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Following a honeybee sting the first step in treatment is removal of the barbed stinger. The stinger should be removed as fast as possible without regard to method: studies have shown the amount of venom delivered does not differ if the stinger is pinched or scraped off and even a delay of a few seconds leads to more venom being injected. Once the stinger is removed, reduce pain and swelling with a cold compress1. Remove the stinger by gently scraping something along it; never use tweezers or your fingers to pry it out. This can squeeze more venom into the skin.
Many traditional remedies have been suggested for bee stings including damp pastes of tobacco, salt, baking soda, toothpaste, clay, aspirin or even application of copper coins. Bee venom is acidic and these interventions are often recommended to neutralize the venom, however, neutralizing a sting is unlikely to be effective as the venom is injected under the skin and deep into the tissues, applying an alkali topically is not likely to get near the venom so neutralization is unlikely to occur1.

Furthermore, none of these interventions have been proven to be effective in scientific studies and a randomized trial of aspirin paste and topical ice packs showed that aspirin was not effective in reducing the duration of swelling or pain in bee and wasp stings, and significantly increased the duration of redness.In any case, the amount of venom injected is typically very small (between 5 and 50 micrograms of fluid) and placing large amounts of alkali near the sting site is unlikely to produce a perfectly neutral pH to stop the sting hurting. Many people do claim benefit from these home remedies but it is doubtful they have any real physical effect on how much a sting hurts or continues hurting, the effect is probably related to rubbing the area or the mind perceiving benefit. The study concluded that ice alone is better treatment for bee and wasp stings than aspirin1. The sting may be painful for a few hours. Swelling and itching may persist for a week. Do not scratch the area as that will only increase the itching and swelling. If a reaction persists for over a week or covers an area greater than 3 or 4 inches, seek medical attention. Also, doctors may recommend a tetanus immunization. For about 2 percent of people, anaphylactic shock from certain proteins in the venom can be life-threatening and requires emergency treatment by a physician. If the victim is allergic to bee stings, the victim must be treated to prevent shock. People known to be highly allergic to bee stings should carry appropriate medication1.
1. http://en.wikipedia.org/wiki/Bee_sting

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17y ago

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