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Anaphylaxis from Insect Stings: How to Recognize and Respond

August 20, 2025

In Florida, enjoying the outdoors is a year-round activity. So are the insects. While most stings from bees, wasps, or fire ants are just a painful nuisance, for some people, they can trigger a dangerous, all-body reaction called anaphylaxis.

Knowing the difference could save a life. The situation can escalate from a simple sting to a medical emergency in minutes.

What Is Anaphylaxis?

A normal sting reaction is like a small, localized fire: you get pain, swelling, and redness right at the sting site. It hurts, but it’s contained.

Anaphylaxis is a wildfire. It’s a severe, life-threatening allergic reaction that ignites your entire immune system at once. This isn’t just a bad sting. It’s a full-body crisis affecting multiple organ systems and it demands immediate action.

Spotting the Warning Signs

Recognizing anaphylaxis is crucial because every second counts. The symptoms go far beyond the sting site and can appear in any combination, often within just a few minutes of the sting.

Look for these critical signs:

  • Breathing Trouble: Wheezing, a persistent cough, shortness of breath, or a feeling of tightness in the throat or chest. A hoarse voice is a major red flag.
  • Widespread Skin Reactions: Hives, intense itching, or flushing that appear in areas far from the sting.
  • Swelling: Noticeable swelling of the tongue, face, lips, or throat. This can quickly make it difficult to swallow or breathe.
  • Circulation Issues: A sudden feeling of dizziness, weakness, a sharp drop in blood pressure, or fainting.
  • Stomach Symptoms: Intense nausea, strong stomach cramps, vomiting, or diarrhea can also be part of the reaction.

Your First Response: Epinephrine is Key

When you suspect anaphylaxis, use an epinephrine auto-injector immediately. Then call 911.

  1. Administer Epinephrine: Don’t hesitate. This is the first-line treatment that can reverse life-threatening symptoms. Antihistamines are not a substitute. They work too slowly and can’t treat the most dangerous issues, like throat swelling or a drop in blood pressure.
  2. Call 911 for an Ambulance: Anaphylaxis can be unpredictable. Symptoms can return after the epinephrine wears off, so a trip to the emergency room is essential for observation.
  3. Position the Person Correctly: Have them lie flat on their back. If they are having trouble breathing, they might be more comfortable sitting up. If they feel dizzy, elevate their legs.

When to See an Allergist

Getting through an anaphylactic reaction is the first step. The next step is making sure it never happens again. If you’ve had a severe, body-wide reaction to an insect sting, seeking professional help is absolutely critical.

A board-certified allergist can perform comprehensive testing to confirm which insect venom causes your allergy. We can give you a clear action plan and prescribe epinephrine. For many patients, we may also recommend venom immunotherapy, a highly effective treatment that desensitizes your body to the venom and drastically reduces your risk of a future severe reaction.

Since 1973, Allergy, Asthma & Immunology Associates of Tampa Bay has helped patients safely enjoy life in Florida. Our physicians provide personalized care to diagnose and manage insect sting allergies for the long term.

Don’t leave your safety to chance. Call us today at (813) 971-9743 to schedule an appointment at one of our two Tampa locations.

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The board-certified physicians at Allergy, Asthma & Immunology Associates of Tampa Bay treat patients experiencing asthma, hay fever, chronic cough, sinusitis, venom hypersensitivity from insect stings, allergic skin problems, food allergies, pet allergies, and many other related conditions.