If someone is stung by a bee or wasp and has a bad reaction, it may be an allergic emergency (anaphylaxis), which can be life-threatening. Immediate action is essential.
1. Recognize a severe reaction
Mild reactions: pain, redness, swelling at sting site.
Severe reactions (anaphylaxis):
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Difficulty breathing, wheezing, or throat tightness
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Swelling of lips, tongue, or face
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Rapid heartbeat, dizziness, fainting
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Nausea, vomiting, or abdominal pain
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Anxiety or feeling of doom
2. Call emergency services immediately
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Dial your local emergency number right away if there are signs of a severe reaction.
3. Use epinephrine (if available)
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If the person has an epinephrine auto-injector (EpiPen, Auvi-Q, etc.), use it immediately in the outer thigh, even through clothing.
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If no improvement after 5–15 minutes and another dose is available, a second injection may be given.
4. Keep the person safe and calm
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Have them lie down with legs elevated unless breathing is easier sitting upright.
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Loosen tight clothing and keep them warm.
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Stay with them until help arrives.
5. Remove the stinger (if it’s a bee sting)
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Scrape it out with a firm object (credit card edge, fingernail) — do not squeeze it, as that injects more venom.
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Wasp stings usually do not leave a stinger behind.
6. For milder reactions (no breathing/swallowing problems):
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Wash the area with soap and water.
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Apply a cold pack to reduce pain and swelling.
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Elevate the limb if the sting is on an arm or leg.
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Use oral antihistamines (diphenhydramine, cetirizine, loratadine) if safe for the person.
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Apply hydrocortisone cream or calamine lotion for itching.
7. Watch closely
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Even if the initial reaction seems mild, symptoms can worsen quickly.
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Keep monitoring breathing and consciousness until professionals arrive.
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Be prepared to give CPR if the person becomes unresponsive and stops breathing.
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