Wasp sting

About Wasp sting

An insect sting that is part of the family of insects named hymenoptera. Some insects in this class are bees, yellow jackets, hornets, and ants. The wasp sting is similar to a bee sting. Wasps can also bite. Bites do not involve the injection of venom but can be very painful. Most of the symptoms are located at the site of the bite unless the patient is allergic to the venom. There can be cross reactivity between insects in the hymenoptera family. If the patient is allergic, a severe reaction can occur with swelling of the airway and/or low blood pressure. If untreated death can result.

Symptoms

Most symptoms are at the site of the sting including: pain, swelling, redness, increased warmth, tenderness. If the patient is allergic to the venom the following may be seen: rash, itching, swollen lips or mouth, difficulty swallowing, breathing problems, lightheadedness, fainting.

Tests & Diagnostics

A history and physical exam will be performed.
Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Treatment is aimed at reducing the symptoms. The following treatments are used for a local reaction: removal of the stinger, antihistamines (diphenhydramine/Benadryl), nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn or Aleve), and pain medications such as acetaminophen (Tylenol). If the patient is having an allergic reaction the following treatments may be used depending on the severity of the symptoms: antihistamines, epinephrine, corticosteroids, and/or intravenous fluids. Patients with significant allergic reactions should carry epinephrine (Epi-Pen) with them and know how to inject themselves. Rarely the site of the injury can become infected requiring antibiotics.

Medical specialties

Internal Medicine · Pediatrics · Family Practice

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Wasp sting.