Tick Bites
Topic OverviewTicks are small spiderlike animals (arachnids) that
bite to fasten themselves onto the skin and feed on blood. Ticks live in the
fur and feathers of many birds and animals. Tick bites occur most often during
early spring to late summer and in areas where there are many wild animals and
birds. Most ticks don't carry diseases, and most tick bites don't
cause serious health problems. But it is important to remove a tick as soon as
you find it. Removing the tick's body helps you avoid diseases the tick may
pass on during feeding. Removing the tick's head helps prevent an infection in
the skin where it bit you. See Home Treatment for the
best way to remove a tick. Usually, removing the tick, washing the
site of the bite, and watching for signs of illness are all that is needed.
When you have a tick bite, it is important to determine whether you need a
tetanus shot to prevent
tetanus (lockjaw). Some people may have an
allergic reaction to a tick bite. This reaction may be mild, with a few
annoying symptoms. In rare cases, a severe allergic reaction (anaphylaxis) may occur. Many of the
diseases ticks carry cause flu-like symptoms, such as fever, headache, nausea,
vomiting, and muscle aches. Symptoms may begin from 1 day to 3 weeks after the
tick bite. Sometimes a rash or sore appears along with the flu-like symptoms.
Ticks are found worldwide and can carry many diseases, including common diseases such as: Tick paralysis is a rare problem that may occur after
a tick bite. In some parts of the world, tick bites may cause other tick-borne
diseases, such as
South African tick-bite fever. Check your symptoms to decide if and when you should see a
doctor. Check Your SymptomsDo you have a concern about a tick bite? How old are you? Less than 12 years Less than 12 years 12 years or older 12 years or older This is more likely if you have had a bad reaction to something in the past. Yes Possible severe allergic reaction (anaphylaxis) No Possible severe allergic reaction (anaphylaxis) Yes Symptoms of tick paralysis No Symptoms of tick paralysis Do you think you may have a fever? Are there red streaks leading away from the area or pus draining from it? Do you have diabetes, a weakened immune system, peripheral arterial disease, or any surgical hardware in the area? "Hardware" includes things like artificial joints, plates or screws, catheters, and medicine pumps. Yes Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area No Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area Do you have a new rash or sore after being bitten by a tick? The rash could be anywhere on the body. It may or may not be near the bite. Does the rash cover a lot of your body? Yes Rash over much of body Have you developed any flu-like symptoms after a tick bite, such as fever, muscle or joint pain, headache, nausea and vomiting, or a general feeling of illness? This could happen within minutes of the bite or up to 3 weeks later. Yes Flu-like symptoms after bite No Flu-like symptoms after bite If a tick or any part of a tick is still attached to you, can you remove it? Yes Able to remove entire tick No Unable to remove entire tick Have you had symptoms for more than a week after a tick bite? Yes Symptoms for more than 1 week after tick bite No Symptoms for more than 1 week after tick bite Many things can affect how your body responds to a symptom and what kind
of care you may need. These include: - Your age. Babies and older
adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
disease, you may need to pay closer attention to certain symptoms and seek care
sooner.
- Medicines you take. Certain
medicines, herbal remedies, and supplements can cause symptoms or make them
worse.
- Recent health events, such as surgery
or injury. These kinds of events can cause symptoms afterwards or make them
more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
use, sexual history, and travel.
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
able to take care of this problem at home. - Try home treatment to relieve the
symptoms.
- Call your doctor if symptoms get worse or you have any
concerns (for example, if symptoms are not getting better as you would expect).
You may need care sooner.
To remove a tick: - Use fine-tipped tweezers. If you don't have
tweezers, put on gloves or cover your hands with tissue paper, and then use
your fingers. Do not handle the tick with bare hands.
- Grab the tick as close to its mouth (the part
that is stuck in your skin) as you can. The body of the tick will be above your
skin.
- Do not grab the tick around its swollen belly. You might
push infected fluid from the tick into your body if you squeeze it.
- Pull the tick straight out until its mouth lets go of your skin.
Do not twist the tick. This may break off the tick's body and leave the head in
your skin.
- Wash the bite area with soap and water. Then wash
your hands.
Symptoms of a severe allergic reaction
(anaphylaxis) may include: - The sudden appearance of raised, red areas (hives)
all over the body.
- Rapid swelling of the throat, mouth, or tongue.
- Trouble
breathing.
- Passing out (losing consciousness). Or you may feel very lightheaded or suddenly feel weak, confused,
or restless.
A severe reaction can be life-threatening. If you have had a
bad allergic reaction to a substance before and are exposed to it again, treat
any symptoms as an emergency. Even if the symptoms are mild at first, they may
quickly become very severe. Symptoms of infection may
include: - Increased pain, swelling, warmth, or redness in or
around the area.
- Red streaks leading from the area.
- Pus draining from the area.
- A fever.
You may need a tetanus shot depending
on how dirty the wound is and how long it has been since your last shot. - For a dirty wound that has
things like dirt, saliva, or feces in it, you may need a shot if:
- You haven't had a tetanus shot in the past 5
years.
- You don't know when your last shot was.
- For a clean wound, you may
need a shot if:
- You have not had a tetanus shot in the past 10
years.
- You don't know when your last shot was.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and
illness. Some examples in adults are: - Diseases such as diabetes, cancer, heart disease,
and HIV/AIDS.
- Long-term alcohol and drug
problems.
- Steroid medicines, which may be used to treat a variety
of conditions.
- Chemotherapy and radiation therapy for
cancer.
- Other medicines used to treat autoimmune
disease.
- Medicines taken after organ transplant.
- Not
having a spleen.
Tick paralysis is a rare reaction to
the venom that some ticks release when they bite. Symptoms usually start 4 to 7
days after a tick attaches to your body and may include: - Tingling, numbness, or loss of feeling or movement
that starts in your hands or feet.
- Trouble swallowing or
talking.
- Double vision.
- Loss of movement in your
face.
Removing the tick stops the release of the venom and reverses
the problem. Seek Care NowBased on your answers, you may need care right away. The problem is likely to get worse without medical care. - Call your doctor now to discuss the symptoms and
arrange for care.
- If you cannot reach your doctor or you don't have
one, seek care in the next hour.
- You do not need to call an
ambulance unless:
- You cannot travel safely either by driving
yourself or by having someone else drive you.
- You are in an area
where heavy traffic or other problems may slow you down.
Seek Care TodayBased on your answers, you may need care soon. The
problem probably will not get better without medical care. - Call your doctor today to discuss the symptoms
and arrange for care.
- If you cannot reach your doctor or you don't
have one, seek care today.
- If it is evening, watch the symptoms and
seek care in the morning.
- If the symptoms get worse, seek care
sooner.
Make an Appointment Based on your answers, the problem may not improve without medical
care. - Make an appointment to see your doctor in the
next 1 to 2 weeks.
- If appropriate, try home treatment while you
are waiting for the appointment.
- If symptoms get worse or you have
any concerns, call your doctor. You may need care sooner.
Call 911 NowBased on your answers, you need
emergency care. Call911or other emergency services now. Home TreatmentMost ticks don't carry diseases, and most tick bites don't cause
serious health problems. The sooner
ticks are removed, the less likely they are to spread
disease. Some ticks are so small that it is hard to see them. This makes it hard to
tell whether you have removed the tick's head. If you do not see any obvious
parts of the tick's head in the bite site, assume you have removed the entire
tick, but watch for
signs of a skin infection. - Use
fine-tipped tweezers to remove a tick. If you don't
have tweezers, put on gloves or cover your hands with tissue paper, then use
your fingers. Do not handle the tick with bare hands.
- Do not try to smother a tick that is attached to
your skin with petroleum jelly, nail polish, gasoline, or rubbing alcohol. This
may increase your risk of infection.
- Do not try to burn the tick
while it is attached to your skin.
- Put the tick in a dry jar or
ziplock bag and save it in the freezer for later identification if
necessary.
- Wash the area of the tick bite with a lot of warm, clean water.
- Apply a thin layer of petroleum jelly, such as Vaseline, lightly to the wound. It will
keep the bite from sticking to the bandage.
- After you
remove the tick,
wash your hands really well with soap and water.
When you return home from areas where ticks might live,
carefully examine your skin and scalp for ticks. Check your clothing, outdoor gear, and pets, too. Remove any ticks you find. Then put your clothing in a clothes dryer on high heat for 1 hour to kill any ticks that might remain. Home treatment to help relieve pain and itching- Apply an
ice pack to your bite for 15 to 20 minutes once an hour for the first 6
hours. When you are not using ice, keep a cool, wet cloth on the bite for up to
6 hours.
- Try a nonprescription medicine for the relief of itching,
redness, and swelling. Be sure to follow the
nonprescription medicine precautions.
- An
antihistamine medicine, such as a nondrowsy one like loratadine (Claritin) or one that might make you sleepy like diphenhydramine (Benadryl), may help relieve itching, redness, and swelling. Don't give
antihistamines to your child unless you've checked with the doctor first.
- A spray of
local anesthetic containing benzocaine, such as Solarcaine, may help relieve
pain. If your skin reacts to the spray, stop using it.
- Calamine
lotion applied to the skin may help relieve itching.
- After the first 6 hours, if there is no swelling,
try putting a warm washcloth on the bite for comfort.
Medicine you can buy without a prescription Try a nonprescription
medicine to help treat your fever or pain: |
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Talk to your child's doctor before switching back and
forth between doses of acetaminophen and ibuprofen. When you switch between two
medicines, there is a chance your child will get too much medicine. | Safety tips Be sure to follow
these safety tips when you use a nonprescription medicine: |
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- Carefully read and follow all
directions on the medicine bottle and box.
- Do not take more than
the recommended dose.
- Do not take a medicine if you have had an
allergic reaction to it in the past.
- If
you have been told to avoid a medicine, call your doctor before you take
it.
- If you are or could be pregnant, do not take any medicine other
than acetaminophen unless your doctor has told you to.
- Do not give aspirin to anyone younger than age 20 unless your doctor tells you to.
| Symptoms to watch for during home treatmentCall your doctor if any of the following occur during home
treatment: PreventionTo prevent tick bites: - Apply an
insect repellent safely. Use insect repellents according to
the directions on the label, particularly when applying repellent to
children.
- Use a lower-concentration repellent on
children.
- Do not put repellent on small children's hands, since
they often put their hands in their mouths.
- Wash the insect
repellent off with soap and water after returning indoors.
- Cover as much of your skin as possible when working
or playing in grassy or wooded areas. Wear a hat, a long-sleeved shirt, and
long pants with the legs tucked into your socks. Keep in mind that it is easier
to spot ticks on light-colored clothes. If you think you may have a tick on
your clothing, put your clothing in a clothes dryer for 10 to 15 minutes to
kill the tick.
- Wear gloves when you handle animals or work in the
woods.
- Take steps to control ticks on your property if you live in
an area where Lyme disease is prevalent. Clearing leaves, brush, tall grasses,
woodpiles, and stone fences from around your house and the edges of your yard
or garden may help reduce the tick population and the rodent population that
the ticks depend on. Remove plants that attract deer, and use barriers to keep
deer-and the deer ticks they may carry-out of your yard. Treating yards with
chemicals that kill ticks (ascaricides) is sometimes effective but exposes you
and your pets to chemicals that may not be safe. You may choose to treat your
lawn for ticks with nonchemical or environmentally safe methods instead. Call
your local landscaping nursery or county extension office for more
information.
- Stay away from tick-infested areas.
For information on how to specifically prevent Lyme disease,
see the topic
Lyme Disease. Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your
doctor diagnose and treat your condition by being prepared to answer the
following questions: - When were you bitten? How many times were you
bitten? If you saved the tick, bring it with you to your doctor's appointment.
If not, be prepared to describe the tick.
- What are your main
symptoms?
- When did your symptoms begin? How have your symptoms
developed, progressed, or changed since the bite?
- What home
treatment have you tried? Did it help?
- When was your last
tetanus shot?
- Have you traveled in the
wilderness or in another country recently?
- Do you have any
health risks?
CreditsByHealthwise Staff Primary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine Adam Husney, MD - Family Medicine Kathleen Romito, MD - Family Medicine E. Gregory Thompson, MD - Internal Medicine Specialist Medical ReviewerH. Michael O'Connor, MD - Emergency Medicine Martin J. Gabica, MD - Family Medicine Current as ofApril 13, 2017 Current as of:
April 13, 2017 Last modified on: 8 September 2017
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