Bee Sting Swelling: When to Seek Emergency Medical Attention

Most bee stings cause localized pain, redness, and swelling that resolve within hours to days. However, certain patterns signal a potentially life-threatening reaction and require immediate care:

  • Swelling extending beyond the sting site (e.g., entire limb, face, neck).
  • Difficulty breathing, wheezing, throat tightness, hoarseness—signs of anaphylaxis.
  • Sting on the face, lips, tongue, or throat—risk of airway obstruction.
  • Multiple stings (especially >5 in children, >10 in adults).
  • History of severe allergic reaction to insect stings.
  • Swelling that worsens or persists beyond 48–72 hours.
  • Systemic symptoms: hives, nausea, vomiting, dizziness, hypotension.

If any of these occur, call emergency services (911 in the US) immediately. Administer epinephrine (EpiPen) if available and prescribed. Do not wait to see if symptoms improve.

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