Wasp Stings: Types, Appearance, Symptoms, Allergies, and Treatment

Everything You Need to Know About Wasp Stings

Everything You Need to Know About Wasp Stings
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Insect bites and stings are so common that nearly everyone experiences one at some point. For the most part, they cause only mild discomfort. Some bites and stings go unnoticed until an itchy bump forms on the skin.

A wasp sting is a completely different story.

These winged insects are sometimes mistaken for bees, but wasps have a thinner waist and less body hair than bees.

 Despite their differences, one thing they do have in common is their ability to inflict a painful punishment.
The good news is that wasps aren’t always aggressive, and they typically sting only when they feel threatened. If you stay out of their way, they’ll stay out of yours.

On the off chance that you have a run-in with a wasp, here’s what you need to know about wasp sting remedies and sting allergies.

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What Are the Most Common Symptoms of a Wasp Sting?

Wasp stings are venomous, so if one stings you, you’ll know right away. These stings cause a local reaction that can feel like sharp burning in the area of the sting. That’s because wasp venom contains different chemicals, such as acetylcholine and kinins, which contribute to pain and inflammation.

Symptoms of a wasp sting include:

  • Pain
  • Redness
  • Swelling
  • Itching
Local reactions are mild, and most people don’t need medical attention for wasp stings.

What Does a Wasp Sting Look Like?

What if you didn’t see what stung you? How can you distinguish a wasp sting from other bites and stings?

With a wasp sting, you’re likely to see a red welt and swelling, though in people with darker skin, the redness may be harder to see.

The area may even have a drop of blood or a white mark at its center.

 Unlike bees, wasps can sting multiple times without their stingers detaching, which means you can get stung many times by the same wasp.

Redness and swelling from mild local reactions improve gradually over hours, whereas a larger local reaction can take up to several days to improve.

Am I Having an Allergic Reaction to a Wasp Sting?

Wasp stings are painful but not usually dangerous. But in people with an anaphylactic insect allergy to wasp venom, they can be life-threatening.

In the case of severe insect venom allergies, symptoms often develop shortly after a bite or sting — sometimes within minutes. The severity of a reaction varies from person to person, so the venom affects some people only mildly.

Signs of a mild allergic reaction include hives (without difficulty breathing) usually near the site of the sting, itching or a mild fever.

Because not all allergic reactions are life-threatening, a mild reaction localized to the sting area can usually be treated at home, says Michael Fitch, MD, PhD, a professor of emergency medicine at Wake Forest University School of Medicine in Winston-Salem, North Carolina.

When Should I Be Concerned About a Wasp Sting?

About 60 to 90 people die from bee and wasp stings every year. Insect stings are a common cause of anaphylaxis, so it’s important to recognize symptoms of distress early.

Symptoms of a severe allergic reaction to wasp venom include:

  • Dizziness or a sharp drop in blood pressure
  • Loss of consciousness or cardiac arrest
  • Swelling of the lips, mouth, or tongue
  • Rapid heart rate
  • Diarrhea
  • Vomiting
  • Abdominal cramping
Call 911 immediately if you have a severe reaction to a sting.

“For anyone with a known allergy, it is important to have your physician prescribe an epinephrine auto-injector for you to use in an emergency,” says Dr. Fitch.

More than half of adults who experience a general systemic reaction following a sting may be at risk of a similar or worse reaction to another sting, which could turn out to be life-threatening. It is difficult to predict whether you will have a reaction to a second sting, but an allergy specialist might be able to help you find out through testing if you are at high risk. In children, the chance of a serious reaction to another sting is less, but still present.

People who have experienced an allergic reaction to an insect sting have a 60 percent chance of a similar or worse reaction if stung again. They should consider seeing an allergist who can diagnose an insect venom allergy through blood tests or other allergy tests


Wasp Sting Treatment: What Do You Do if a Wasp Stings You?

Wasps don’t lose their stingers. So if you’re stung, you don’t have to remove one from your skin.

Some basic care for a wasp sting:

  • Wash the area with soap and water. Clean the area daily until it heals to prevent a skin infection.
  • Apply a cold compress to relieve pain and swelling. Wrap the cold pack in a towel and place it on the sting for 10 minutes on and 10 minutes off. If you’re stung in the leg or arm, keep that part of your body elevated.
  • Take an antihistamine like Benadryl or Zyrtec if you have itching or swelling.
  • Apply soothing calamine lotion to help with pain and itching.
  • Use an over-the-counter pain reliever such as ibuprofen (Advil or Motrin) to reduce pain.

In addition, a simple solution of baking soda and water (baking soda paste) might help ease symptoms.

If you’ve had an anaphylactic reaction to wasp venom, ask your doctor about seeing an allergy specialist about stinging insect venom immunotherapy to prevent or reduce future reactions.

Also known as desensitization, this therapy involves injecting your body with larger and larger doses of wasp venom in an effort to safely change how your immune system responds when exposed to the allergen.

Depending on your level of allergy, a course of venom immunotherapy may keep you from ever having another allergic reaction to a sting.


What Types of Wasps Sting?

There are roughly 20,000 species of wasps, but not all of them sting humans.

 As with bees, only female wasps have stingers. And unlike honeybees, wasps don’t lose their stingers. This means it’s possible to be stung multiple times by the same wasp.

Here are four common types of stinging wasps.

1. Bald-Faced Hornet

a hornet
Buddy Mays/Alamy

Bald-faced hornets are black and white and about ¾ inch long. (Technically they are wasps and not a type of hornet, despite the name.) They are known to be especially aggressive in protecting their distinctive roundish papery nests, which often hang from trees.

Do not confuse the bald-faced hornet with the European hornet (which is indeed a type of hornet). The European hornet is bigger, measuring closer to 1 inch long. You can identify the European hornet by its reddish-brown head and legs and yellow-and-black striped abdomen (rear end). They nest in the ground, in the hollows of trees, and in spaces inside interior walls.

They’re found in Asia, Europe, Africa, and North America.

2. Yellow Jacket

a yellow jacket
Bill Dally/iStock
Host an outdoor barbecue and you’ll likely have a few of these unwanted visitors. Yellow jackets are sometimes confused with hornets and bees, but you can easily identify them by their black-and-yellow-striped abdomen. These wasps are extremely aggressive and sting more often than other types of wasps.

Yellow jackets are active from the spring through late summer, and you can find them around the globe. If you live in the southeastern United States, you may see them in large numbers.

 

3. Paper Wasp

a paper wasp
Andreas Häuslbetz/iStock
You’ll find these wasps throughout the United States, usually flying around structures. Paper wasps are about a ½ inch to 1 inch long and identified by their reddish-brown to black body and long legs that hang down when they fly.

European paper wasps have many bright yellow markings and somewhat resemble yellow jackets. All paper wasps are active during the spring, summer, and fall.

4. Cicada Killer Wasp

a cicada killer wasp
Elliotte Rusty Harold/Shutterstock
This is one of the largest species of wasp in North America — growing up to 1½ inches — and they’re found east of the Rocky Mountains in the United States. You can distinguish these from other wasps by their mostly black abdomen with pale yellow markings.

Cicada killer wasps feed on cicadas, another fairly large insect. They rarely sting humans, but will if they feel threatened.

How to Prevent Wasp Stings

Wasp stings can be painful and cause a reaction ranging from hives to breathing trouble. The good news is that many wasps sting only when they feel threatened. So if you don’t provoke them or come near their home, you’ll probably have nothing to worry about.

That means keeping your cool; it won’t help to wave your arms and run around. Your best bet is to be still until the wasp flies away.

Gerald Lee, MD, an assistant professor of allergy and immunology at Emory University School of Medicine in Atlanta, offers these tips on how to prevent wasp stings.

  • Have the perimeter of your home checked periodically by pest control for nests.
  • Keep food waste and trash bags in covered cans outside.
  • Avoid eating and drinking outdoors, especially from cans, bottles, or straws.
  • Do not plant flowers near the house that attract stinging insects.
  • Wear protective clothing such as long sleeves and pants, work gloves, and socks and shoes when working outdoors.

What to Do if You See a Wasp

Keep an open eye for wasp nests around your home. If you find a nest near an entryway or an area where your children play, don’t attempt to remove or destroy it yourself. Call a pest control company to have it professionally removed.

The Takeaway

  • Wasp stings are painful but usually not dangerous; most people experience only mild symptoms like redness, swelling, and burning.
  • If you have a known allergy or experience severe symptoms — like difficulty breathing, dizziness, or swelling of the lips, mouth, or tongue — call 911 immediately, as this may indicate a life-threatening reaction called anaphylaxis.
  • Over-the-counter pain relievers and antihistamines, along with cold compresses, soothing lotions, or a baking soda paste, can help ease mild sting discomfort.
  • To prevent future stings, avoid provoking wasps, keep food and trash covered outdoors, and consider hiring a professional pest control service to check for nests near your home.

Resources We Trust

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
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