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If a stinger remains, scrape it away promptly with a fingernail or the edge of a card. Wash the area with soap and water, then apply a cold pack wrapped in cloth. Trouble breathing, swelling of the face or throat, widespread hives, dizziness, or vomiting after a sting may signal anaphylaxis: use the person’s prescribed epinephrine autoinjector if available and call your local emergency number.
What to do immediately after a bee sting
- Move away from the bee or the area if necessary to avoid additional stings.
- Remove any visible stinger promptly. Scrape it sideways with a fingernail or card edge. Do not delay while looking for a special tool.
- Wash the sting with soap and water.
- Apply a cold pack wrapped in cloth for local comfort. Do not place ice directly on the skin.
- Watch for symptoms beyond the sting site or problems with breathing, circulation, or consciousness.
The 2024 American Heart Association and American Red Cross first-aid guideline says removing a stinger by scraping or plucking as soon as possible can be beneficial. Healthdirect Australia and the American Academy of Dermatology also emphasize prompt removal. Their guidance differs on tweezers; scraping with a simple edge is a practical approach, but do not let the choice of tool delay removal. AHA/Red Cross 2024 First Aid Guidelines; healthdirect Australia: Bee and wasp stings; American Academy of Dermatology: How to treat a bee sting.
How to ease pain and itching
A wrapped cold pack can help with local pain. For itching, an over-the-counter oral antihistamine or topical corticosteroid may help; acetaminophen (also called paracetamol) or an NSAID may help with pain. These medicines address local symptoms, not a severe allergic reaction.
Follow the medicine label and consider whether the product is suitable for the person taking it. The sources do not establish an individual dose or whether a specific medicine is safe for every reader. Ask a pharmacist or clinician if you are unsure.
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Recognize a severe allergic reaction
Symptoms that affect areas beyond the sting—or breathing, circulation, or consciousness—may indicate anaphylaxis. Warning signs include:
- Difficulty breathing, wheezing, or a feeling that the throat is closing
- Swelling of the lips, face, or throat
- Widespread hives or swelling away from the sting
- Dizziness, faintness, or collapse
- Vomiting or other symptoms beyond the sting area
If anaphylaxis is possible, use the person’s prescribed epinephrine (adrenaline) autoinjector promptly, following its instructions, and call local emergency services. The AHA/Red Cross guideline identifies intramuscular epinephrine as the mainstay of immediate anaphylaxis treatment and recommends activating emergency response for anaphylaxis after a bee, wasp, or hornet sting. Do not rely on an antihistamine instead of emergency treatment. AHA/Red Cross 2024 First Aid Guidelines.
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When to seek medical care
Arrange medical assessment for a sting in the eye area, mouth, or throat; multiple stings; or a history of a serious allergic reaction to stings. Seek emergency help immediately for suspected anaphylaxis. Guidance on thresholds and care pathways varies by location, so use your local emergency system rather than assuming a particular country’s emergency number.
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This first-aid guidance draws on the 2024 AHA/Red Cross Guidelines for First Aid, healthdirect Australia’s bee and wasp sting guidance, Singapore’s Ministry of Health page on insect bites and stings (updated January 2, 2025), and the American Academy of Dermatology’s bee-sting advice. It is general first-aid information, not an individualized diagnosis or treatment plan.
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