For many of us, summer brings increased time outdoors and increased exposure to insects. Although everyone will react in some way to the venom of stinging insects, an allergist is an expert who can explain the difference between an allergic reaction and a normal reaction.
Most people stung by a honeybee, hornet, wasp, yellow jacket, or fire ants will experience discomfort around the sting site. This may include pain or discomfort, as well as swelling and redness. However, the most serious reaction to an insect sting is an allergic one. If you experience any of the following symptoms, seek immediate medical attention:
- Hives, itching and swelling in areas other than the sting site
- Abdominal cramping, vomiting, severe nausea or diarrhea
- Tightness in the chest, difficulty breathing
- Hoarse voice or swelling of the tongue or throat, or difficulty swallowing
Anaphylaxis, the most severe allergic reaction, can occur within minutes after the sting and may be life-threatening. Epinephrine, typically administered in an auto-injector, and immediate medical attention are required. Symptoms may include:
- Dizziness or a sharp drop in blood pressure
- Loss of consciousness or cardiac arrest
People who have experienced an allergic reaction to an insect sting have a 60% chance of a similar or worse reaction if stung again.
The allergists at Atlanta Allergy & Asthma can perform testing for insect venom allergy as well as provide allergen immunotherapy (allergy shots) for people that test positive for this type of allergy. This is a highly effective therapy that can prevent future reactions from occurring. Initially, the shots are weekly, but after a few months patients will receive them once a month. For most patients they will be continued for up to five years.
All people with a history of anaphylaxis to an insect sting should have an emergency epinephrine device, either injector or nasal spray nearby. Epinephrine should be used as soon as a reaction starts. If epinephrine is used promptly, immediate activation of emergency medical services may not be required if the patient experiences prompt, complete, and durable response to treatment. However, 911 should be called, or the patient should proceed to the nearest emergency room if anaphylaxis is severe, fails to resolve promptly, fails to resolve completely or nearly completely, or returns or worsens after the first dose of epinephrine.
If you experience a significant allergic reaction of any kind, consult an allergist as soon as possible.
Atlanta Allergy & Asthma provides complete allergy services for testing and treatment for insect sting allergies. Contact the office nearest you if this is a health concern of yours or of a family member.