackets, wasps, and hornets. Many of these people are at risk for life-threatening allergic reactions.

Treatment if You’re Not Allergic

First, if you’re stung on the hand, remove any rings from your fingers immediately.

If stung by a bee, the bee usually leaves a sac of venom and a stinger in your skin. Remove the stinger within 30 seconds to avoid receiving more venom. Gently scrape the sac and stinger out with a fingernail or a stiff-edged object like a credit card. Don’t squeeze the sac or pull on the stinger, or more venom will get into you.

Wash the stung area with soap and water, then apply an antiseptic.

Apply a soothing ointment, like a hydrocortisone cream or calamine lotion, and cover the area with a dry, sterile bandage.

If swelling is a problem, apply an ice pack or cold compress to the area.

Take an over-the-counter oral antihistamine to ease itching, swelling, and hives. Don’t give this medication to children under 2 years old or to pregnant women unless your doctor says it’s OK. (If you’re pregnant, it’s best to talk to your doctor before you take any medicine.)

You can also take an “NSAID” pain reliever such as ibuprofen.

Read the label on any medicines first. Parents of children and people with medical conditions should talk with a pharmacist if they have questions about a medicine’s use.

Treatment if You’re Allergic

If you have a severe allergic sting reaction, you’ll need epinephrine, which you can inject yourself before you call 911. Usually, this shot will stop a more severe allergic reaction from happening.

You’ll still need emergency medical care, even if the symptoms seem to stop. You may need to stay overnight at the hospital. If you’ve ever had allergic reactions to an insect sting, carry epinephrine with you wherever you go.

How Can I Avoid Being Stung?

You can’t completely. But these steps make it less likely.

1. Learn to recognize insect nests and avoid them. Yellow jackets nest in the ground in dirt mounds or old logs and walls. Honeybees camp out in beehives. Hornets and wasps make their homes in bushes, trees, and on buildings.

2. Wear shoes and socks when outdoors.

3. Wear long-sleeved shirts, long pants, socks, and shoes when in rural or wooded areas.

4. Avoid wearing perfumes or brightly colored clothing. They tend to attract insects.

5. If you have severe allergies, make sure you have someone with you if you hike, boat, swim, golf, or do other things outdoors, just in case.

6. Consider using screens on windows and doors at home. You may also want to use insect repellents when you’re outside.

7. Spray garbage cans regularly with insecticide, and keep the cans covered.

8. Avoid or remove insect-attracting plants and vines growing in and around the home.

Also, if you’re severely allergic, always wear identification that says you have an allergy. Keep an epinephrine kit on hand in case of an emergency, too. For more information on where to get a MedicAlert bracelet, you can call 800-ID-ALERT.

What Are Epinephrine Kits?

These let you give yourself medicine (epinephrine) right away if you’re stung, before you get to a doctor for treatment. The most common brand is an EpiPen. You should still see a doctor ASAP after being stung.

How Can I Prevent an Allergic Reaction?

Allergy shots may help. They’re about 97% effective. Allergy shots for insect stings put tiny amounts of the allergen (you may hear it called insect venom) into your body over time. Your body gets used to the allergen, and if you get stung again, you won’t have such a bad reaction.

Your doctor will first test you to find out what insects you’re allergic to. Then you’ll typically get the shots once or twice a week. The dose will go up slightly over time until you reach a maintenance dose, usually in about 3 to 6 months.

For most people, allergy shots are safe. You may have side effects like redness and warmth at the injection site. You could also have a mild or serious allergic reaction to the shot itself. They may be more risky for people who have heart or lung disease or who take certain medications.

Show Sources

American Academy of Allergy Asthma & Immunology: “Stinging Insect Allergy,” “Stinging Insect Allergy: Tips to Remember,” “Allergy Shots (Immunotherapy).”

National Library of Medicine DailyMed: “Instructions and dosage for schedule for allergenic extracts hymenoptera venom products.”

The Asthma Center Education and Research Fund: “Bugging Out: An examination of insect-sting anaphylaxis.”

American College of Allergy, Asthma and Immunology: “Fire Ant Sting Allergy,” “How Can I Avoid Insect Stings?”

North Carolina State University College of Agriculture and Life Sciences: “Beekeeping.”

University of Oklahoma Police Department: “Oklahoma’s Perilous Partners.”

How to Treat a Bee or Wasp Sting if it’s Still Swelling After 48 Hours.

Updated January 15, 2023 If you’ve just been stung by a bee, wasp or yellow jacket, you have my sympathies. That sucks. In addition to the obvious and immediate pain, you may also have a minor allergic reaction that causes redness, pain, and swelling around the site of the sting. The immediate pain of the sting will fade within a few hours and your symptoms may subside within at least 24-48 hours. However, if you still have wasp sting swelling after 48 hours, or if you’re allergic or have had a particularly bad reaction to a bee sting, then it’s time for some treatment. Read on for some practical tips and home remedies for how to deal with the symptoms of a wasp sting on how to treat a bee sting or wasp sting if it’s still swelling after 48 hours.

Determine if You Have an Allergic Reaction to the Insect Sting

First things first. This is an important one. You need to determine if you are having a serious allergic reaction to a bee sting. For people who aren’t allergic, bee and wasp stings are painful and annoying, but it’s usually not life threatening if they get stung. But for those with a serious sting allergy like anaphylaxis, a sting may cause an anaphylactic reaction, which can be life threatening. Those who are aware that they are allergic to bee stings are often equipped with an EpiPen on hand in case of an emergency. The EpiPen is a device that people use to inject themselves with a pre-loaded amount of epinephrine. This provides a quick way to reduce the symptoms of anaphylaxis in the case that they have a severe reaction to a bee sting. Even after using the EpiPen, though, people should still call 911 or go to the emergency room without delay. They may need first aid, further medical care and observation there. If you generally feel uncomfortable after being stung and have a rash or develop hives at the affected area within a few hours, that is usually indicative that you have an allergic reaction and may require medical help. But if your symptoms develop later on and the pain persists for more than 48 hours, that’s when the treatment should begin at the earliest possible time.

Symptoms of a wasp sting

The symptoms of a wasp or bee sting can depend on your body’s sting reaction. Generally, stings can cause painful, itchy redness and swelling at the spot where you were stung. In some cases, severely allergic reactions can result from wasp stings too. It’s very important to monitor your symptoms for any signs of a systemic reaction. If you experience difficulty breathing, vomiting or feel faint after being stung by a wasp, seek medical help immediately.

Remove the stinger

The first thing you should do when you get stung by a wasp is to remove the stinger as soon as possible. Scraping it off with your fingernail or using tweezers can help to reduce the amount of venom that enters your body, reducing the severity of reactions. If you neutralize the venom, large local reactions can be reduced as well.

The difference between a bee and wasp sting

While bees die after stinging something, wasps can sting multiple times. This makes it easier for them to cause a systemic reaction if they manage to sting multiple times in one area. Additionally, the venom from a wasp is more powerful than that of a bee, so reactions may be more severe.

Keep the Area of the Wasp Sting Clean

Once the stinger is removed, you should clean the area with soap and water to reduce any bacteria that may be present at the site of the sting. If your wasp sting is still swelling, it can keep your skin from healing. If you have any traces of the venom left on the sting site, it could continue to swell and make things worse. The best method for removing any leftover venom or debris is gently wiping with a clean washcloth until no more debris comes off or until the pain subsides. If it still hurts to wipe, use ice or iced water over the area, as this will numb the area and be easier to remove debris from.

Apply Ice Packs to The Sting Area

If the sting is still swollen, apply an ice pack or towel soaked in cold water to the area for 10-15 minutes every two hours. The cold temperature will reduce swelling and numb the area. This works by decreasing the blood flow, which decreases inflammation. If you don’t have any ice packs or cold compresses, you can also use a bag of frozen vegetables wrapped in a towel to reduce the pain and swelling.

Take an Anti-Inflammatory Medicine

When treating a bee sting or wasp sting, it’s often an option to take an anti-inflammatory medicine that your doctor prescribes. It will help you avoid a severe allergic reaction and reduce pain and swelling in the area. Depending on your case, your doctor may recommend over-the-counter anti-inflammatories such as ibuprofen or naproxen (Advil and Aleve), or they may suggest a prescription-strength medication.

In some cases, if the doctor deems it necessary, they may also give you an injection of corticosteroids as well. This is to reduce any allergic reactions that could be caused by the sting and help reduce the swelling.

Soothe the Pain

One of the quickest and most effective ways to relieve the pain is by using a product like Dermeleve®. Though Dermeleve® is primarily used to treat itching, it is also extremely effective at soothing stinging pain of the skin. Unlike traditional OTC pain killers like Ibuprofen or Aspirin which are taken orally, Dermeleve® is applied topically to the area of the sting and will start working immediately. Users often feel results in as little as five minutes, and experience relief for up to six to eight hours. Additionally, because Dermeleve® doesn’t contain any topical steroids like hydrocortisone cream or cortisol, it’s safe to re-apply frequently throughout the day. It’s also safe for long term use, without the risk of serious side effects and withdrawal symptoms associated with the extended use of corticosteroids.

Stay Hydrated to Reduce Sting Swelling

When you have a bee sting or wasp sting, your body releases water to dilate the capillaries so it can release swelling and histamine. Staying hydrated will help decrease swelling in the area of the wasp sting. While water is the best choice, flavored drinks like Gatorade and electrolyte drinks will also help keep your body hydrated and fight against dehydration. Hydration isn’t just limited to beverages. Eating water-rich fruits and vegetables like strawberries, pineapple, and cucumbers can also help keep your body hydrated. In fact, some studies have shown that drinking water-rich fruits and vegetables can be just as effective as drinking plain water.

See a Doctor if Your Sting is Still Swelling After 48 Hours

If you’re still experiencing pain and swelling after 48 hours of getting stung by a wasp, it will be best to call your doctor. They can offer some insight into the cause of the swelling and recommend further treatments. Depending on your condition, they may suggest an antibiotic cream to prevent infection or a corticosteroid shot to reduce inflammation. It’s especially important for those with bee sting allergies to be seen by a doctor immediately after getting an insect sting, as their situation could worsen quickly if not treated promptly. Keep in mind that that even if you think you’ve got the situation under control, it can still be beneficial to get checked out by a physician in case of any unexpected side effects.

Recap

Let’s recap. Many people are afraid of bees and wasps, but unfortunately, sometimes getting a bee or yellow jacket sting is unavoidable. While most people will have a mild reaction, those who are susceptible to a serious reaction like anaphylactic shock require medical attention right away of stung. If you have a bee sting or wasp sting, the best thing to do is to apply a cold compress, take an anti-inflammatory medicine, use Dermeleve® to soothe the pain and/or itch, and stay hydrated. If you are still experiencing swelling after 48 hours or more, or are having an allergic reaction, then you should consult with a doctor. Following these steps will help ensure that your bee or wasp sting is treated quickly and effectively, so that you can get back to enjoying the outdoors!