The Buzz on Insect Sting Allergy
When an insect stings most people, the site develops redness, swelling, and itching. However, some people are actually allergic to insect stings. This means that their immune systems overreact to the venom.
If you are insect-allergic, after the first sting, your body produces antibodies called Immunoglobulin E (IgE). If stung again by the same kind of insect, the venom interacts with this specific IgE antibody, triggering the release of substances that cause an allergic reaction.
Symptoms of a Severe Reaction
For a small number of people with venom allergy, stings may be life threatening. This reaction is called anaphylaxis. Symptoms may include two or more of the following: itching and hives, swelling in the throat or tongue, difficulty breathing, dizziness, stomach cramps, nausea, or diarrhea. In severe cases, a rapid fall in blood pressure may result in shock and loss of consciousness. Anaphylaxis is a medical emergency and may be fatal. If you have these symptoms after an insect sting, get emergency medical treatment.
Identifying Stinging Insects
To avoid stinging insects, it is important to identify them. Yellow jackets’ nests are made of a paper-maché material and are usually located underground, but can sometimes be found in the walls of frame buildings, cracks in masonry, or woodpiles.
Honeybees and bumblebees are nonaggressive and will only sting when provoked. However, Africanized honeybees (AKA “killer bees”) found in the Southwestern United States are more aggressive and may sting in swarms. Domesticated honeybees live in manmade hives, while wild honeybees live in colonies or “honeycombs” in hollow trees or cavities of buildings.
If flying stinging insects are close by, remain calm and move slowly away.
Paper wasps’ nests are usually made of a paper-like material that forms a circular comb of cells that opens downward. The nests are often located under eaves, behind shutters, or in shrubs or woodpiles.
Hornets are usually larger than yellow jackets. Their nests are gray or brown, football-shaped, and made of a paper material similar to that of yellow jackets’ nests. Hornets’ nests are usually found high above ground on branches of trees, in shrubbery, on gables or in tree hollows.
Fire ants build nests of dirt in the ground that may be quite tall (18 inches) in the right kinds of soil.
Stay away! These insects are most likely to sting if their homes are disturbed, so it is important to have nests around your home destroyed.
If flying stinging insects are close by, remain calm and move slowly away. Avoid brightly colored clothing and perfume when outdoors. Because the smell of food attracts insects, be careful outdoors when cooking, eating, or drinking sweet drinks like soda or juice. Beware of insects inside straws or canned drinks. Keep food covered until eaten. Wear closed-toe shoes outdoors and avoid going barefoot. Also, avoid loose-fitting garments that can trap insects between material and skin.
If the insect left its stinger in your skin, remove the stinger within 30 seconds to avoid receiving more venom. A quick scrape of your fingernail removes the stinger and sac. Avoid squeezing the sac – this forces more venom through the stinger and into your skin. For all stinging insects, try to remain calm, and brush these insects from the skin. Then immediately leave the area. The following steps can help in treating local reactions to insect stings:
- Raise the affected limb and apply a cold compress to reduce swelling and pain.
- Gently clean area with soap and water to prevent secondary infections; do not break blisters.
- Use topical steroid ointments or oral antihistamines to relieve itching.
- See your physician if swelling progresses or if the sting site seems infected.
If you are severely insect-allergic, carry auto-injectable epinephrine. Learn how and when to self-administer the epinephrine, and replace the device before the labeled expiration date.
Remember that epinephrine is a rescue medication only, and you must still have someone take you to an emergency room immediately if you are stung. Those with severe allergies may want to consider wearing a bracelet or necklace that identifies the wearer as having severe allergies.
Consult Your Doctor
If you have had a serious reaction to an insect sting, make an appointment with an allergist. With proper testing, he or she can diagnose your allergy and determine the best form of treatment. In many cases, insect venom allergy shots (or immunotherapy) are very effective.
With a proper diagnosis, treatment plan, and careful avoidance, people with an insect allergy can feel more confident and enjoy being outdoors.
Source: American Academy of Allergy, Asthma & Immunology, www.aaaai.org
This article was originally published in Coping® with Allergies & Asthma magazine, May/June 2011.