The allergic reaction when a bee sting is usually pain sensation, swelling, itching, rash at bite position and the expression of it may disappear after a few hours without treatment or therapy-resistant histamine in place. The determination of objection causes the bite, is very important. Because of each specie of insect, the bee has different ingredients of allergens and the level of allergic reactions are very different. Bee usually leave the needle and venom on the skin at bite position.
The other insects don’t usually leave a trace. The allergic reactions of bee sting are divided into 4 levels: Level of reaction in bite position; level 2: angioedema or urticaria in all body; level 3: bronchospasm and level 4: the most dangerous anaphylactic shock and multiple organ damage.
The allergic diagnosis of bee sting allergy is mainly based on historical disease and clinical characteristics when visiting and examining the patient. In the world has developed a variety of techniques to determine the concentration of specific IgE with each type of allergen of bee such as ImmunoCAP Rast. This test can be implemented around 4-6 weeks after a bee sting. The sensitivity and specificity of this test go up 80-85%. A skin test is used to diagnose. However, this test does not apply to the patient with the heavily allergic reaction. This test may give a negative result to 30% in the patient with a positive history.
Treatment with bee sting is difficult?
Setting the patient lies down, removing carefully the needle and venom by fingernail or knife… pressing cold ice to the injured area in order to reduce pain and reduce the absorption of toxin from bee venom into the body , giving the patient drink antihistamine and corticosteroid if the patient has heavy reactions in bite position; If the patient has a bee sting with allergic symptoms in the level III – IV, adrenaline should be injected muscle immediately, repeating around 8-10 minutes, these symptoms don’t improve with the first dose; If the patient has symptoms of anaphylaxis due to a bee sting, the patient must be diagnosed and treated promptly like as anaphylaxis due to other causes. The patient should be used intravenously adrenaline instead of intramuscular, corticosteroid, dopamine, glucagon.
The patient with allergic reactions due to a bee sting in level of III or IV should be considered for treatment of specific desensitization with bee venom. If the patient doesn’t contraindicate, this method brings effective protection to 80% of the patient. The contraindicated of specific desensitization method with bee venom: the patient over 70 years old, coronary artery disease, hypertension, is using beta blocker drug, autoimmune disease and heavy asthma.
The patient with hypersensitivity due to a bee sting. It often affects the large quality of life. It can lead to certain disorders of psychology. So people need to know the prevented ways with bee in order to reduce the risk of a bee sting such as avoiding the high-risk areas, avoiding wearing colorful clothes because of easily attractive bee.
The articles mention to the allergic reactions occur when a bee sting. You understand clearly this symptom of it. You know allergic bee in any level. Each level has a differently treated method. If you have a bee sting in mild cases, you don’t use any drug. However, you don’t be subjective. Sometimes it leads to the heavier cases and causes dangerous for your life. When a bee sting, you should go to the hospital to check immediately. Listening your doctor give the advices in order to cure this disease. Your doctor will treat as soon.