Insect bites in children are often a common concern for parents, as little ones can be especially susceptible to skin reactions. Identifying and properly treating stings is essential to ensure the well-being of children during outdoor activities. Dr. Erick Olivera, pediatrician, and emergency physician at our clinic, explains what symptoms often trigger these stings and what to do about them.

It is important to watch for signs of an allergic reaction in your child after an insect sting. Symptoms can vary, but some of the most common are:

• Swelling. Watch for a significant increase in volume that extends beyond the immediate area of the sting.
• Hives in areas other than the original sting site may indicate a systemic allergic reaction.
• Redness and warmth. The area around the sting may become red and warm.
• Severe pain. Sharp pain that does not subside over time may be a sign of an allergic reaction.

First recommendations for treating the lesion.

• Wash the area of the bite. Gently clean the area with soap and water to reduce the risk of Avoid excessive rubbing to avoid irritating the skin.
• Apply a cold compress to the area. This helps reduce swelling and relieve itching.
• Use anti-itch creams or lotions. Ingredients such as calamine, aloe vera or hydrocortisone to relieve itching and inflammation, always in consultation with your pediatrician.
• Prevent your little one from scratching. It can worsen irritation and increase the risk of infection. Keep their nails short to help prevent injury.
• Oral antihistamines. If the bite is very itchy, check with your pediatrician before giving your child any medication.
• Bathe your little one with lukewarm water. It relieves itching and reduces overall irritation.
• Keep the area elevated. It may help reduce swelling.

Recommendations to avoid allergic reactions.

• Avoid having your child in areas prone to insects, as well as at times of the day when insects are most active, such as dawn and dusk.
• Dress your child in long-sleeved clothing and long pants when outdoors, especially in areas where insects may be present.
• Apply insect repellent suitable for children and prescribed by your pediatrician.
• Use mosquito nets where possible, such as on windows and doors.
• Avoid excessive use of perfumes, lotions, or products with intense odors, as they may attract insects.
• If you are having an outdoor activity, be careful with food and beverages that may attract insects; cover them when they are not being consumed.

Remember to take your child to a specialist in the following cases:

• If your child experiences severe symptoms such as difficulty breathing, significant swelling, wheezing or any other signs of anaphylaxis (serious situation requiring immediate treatment).
• If you observe significant swelling, intense redness, persistent pain, or rash development on other parts of the body.
• In case of multiple stings, it is important to assess the severity and provide guidance on treatment.
• If there is extreme redness, increased pain, pus discharge or fever.
• If you have recurrent allergic reactions. The allergist can perform tests to identify possible allergies and provide recommendations on prevention and treatment.
• If symptoms such as severe itching or swelling persist despite general care.

Dr. Erick Olivera
Pediatrician, and emergency physician at Clínica Ricardo Palma