Summer in the Pacific Northwest means longer days, sunny adventures, and… bees. While most bee stings are harmless, some can cause more serious reactions that require medical attention. Whether you’re gardening, hiking, or just enjoying a picnic, here’s what you need to know about bee stings.
Bee Sting Basics: Local vs. Anaphylactic Reactions
Not all bee stings are created equal. Your body’s response can vary depending on individual sensitivity, location of the sting, and previous exposure/sensitization.
1. Large Local Reaction
- What it looks like: Redness, swelling, warmth, and pain that may extend several inches beyond the sting site. Swelling can increase over 24–48 hours.
- Treatment: Typically, not dangerous. Treat at home with cold compresses, antihistamines (like cetirizine or diphenhydramine), and anti-inflammatory medications.
- Note: While uncomfortable, large local reactions most often do not predict a future anaphylactic reaction.
2. Anaphylactic Reaction
- Treatment: This is a medical emergency. Use an epinephrine auto-injector (if available) and call 911 or go to the nearest emergency room immediately..
- What it looks like: Hives, difficulty breathing, swelling of the face/throat/tongue, dizziness, nausea, or lightheadedness/loss of consciousness. These symptoms typically start within minutes of the sting.
Call 911 immediately if:
Bees are typically not aggressive unless provoked—but you can take steps to reduce your risk:
- Wear shoes outside, especially in grassy areas.
- Cover food and drinks at outdoor gatherings.
- Keep calm—don’t swat at bees. Move away slowly if one is nearby.
- Check before sitting—especially on picnic benches or outdoor furniture.
- Seal garbage cans tightly and clean up sugary spills promptly.
Should You See an Allergist?
If you’ve had a severe reaction to a bee sting in the past and/or carry an epinephrine auto-injector, we recommend seeing a board-certified allergist. Venom immunotherapy (allergy shots for insect stings) can significantly reduce your risk of future severe reactions.
Fizz Buzz:
Most bee stings are a nuisance, not a crisis. But knowing how to respond—and when to seek help—can make all the difference. Stay safe, stay prepared, and enjoy your summer adventures (bee-sting free, hopefully!).
