What's the best way to treat a bluebottle sting?

Wednesday, November 11, 2009

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For the test, Dr Andrew Rochford stepped into the firing line and volunteered to be lightly stung on his arm and leg a total of five times by a bluebottle and then treated with one of five possible remedies.

When bluebottles sting, they release a powerful toxin, which is most often localised, but the venom has been known to travel to people's armpits and groins via the bloodstream. Stings can be fatal: four people in the Northern Hemisphere have died as a result of severe swelling caused by bluebottle stings.

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So what's the best way to treat a bluebottle sting?

Grant Willis, a marine biologist at the Sydney Aquarium, donned some gloves and got to work stinging Dr Rochford.

Sand
One theory is to rub sand on the sting. "I can't imagine why anyone thought sand might help," Dr Rochford said. Sand should make the pain worse as it will push the venom deeper into the skin.

Vinegar
This treatment is very effective on box jellyfish stings but what about bluebottles? The use of vinegar to treat stings is controversial. It appears that vinegar can make the sting more painful in some cases, while other victims report relief after applying vinegar.

Ice
The idea is that ice helps to control the spread of the poison but it also helps to make the sting feel a lot more comfortable so the patient is not in distress. Ice should numb the area and decrease the swelling and inflammation but it will not destroy the toxin.

Sting cream
Dr Rochford rubbed it into his fourth sting. "It's kind of soothing when you rub it into the skin but there's still plenty of sting and burning," Dr Rochford said. "It's actually starting to tingle down my arm now." The cream should have a mild effect but the results could be surprising.

Hot water
Dr Rochford put his foot into a bucket of hot water (out of a tap) which was hot enough without burning the skin. It normally takes about an hour for a bluebottle sting to settle down. The worst part is the first 15 minutes.

Results

The hot water really is the way to go if you are stung. The optimum temperature of the water is about 45°C — still well below boiling point, but hot enough to do the job. The idea is that by immersing the sting and skin layer in hot water, the toxins can effectively be made inactivate. Even dead bluebottles can sting.

If you see bluebottles washed up on the beach, leave them alone. Even after they're dead, the slightest amount of moisture has been known to re-hydrate the poison and the stingers. So watch out!

Have you ever been stung? Comment Below!

User reviews
I once had an anaphylaxis reaction which was pretty bad as I ended up in hospital. I had been stung many times before but this one I couldnt get the stinger off for about 2 minutes. If you get stung get the hot water on it straight away..it has to be hot. Then try and take a antihistamine tablet or two. If you start feeling sweaty or light headed seek medical help asap.
I got big round welts and these angry beaded red lines lol and they are still here hours later. There was tenderness for hours. The pain is very sharp but tolerable. Lucky there were guards and I got icepacks and some very hot water. A lady told me stingose helps. Beach was chockers full of people in the shallows who obviously weren't affected so I guess I drew one of the lucky numbers
I got stung on my hand today, I felt it in my armpit about 3-5 minutes later, it probably didn't help that I stayed in the sea for another 45 minutes after the sting (I was scuba diving) but I tried urine, hot water anf pawpaw creme and I can't say any of them calmed it down at all really. After 10 hours it's just beginning to stop stinging and the rash has mostly faded. I have about 5 stings on the top of my hand and about twenty cuts on my palm though so perhaps it was particularly bad?
I was stung 3 days ago around my leg, applied ice at the beach which numbed the area, then took a hot shower within 15 mins of being stung and it relieved the pain. My problem is now the mark on my leg is extremely itchy still- is there anything i can put on it to relieve the itchiness? Or should i see a doc?
Hit the area straight away with hot water as described, if its a small amount. I should know, I ended up in hospital with a severe allergic reaction, even though I had been stung lots of times before.
Should Pregnant women take extra prrecautions and is there any possible harm to the baby . As we have planned to stay at the Gold Coast for the next 2 weeks.
I was in the surf at surfers paradise this afternoon and was stung seriously around my left wrist and up the inside of my right arm and right shoulder. A life saver sprayed the sites on the beach with stingoes (commercial sting spray) - nil effect. I got home and took a hot shower (some relief) and then followed up with apple cyder vinigar (neat) to the sites. Within minutes the welts started receeding and the pain had virtually gone. The vinigar produced a fantastic result. As I type the stings are about 2 hours old and I have applied vinigar for the second time and I am feeling very comfortable.
I got stung by a bluebottle just this morning - it wrapped all around my calves and knees and it stung like crazy. I got out of the water and a strange saw what happened and he said to remove the stinger with our fingers as the skin was thicker and it wouldn't hurt. I didn't believe him so he started peeling off the stingers and then so did my friend and I. It did not sting our fingers at all. Once the stingers were removed, it wasn't nearly as painful. Once we removed all the stingers (they are pretty easy to see), we then poured water from our water bottles that had been sitting in the sun, over the welts and it eased even more. It was just a little bit uncomfortable - it didn't hurt at all and I've got a low pain threshold. We were at a cafe about 30 mins later and I put more warm water on it and I had no pain at all. It was remarkable. Remove the stinger and use warm water - it's incredibly effective.
I was stung on the weekend. Saturday - the pain was horrific for first half hour then settled to being horrid and watching clock for the hour to be up. Ice numbed the area but was not effective as soon as removed. Next came shower - on leg above knee so difficult to immerse. Actually stung a lot, not sure if water not hot enough? Shortly afterwards followed a feeling of heavy chest and bit breathless. Still no whelts though - felt bit lousy whining and nothing to show for it. Next day shortness of breath continued and early morning red lumps began to appear. By lunch the whelts had developed into large, angry red lumps that were getting worse as day went on. Sunday night spend in hospital - heavy chest, shortness of breath and ever painful bumps. Every test available done, found anaemia and heart murmur - now which one causing breathing issues. Am on high dose steroids and painkillers 4 sting waiting for time when can take full breath and feel comfortable again. No more surf!
I grew up at the beach and as kids we were always taught to wash it off as best we could in sea water and then to use urine (as gross as it sounds) but it always was quite effective.


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