Allergies are abnormal or adverse reactions to a substance. Insect allergies are a reaction to insect stings or bites. It can also occur with exposure to such insects in an environment.
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Stinging insects include: HoneybeesYellow jacketsHornetsWaspsFire ants
Biting insects include: BlackfliesFleasHorsefliesMosquitoesKissing bugs
Insects that cause respiratory allergies include: CockroachesMidgesLake fliesCaddis flies
Other factors that may increase your chance of insect allergies include:
History of other types of allergies, including
hay feverFamily history of allergyOccupations that expose you to insectsLiving conditions that expose you to insects or dust-containing insect allergens
An allergy to biting and stinging insects can affect the area around the bite or sting and cause: Skin rashHivesItchingSwellingRednessHotness
can be a life-threatening reaction that causes:
Skin rash, hives, itching, swelling in areas away from the sting siteSwelling of lips, tongue, face, throat, and eyelidsDifficulty breathing, shortness of breath, coughing, wheezingLightheadedness, faintingSevere drop in blood pressure
Some insects cause respiratory allergies that result in: Runny noseSneezingCoughingWheezingDifficulty breathingShortness of breath
The doctor will ask about your symptoms and medical history. A physical exam will be done. Most diagnoses are based on a history of a reaction after a sting. For those with a severe insect allergy, stings may be life-threatening. Therefore, it is important to see an allergist or immunologist (doctor who specializes in allergies).
Skin prick test—An extract of the insect's venom or protein is diluted. The dilute is placed on your forearm or back skin. If there is swelling or redness, an allergic reaction may be present. The doctor will make the diagnosis based on the skin test and your history of symptoms. Some skin tests can have a severe allergic reaction. This test should only be used under the supervision of a physician or other trained medical personnel. Severe
may make this test hard to interpret.
RAST or ELISA test—The doctor may order blood tests (RAST or ELISA). These tests measure the level of insect-specific IgE in the blood. IgE is a type of protein that the body produces when it is exposed to something to which it is allergic. The presence of IgE in the blood may indicate an allergy.
Some reactions cause trouble breathing. In this case, call for emergency medical services.
Treatment may include: Epinephrine—injected immediately in the event of a severe, life-threatening insect sting allergy (anaphylaxis)Antihistamine medications—to decrease swelling and itchingIce—applied to local area of sting or bite to decrease swellingCorticosteroid medications—for more severe swelling, itching, nasal congestion, and sneezing
Bronchodilators—inhalers that can be used to decrease
-like symptoms, such as wheezing, coughing, and shortness of breath
Venom immunotherapy—a series of allergy shots to gradually desensitize you to insect stings; usually for honeybees, yellow jackets, hornets, wasps, or fire ants
To reduce your chance of having an allergic reaction to either biting or stinging insects: Try to avoid places where stinging insects are common.Be very careful when doing yard or garden work. Beware when hiking in the forest.Don't walk barefoot.Don't wear scented products. Perfumes can attract stinging insects.Keep exposed skin to a minimum.Consider immunotherapy (allergy shots). These can lessen your reaction to stinging insectsCarry self-injectable epinephrine and possibly an antihistimine for severe reactions.Wear a medical alert bracelet or necklace. These will inform others of your allergy.
To reduce your chance of having an allergic reaction to insects that provoke respiratory responses: Avoid having carpeting, curtains, or other fabric that may gather dust in your home. This is very important in the room where you sleep.Vacuum and wet mop your floors frequently.Regularly wash your linens in very hot water.Cover mattresses and pillows in allergy-proof covers.
Middleton’s Allergy: Principles and Practice. 7th ed. Philadelphia, PA: Mosby-Year Book; 2009.
Hymenoptera sting allergy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 6, 2014. Accessed August 12, 2014.
Insect sting allergy. American College of Allergy, Asthma, and Immunology website. Available at:
http://www.acaai.org/allergist/allergies/Types/insect-sting-allergies/Pages/default.aspx. Accessed August 12, 2014.
Middleton's Allergy: Principles and Practice. 5th ed. Philadelphia, PA: Mosby-Year Book; 1998.
Rank MA, Li JT. Allergen immunotherapy.
Mayo Clin Proc.
Last reviewed August 2014 by Marcin Chwistek, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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