

As you head into nature this season, you may become a tasty target for some insects. How can you tell what type of bug bit you? And when should you become concerned?
“Unfortunately, it’s difficult to tell the difference between insect bites,” says Stefan Hagmann, M.D. MSc, section chief, division of pediatric infectious disease at Hackensack University Medical Center. Physical reactions to bites are extremely individualized. Generally, it’s impossible to tell what bit you solely from the bite without seeing the bug do it.
How to Treat Bug Bites
Bug bites will typically heal on their own, untreated. “For comfort, try using an antihistamine spray or cream to prevent itching,” Dr. Hagmann says. Itching is aggravating, and excessive itching can lead to skin tearing, opening the area to possible infection.
When to See a Doctor for a Bug Bite
Although annoying, most bug bites don’t warrant medical attention. “But if you experience a strong, hyper-sensitive reaction, such as extreme swelling, you should see your doctor,” says Dr. Hagmann. You should also seek medical attention if you see any signs of infection. This could include:
- Spreading redness
- Pain
- Pus
- Discoloration around the bite
If you’ve been traveling internationally, particularly to tropical regions, and have flu-like symptoms, you may be experiencing a mosquito-borne illness such as malaria or dengue. You should consult your doctor and inform them of your recent travels.
Preventing Insect Bites
The best treatment method is prevention. Dr. Hagmann advises, “Cover your skin as much as possible and use a repellent, such as one containing DEET, on exposed areas.”
Seeking Help for Tick Bites
Tick bites are common this time of year, but the Centers for Disease Control and Prevention is reporting that in the Northeast, emergency room visits for tick bites are at their highest levels since 2017. Unlike other insect bites, you don’t want to wait to be treated for tick bites
Tick bites may look like other insect bites, but if you see a tick attached, you should remove it and estimate how long it may have been attached. “As it takes about 36 hours for a tick to transfer the bacteria that cause Lyme disease, you may be able to get preventative antibiotic treatment for Lyme disease from your doctor,” says Dr. Hagmann.
You should see a doctor if you suspect the tick was attached for over 36 hours, have trouble removing the tick or see a red bullseye rash around where the tick was located. As long as you don’t have any life-threatening symptoms, such as shortness of breath, you can choose to connect with a provider through HMH 24/7 Virtual Care. Your HMH 24/7 provider can assess whether you need an antibiotic or further care.
Next Steps & Resources
- Meet our expert: Stefan Hagmann, M.D.
- Make an appointment online with a doctor near you, or call 800-822-8905.
- Learn more about infectious disease services at Hackensack Meridian Health.
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