how to manage bug bites and stings

Summer brings questions on how to manage bug bites and stings.

When should the patient seek medical attention? Promptly refer to the ED if there are signs of a systemic reaction...hives or swelling in areas OTHER than the site...trouble breathing...tongue or throat swelling, headache, nausea, etc.

Self-treatment is appropriate for local reactions...yes, even if a sting on their foot swells up to the size of a football.

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