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Suggest Treatment For Pain, Redness And Irritation At The Site Of Insect Bite

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Posted on Mon, 3 Aug 2015
Question: I live in Arizona. I was bitten/stung by something (could be recluse, could be scorpion, both are in the home) more than two weeks ago. Initially, I had pain and irritation at the site (lower abdomen near torso/leg intersection) which caused me to check it out after a couple of hours. I never saw the critter that did it, I just thought I was experiencing some odd sensation. That night I had a lot of redness and it felt like I had a pea under my skin (felt larger but pea sized hard knot seems about right). I was worried it was a recluse bite, but while I developed a deep purple pencil eraser sized spot under the skin, it never became obviously necrotic. For a week I did have shooting pains to the bottom of my right ribcage. Pains subsided, skin peeled, but still have the purple dot and there is still a lump and irritation. What next? Thank you!! ps: not sure why this is funneled to an orthopedic surgeon...XXXX
doctor
Answered by Dr. Chobufo Ditah (12 minutes later)
Brief Answer:
Please, upload an image for review!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this insect bite and all the inconveniences this has caused you. While this doesn’t sound like a dangerous insect bite, I will like to take a look at the look of this rash for clues on possible causes and what the next step should be. This way, I will provide personalized and helpful information to you. Without an image, all will be generic and may not be adapted to your disease condition.

To upload an image, simply click on the link to upload a file and follow the instructions. If this proves difficult, please send the image by mail to YYYY@YYYY and request that the image should be uploaded to your query.

I hope to hear from you at your earliest convenience and will respond promptly. Until then, I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (21 minutes later)
Uploaded a pic. Peeled skin is about half inch, purple spot is about quarter inch (like I said, about the size of a pencil eraser).
doctor
Answered by Dr. Chobufo Ditah (16 minutes later)
Brief Answer:
For now, observe only!

Detailed Answer:
Hi,

I have reviewed the attached image. This is suggestive of a local reaction to aggression. This rash is not suggestive of any of the concerning tick bites such as Lymes disease or rocky mountain spotted fever. Observing only is good enough and healing would be spontaneous.

I hope this helps.. I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (9 minutes later)
Tick bites?? Who said anything about ticks? I asked about scorpions or recluse, as both are present in the home at all times because I LIVE IN THE DESERT. I was seeking information about what to do since this bite/sting has not taken the same course as the previous confirmed scorpion sting. If you do not have experience with scorpion stings or recluse bites, I request you to forward this to someone who does have experience.
doctor
Answered by Dr. Chobufo Ditah (43 minutes later)
Brief Answer:
Am sorry.....I got this response mixed up!

Detailed Answer:
Hi,

I am so sorry for the mixed up. I have been talking to another client on ticks and that found its way into your response. I am sorry for this.

I have managed several scorpion bites before and am pretty comfortable addressing them. I have reviewed your image again and it is not suggestive of a concerning state. Though the healing has not taken the same course as previous confirmed scorpion bites, there is no finding on the image you have sent which raises a red flag that needs aggressive medical intervention at this time. I still maintain that you only observe this for now.

You mentioned the pain has significantly reduced. The lump/hard spot is inflamed tissue that hasn’t regained its initial state. However, peeling of the skin is typical of inflammation regression which characterizes healing!

I hope this helps. I wish you well and once more, sorry for the mix up. Thanks for bringing that mixup to my attention.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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Suggest Treatment For Pain, Redness And Irritation At The Site Of Insect Bite

Brief Answer: Please, upload an image for review! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this insect bite and all the inconveniences this has caused you. While this doesn’t sound like a dangerous insect bite, I will like to take a look at the look of this rash for clues on possible causes and what the next step should be. This way, I will provide personalized and helpful information to you. Without an image, all will be generic and may not be adapted to your disease condition. To upload an image, simply click on the link to upload a file and follow the instructions. If this proves difficult, please send the image by mail to YYYY@YYYY and request that the image should be uploaded to your query. I hope to hear from you at your earliest convenience and will respond promptly. Until then, I wish you well.