Insect Bites: Brief Version

What are insect bites?

Insect bites cause itchy, red bumps. Some bites are painful.

How can I take care of my child?

If the bite is itchy:

  • Put calamine lotion or a mix of baking soda and water on the bite.
  • If it is very itchy, put on 1% hydrocortisone cream. You can get this cream at the drug store.
  • Put firm, direct, steady pressure on the bite for 10 seconds. Use your fingernail or pen cap.

If the bite is painful:

  • Rub the bite with a cotton ball soaked in baking soda and water for 20 minutes. This will help the pain.
  • You can put a cold wet cloth or ice on the bite for up to 20 minutes.
  • Give acetaminophen (Tylenol) or ibuprofen (Advil) to help the pain.

How can I protect my child from insect bites?

Keep skin covered when outside. You can use insect repellent to prevent bites. There are 2 kinds of insect repellent. One kind is put on the skin. This includes DEET, picaridin, and oil of lemon eucalyptus. Another kind of insect repellent is put on clothes. This kind is called permethrin.

When using a product with DEET in it:

  • Put some on skin before your child goes outdoors. You do not need to use more than a few drops. (Do not use DEET on children younger than 2 months old. Do not use oil of lemon eucalyptus on children under 3 years old.)
  • Don’t put any repellent on the hands or on a sunburn or rash.
  • Wash repellent off after your child comes indoors.

You can also spray an insect repellent with permethrin in it on your child’s clothes. Put it on the clothes before your child gets dressed. You can also spray this product on shoes, sleeping bags, or other items.

Call your child’s doctor right away if:

  • A bite gets more tender or has red streaks. This might mean it is infected.

Call your child’s doctor during office hours if:

  • The bite still itches or is very painful even after it has been treated.
  • You have other questions or concerns.
Written by Barton D. Schmitt, MD, author of “My Child Is Sick,” American Academy of Pediatrics Books.
Pediatric Advisor 2015.1 published by RelayHealth.
Last modified: 2009-06-22
Last reviewed: 2014-06-10
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Copyright ©1986-2015 Barton D. Schmitt, MD. All rights reserved.

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