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    A Pediatrician's Tips On How to Treat Mosquito Bites And Bee Stings In Children

    Team ParentCircle Answered by Team ParentCircle


    1. Whenever my 7-year-old son gets bitten by a mosquito, the area swells up a lot. Why is that? What should I do? 

    – Gurpreet, Delhi

    Mosquito bites can cause an excessive reaction due to an allergic reaction or an infection. An allergic reaction occurs when a person’s immune system overreacts to the mosquito’s saliva, resulting in an itchy rash, hives and swelling. An infection occurs if the mosquito is carrying a virus or bacteria.

    The best way to prevent a reaction from a mosquito bite is to avoid being bitten in the first place. Wear long-sleeved shirts and pants outdoors and use insect repellents containing DEET or picaridin. Keep your skin covered and remove any standing water near your home where mosquitoes may breed. If you get bitten, applying an ice pack is the best treatment for a mild reaction. This will reduce itching and inflammation. If the reaction is severe, an antihistamine such as Benadryl may be necessary. Over-the-counter (OTC) hydrocortisone cream can also be used to relieve itching and inflammation. If the reaction is very severe, seek medical attention.


    2. How do I handle bee stings in children? Our family has moved to a new place, and I’ve noticed this area has a lot of bees. 

    – Priyanka, Dehradun

    Bee stings can be a severe problem for children, as their small bodies are more susceptible to the effects of the venom. While most bee stings are not life-threatening, they can cause anaphylactic shock, mainly if a child is allergic to bee venom. The most common symptom of a bee sting is a small, red bump at the site of the sting. This may be accompanied by pain or itching. Sometimes, the area around the sting may swell and become tender. When your child gets stung by a bee, remain calm and take steps to treat it.

    If your child experiences difficulty in breathing, nausea, dizziness or hives, they may be having an allergic reaction and should seek medical attention immediately. The best way to treat a bee sting is to wash the area with soap and water and apply a cold compress to reduce swelling. If the area is still painful, apply a topical ointment such as hydrocortisone cream. If the sting continues to cause pain, you may use OTC medications such as ibuprofen or acetaminophen.

    Generally, bee stings are not a significant concern for most children. However, those who are allergic to bee venom should always carry an epinephrine auto-injector in case of a severe reaction. Be aware of your child’s location and watch out for signs of bees or wasps in the area.


    3. We recently moved to a country house. There are a lot of spiders here. How do I know if my child has got bitten by one, and what should I do if it happens?

    – Dhanya, Chennai

    The symptoms of a spider bite include a small, raised bump on the skin. On lighter skin, the bump might look red. On darker skin, the bump might look reddish-brown. The bite might itch or burn. Some bites do not start to hurt until a few hours after the bite. The pain can range from a slight prickly feeling to terrible pain. In rare cases, spider bites can cause:

    • increasing swelling and draining pus
    • flu-like symptoms such as tiredness, nausea, vomiting and fever
    • sweating
    • severe muscle pain
    • terrible belly pain
    • dead tissue

    When this happens, the center of the bump turns darker red, blue or black, dries out, and forms a sore. This is called necrosis and can happen several days after a spider bite. The sore is usually about the size of a quarter, but can grow larger. Most heal after a few weeks, but some last for months.

    What to do when a spider bites you:

    • Wash the area with soap and water.
    • Put a cold gel pack, bag of ice, or bag of frozen vegetables on the painful area every one to two hours, for 15 minutes each time. Put a thin towel between the ice (or other cold objects) and your skin.
    • If you can, keep the bitten area above your heart’s level.
    • Try to figure out what type of spider bit you.

    Sometimes, you may need to take medicines. Depending on your symptoms, your doctor might recommend the following:

    • Medicines for pain, such as ibuprofen
    • Medicines to treat muscle spasms, called benzodiazepines
    • A tetanus shot: Tetanus is a severe infection that causes muscle spasms and stiffness. It is caused by bacteria that can get into your body through a cut, scrape or bite.
    • Antibiotics: If there are signs of infection (such as fever, spreading redness, or pus coming from the bite), a doctor will prescribe antibiotics. But most spider bites do not get infected. People who have dead tissue because of a bite sometimes need surgery to remove the dead tissue. People who are bitten by a widow spider and have severe pain and muscle spasms that don’t get better with other treatments may get a special medicine called antivenom.

    4. Every summer, we go to our ancestral house. The climate there is quite hot and humid. Last year, my elder son developed rashes and blisters there. My children spend a lot of time outdoors during their time there. Are there any precautionary measures they can take to avoid developing any rashes, blisters or other skin irritations? 

    – Kaajal, Bengaluru

    In hot and humid environments, children are particularly susceptible to developing rashes. To prevent this from occurring, follow these guidelines:

    • Dress children in light, breathable clothing. Natural fabrics like cotton are ideal, as they allow air to circulate and help keep skin dry.
    • Avoid tight-fitting clothing, as this can cause friction and lead to irritation.
    • Keep children hydrated. Drinking plenty of fluids helps keep skin moist and prevents it from becoming dry and itchy. If a child is sweating heavily, provide frequent drinks to replace lost fluids.
    • Use mild soaps when bathing children. Strong soaps can strip away natural oils from the skin, leading to dryness and irritation. Use gentle cleansers that are free from fragrances and dyes.
    • After bathing, apply a moisturizing lotion or cream to the skin. This will help restore natural oils and keep skin hydrated.
    • If a rash does develop, try to identify the cause. It could be due to an allergic reaction, an insect bite, or contact with a plant. If the rash persists, consult a doctor.
    • Keep children out of direct sunlight for prolonged periods. Sun exposure can increase the risk of sunburn and heat rash. Ensure children wear hats, light clothing, and sunscreen when outdoors.

    Disclaimer: The medicines suggested here are generally considered safe for children, but it’s important to note that every child’s health is unique, and individual circumstances may affect the safety and appropriateness of any medication. Therefore, it’s highly recommended to consult a pediatrician before giving any medicine to children, including those mentioned here.

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