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Buzz. Bite. Ouch! When bugs strike, seek relief in products that stop the itch
Despite your best efforts to stay bug-bite free this summer, you might wind up with an itchy reminder of a determined mosquito's attraction to your flesh.
The threat of West Nile Virus from a mosquito bite has been well publicized. But the majority of bites aren't cause for alarm — just the source of irritating, exasperating itching.
Some people react more to bug bites than others. In some cases, bites are hardly noticeable. But if you're the kind of person who develops red, inflamed spots that itch like the dickens, your second instinct probably will be to head for the medicine cabinet or the drugstore for some relief.
Your first instinct? To rake your fingernails across the bites.
Resist it.
Bites bugging you?
• Make sure the bite is clean. Soap and water usually will do. If the bite site develops into an open sore, you can use an antibiotic ointment, such as bacitracin, on it to try to prevent infection. See a doctor if the bite starts getting tender, red and full of pus.
• Start fighting the itch with a 1 percent hydrocortisone cream.
• Still itching? Use an antihistamine. Examples include diphenhydramine, also known as Benadryl, and chlorpheniramine, also known as Chlor-Trimeton. But they can cause drowsiness. If so, loratadine, also known as Claritin, might be better for you.
• Other possible soothers: benzocaine, calamine lotion, oatmeal baths and Sarna anti-itch lotion.
• Doctors can provide stronger remedies if over-the-counter products don't work for you.
How to dodge bites and stings
• Wear a good bug repellent.
• Don't wear perfume and cologne.
• Don't wear flowery colors.
• Limit the amount of exposed flesh.
• Avoid a lot of outdoor activity at dawn and dusk.
• Avoid trash cans, where yellow jackets like to hide.
• Wear shoes when playing in the yard, especially if there's a lot of clover in it.
• Get rid of the clover.
• Be careful about sticking your hand in dark, hidden places.
• Get rid of standing water on your property and repair screens.
• For more information, go to the Centers for Disease Control at www.cdc.gov.
"Scratching perpetuates itching and if you scratch enough, it makes the bump worse," says allergist Dr. Hobert Pence. It also can lead to infection.
Americans spent about $295 million on anti-itch and insect first-aid products in the year ending May 18, according to Information Resources, a Chicago-based sales-and-marketing research group. The figures include sales by supermarkets, drugstores and mass merchandisers other than Wal-Mart.
The best-selling insect first-aid product was After Bite, a dab-on liquid whose sole active ingredient is ammonia. Americans also are buying sprays, gels, lotions, sticks and pills, even bandages that promise to stop the itching and scratching.
Sensible first-aid
Some anti-itch products are expensive. You can save by being label savvy. There often are multiple products on the shelf that have the same active ingredient but different prices.
Pence says common, safe and generally effective ingredients include a low-dose steroid, such as hydrocortisone (Cortaid); an antihistamine, such as diphenhydramine (Benadryl); or a local anesthetic, such as benzocaine (Band-Aid Bug Bite Relief Patches).
Dr. Anir Dhir, dermatologic surgeon, agrees, noting that Benadryl cream was his treatment of choice when mosquitoes attacked him on a recent vacation.
When you shop for something to stop the itch, look at the ingredient list on the packaging because products are marketed under many brand names, only some of which are named here.
You might also try calamine lotion — the old standby that many adults know from being "painted" with it as a kid.
It's used for its drying and soothing effects, says Dr. Michael Faurest, a dermatologist, who also recommends hydrocortisone and antihistamines. (Don't like the pink dots from traditional calamine lotion? There are clear versions now.)
Faurest says other potential soothers include Sarna anti-itch lotion, whose active ingredients are camphor and menthol, and Aveeno oatmeal bath treatment.
Be mindful that some anti-itch products can irritate the skin. If you rub on a product and the itching seems to get worse or spreads, "you might be allergic to one of the ingredients that's being used," Pence says.
Some people who can't tolerate a drug when it's applied to the skin can take an oral form of it. For example, someone whose skin is irritated by Benadryl cream might be able to take the pill form, Pence says.
Treating bites on children
The advice for treating bug bites on children is pretty much the same as for adults, but be sure to read a product's label to make sure it is age appropriate.
Dr. John Roth, pediatrician and a spokesman for the American Academy of Pediatrics, says most bug bites don't need treatment. But if they are bothersome, he recommends Benadryl (liquid or pill form) and topical hydrocortisone creams.
Roth says cold compresses or ice packs might help initially. Calamine lotion might too, but "it doesn't do a whole lot."
Remember to keep the bites clean to avoid infection.
And if a bee stings your child, watch for signs of an allergic reaction, which can be fatal.
Any bee sting can cause quite a bit of swelling, not in itself cause for worry. "You're looking for more general body symptoms that go beyond the area of the sting," said Roth, who's also a clinical professor of pediatrics at the University of Louisville.
Symptoms may include vomiting, shortness of breath and trouble breathing, and would demand immediate medical treatment, he says. People who know they're allergic to stings often carry epinephrine (EpiPen).
"You should use that if you're really having trouble breathing or if it looks like you're really having a bad reaction," Pence says. "If you're just breaking out in hives and it's not severe, take the EpiPen with you but let the doctor make a decision on whether or not you need it."
Some people seek therapy from allergists to keep from having a severe reaction if they're stung again, Pence says.
If you're not allergic to stings, you don't have to go to such lengths. Try applying ice and taking an oral antihistamine, Pence says. Be sure to scrape out the stinger if one is present.