Jann in TX Posted July 26, 2021 Share Posted July 26, 2021 (edited) My grandson (DH and I are primary care givers) is 19 months and he just (about an hour ago) fell into a fire ant hill. He has at least 30 welts mostly on one hand/arm-- arm is red and swollen... he is going to be a miserable mess in a few hours when the venom starts to itch/burn... There are no pediatric urgent care open (of course)-- He is too young for telemed... nurseline doesnt want to make suggestions other than go to ER for a check. Our local ERs are way understaffed--- and have mostly COVID patients! No Childrens Hospital within an hour + Our plan right now is for the adults to take turns watching him and to call his pediatrician in the morning. Back in the Dark Ages (20 years ago) we would have given a dose of Benadryl-- apparently that is NOT done any more... Any ideas? *****Update 1: I gave him a small dose of Benadryl -- swelling and redness went down a bit. I checked on him a lot last night but this morning around 8 (12 hours after being stung) he developed hives and his arms turned dark red (face had swelling too). DD and I took him to the closest ER (stand alone not hospital) that was about 3 minutes from our house. They immediately gave him a shot (Benadryl and a steroid). The watched him for 20 or so minutes to make sure swelling was decreasing then sent him home. They said we will know in about 8 hours if he needs a 2nd dose... He weighs just under 30 pounds-- anything more than 5 bites per 10 pounds should be evaluated... he had over 30... *****UPDATE 2 Back to ER-- he was doing fine for 8 hours-- then just as predicted his reaction returned WORSE than before -- it came on so fast it was terrifying. DH is taking him this round. Prayers appreciated... --DH texted that they gave him more meds then a prescription for tomorrow. We get to monitor him again all night... thankfully the ER is minutes away and took him back immediately. ------- Edited July 26, 2021 by Jann in TX update 2 16 Quote Link to comment Share on other sites More sharing options...
Terabith Posted July 26, 2021 Share Posted July 26, 2021 I would give a dose of benadryl, apply hydrocortisone, and cold compresses. But for 30-50 bites, I'd seriously consider an ER visit, or at least sitting in the car in the parking lot of the ER. I'd worry about a severe reaction with that many bites in a toddler. 5 Quote Link to comment Share on other sites More sharing options...
Jean in Newcastle Posted July 26, 2021 Share Posted July 26, 2021 Pediatrician doesn’t have an on call doctor? 1 Quote Link to comment Share on other sites More sharing options...
Jann in TX Posted July 26, 2021 Author Share Posted July 26, 2021 Just now, Jean in Newcastle said: Pediatrician doesn’t have an on call doctor? Only a nurse line-- they cannot give advice for children under 3. 1 1 Quote Link to comment Share on other sites More sharing options...
sweet2ndchance Posted July 26, 2021 Share Posted July 26, 2021 My oldest son did the same thing at about the same age. He had about 30 - 50 bites all up and down each of his legs. I second the benedryl. Oatmeal baths, aloe vera and something like afterbite cream for the itching. He is going to be miserable and I'd watch for signs of an anaphylactic reaction over the next 48 hours and maybe a peds visit within a week if you can. 2 Quote Link to comment Share on other sites More sharing options...
Annie G Posted July 26, 2021 Share Posted July 26, 2021 Poor little guy! I hope he can sleep. I react to fire ant bites and in addition to the advice given above, I usually take Motrin or Tylenol. But I don’t know if that’s appropriate for such a young child. Also, watch for cellulitis. I’ve had that with ant bites twice in the past three years. 1 Quote Link to comment Share on other sites More sharing options...
Katy Posted July 26, 2021 Share Posted July 26, 2021 Frankly I’d take him to the ER too. If that’s not an option you can google benadryl weight charts, just make sure you’re comparing the correct concentration. And make sure you have his current weight. I think the liquid comes in at least two concentrations. 1 Quote Link to comment Share on other sites More sharing options...
sweet2ndchance Posted July 26, 2021 Share Posted July 26, 2021 2 minutes ago, Annie G said: Poor little guy! I hope he can sleep. I react to fire ant bites and in addition to the advice given above, I usually take Motrin or Tylenol. But I don’t know if that’s appropriate for such a young child. Also, watch for cellulitis. I’ve had that with ant bites twice in the past three years. Motrin/Ibuprofen isn't a bad idea since it is an anti-inflammatory. Quote Link to comment Share on other sites More sharing options...
Tanaqui Posted July 26, 2021 Share Posted July 26, 2021 When I was a child and was bitten up by fire ants, my mother soaked me in a bath with baking soda. Apparently quite a lot of baking soda. I survived, and you mostly can't see the scars now unless you know where to look and are looking very closely indeed. Google suggests a paste is better, which makes sense. With that said, I'd take the kid to the ER unless it extremely swamped where you are. And even if it IS swamped, if your child starts exhibiting signs of an allergic reaction, bring him in. Quote Link to comment Share on other sites More sharing options...
Jean in Newcastle Posted July 26, 2021 Share Posted July 26, 2021 Isn't this the child who didn't have health insurance? I can understand the reluctance for the ER unless absolutely necessary. (But I wouldn't hesitate if there are signs of allergic reaction). Benadryl is not recommended for children under age 2. Quote Link to comment Share on other sites More sharing options...
Eos Posted July 26, 2021 Share Posted July 26, 2021 (edited) Late to the thread but we use toothpaste on red ant stings - they're probably not as bad as your ants but they're pretty awful. It's been "explained" to me that the calcium in the toothpaste neutralizes the acid of the sting - not especially scientific but worth a shot if you have nothing else. We used to carry toothpaste with us when we knew we'd find some on our hikes. Edited July 26, 2021 by Harpymom Quote Link to comment Share on other sites More sharing options...
ktgrok Posted July 26, 2021 Share Posted July 26, 2021 I'd look up bendryl dosage (bottle won't tell you for that age, but there are hospital and doctor websites with the dosage for all ages) and give that every 4-6 hours, plus oatmeal bath, plus cortisone cream. And be prepared to go to ER. Also, I'd order a venom extractor, since you live where there are fire ants. Works on wasp stings, snake bites, etc as well. Too late now, but for the future. https://amzn.to/3iPRORf I used it on a wasp sting recently and it was amazing! I saw a tiny bit of clear fluid come out, and it never swelled up, itched, hurt, etc after that! 1 Quote Link to comment Share on other sites More sharing options...
ktgrok Posted July 26, 2021 Share Posted July 26, 2021 (edited) Here is the dosing chart for all ages over 6 months, as well as dosing for advil, whch I'd also give. https://www.pediatricassociatesnyc.com/dosing-chart Edited July 26, 2021 by ktgrok 2 Quote Link to comment Share on other sites More sharing options...
East Coast Sue Posted July 26, 2021 Share Posted July 26, 2021 If you can treat the fire ant bite quickly with chlorinated water or ammonia diluted water it will neutralize the sting. Amazingly effective. 1 Quote Link to comment Share on other sites More sharing options...
cintinative Posted July 26, 2021 Share Posted July 26, 2021 How is he doing @Jann in TX That must have been so scary for you all. Quote Link to comment Share on other sites More sharing options...
Annie G Posted July 26, 2021 Share Posted July 26, 2021 Glad he was able to be seen- I’m sure that you feel better knowing a medical professional has set eyes on him and has given you some guidance. Hope he feels better soon. And I hope you can get some sleep tonight. 1 Quote Link to comment Share on other sites More sharing options...
Jann in TX Posted July 26, 2021 Author Share Posted July 26, 2021 Update in 1st post Quote Link to comment Share on other sites More sharing options...
Jann in TX Posted July 26, 2021 Author Share Posted July 26, 2021 10 hours ago, Jean in Newcastle said: Isn't this the child who didn't have health insurance? I can understand the reluctance for the ER unless absolutely necessary. (But I wouldn't hesitate if there are signs of allergic reaction). Benadryl is not recommended for children under age 2. Yes, this is the one! He did end up with a crappy policy through the end of 2021... I paid out of pocket for ER trip this morning-- it was $350 (cheaper than hospital ER would have been). Too many people were using Benadryl to force babies to sleep... it is still valuable to have around for these situations. 3 Quote Link to comment Share on other sites More sharing options...
Arcadia Posted July 26, 2021 Share Posted July 26, 2021 12 hours ago, Seasider too said: . Pretty sure we also got a Benadryl dose, too. I wonder why that’s no longer done? overdosing mainly. It is easier to overdose on cold and fever medicine (or any liquid medication).https://www.fda.gov/drugs/special-features/use-caution-when-giving-cough-and-cold-products-kids “A meeting about the safety and effectiveness of cough and cold drug product use in children by the U.S. Food and Drug Administration in 2007 revealed that there were many reports of harm, and even death, in children who used these products. During 2004-2005, an estimated 1,519 children less than 2 years of age were treated in U.S. emergency departments for adverse events, including overdoses, associated with cough and cold medications. Manufacturers voluntarily removed over-the-counter (OTC) infant cough and cold products intended for children under 2 years of age due to these safety concerns. Treating Toddlers and Older Children Cough and cold products for children older than 2 years of age were not affected by the voluntary removal and these products are still sold in pharmacies and other retail outlets. Manufactures also voluntarily re-labeled these cough and cold products to state: “do not use in children under 4 years of age.” ” 1 Quote Link to comment Share on other sites More sharing options...
Starr Posted July 26, 2021 Share Posted July 26, 2021 Oh my! Poor little guy. You must all be a wreck. I'm glad the ER knew what to do and are close to home! 1 Quote Link to comment Share on other sites More sharing options...
Tanaqui Posted July 26, 2021 Share Posted July 26, 2021 I'm glad you took him in. Poor little guy! 1 Quote Link to comment Share on other sites More sharing options...
alisoncooks Posted July 26, 2021 Share Posted July 26, 2021 Oh, that must be miserable. Poor baby! 1 Quote Link to comment Share on other sites More sharing options...
aggie96 Posted July 26, 2021 Share Posted July 26, 2021 This is after the fact but in case anyone searches this topic and lands on this thread in the future... Alum paste (alum from spice rack in grocery store with a little water) makes a wonderful anti-itch/anti-welt home remedy for mosquito and fire ant bites. Me, my oldest DD, and youngest DS are SUPER allergic to bites, and in Texas the mosquitos are the size of pterodactyls and fire ants are the most evil creatures on Earth sending fiery blisters out like death rays when you least expect it. When the kids were little, we would paste them all over and wrap an ace-bandage over the entire area like a mummy. Really gave some relief. We still use Alum paste on all bites as needed. I also pour vinegar on fire ant bites first, then paste. We can rarely get away with Benadryl just because usually too busy to be drowsy, but we make liberal use of the Benadryl sprays and creams (better for mosquitoes than ants in our experience). My Granny turned me on to Alum after DD had a few bites during a visit to her Great-Granny's house. Granny said this was the norm long before Benadryl came along since Alum was a popular pickling ingredient on hand. Take that for what it's worth...just passing on what has worked for us. Disclaimer--always head to ER in extreme cases as described above! 2 Quote Link to comment Share on other sites More sharing options...
Jann in TX Posted July 26, 2021 Author Share Posted July 26, 2021 Back to ER-- 22 hours after being stung-- This morning the ER doc said there was a chance he would have another reaction in about 8 hours-- he was correct almost to the minute! 6 Quote Link to comment Share on other sites More sharing options...
ktgrok Posted July 26, 2021 Share Posted July 26, 2021 Praying! Totally normal, but still awful! It should start to ease up soon, after another dose of meds. 1 Quote Link to comment Share on other sites More sharing options...
matrips Posted July 26, 2021 Share Posted July 26, 2021 Hoping he’s okay. I would also start thinking about how to wrap his legs so he can’t scratch the bites and risk infection. 1 Quote Link to comment Share on other sites More sharing options...
TheReader Posted July 26, 2021 Share Posted July 26, 2021 Saw update #2, Jann; praying for him and for all of you. Poor little guy. Quote Link to comment Share on other sites More sharing options...
melmichigan Posted July 26, 2021 Share Posted July 26, 2021 (edited) I'm kind a confused on why they didn't prescribe a continued dose for 24-48 hours to prevent the recurrence? Maybe it's dependent on the area of the country. That is what they do here. I hope he improves quickly! Edited July 26, 2021 by melmichigan Quote Link to comment Share on other sites More sharing options...
Jann in TX Posted July 26, 2021 Author Share Posted July 26, 2021 1 minute ago, melmichigan said: I'm kind a confused on why they didn't prescribe a continued dose for 24-48 hours to prevent the recurrence? Maybe it's dependent on the area of the country. That is what they do here. I think they were wanting to avoid unnecessary meds for such a little guy. 1 Quote Link to comment Share on other sites More sharing options...
fraidycat Posted July 27, 2021 Share Posted July 27, 2021 Oh no! I hope he feels better, ASAP. I forgot about the evil that is fire ants. I'mso glad to not live near them anymore. 1 Quote Link to comment Share on other sites More sharing options...
melmichigan Posted July 27, 2021 Share Posted July 27, 2021 (edited) 10 minutes ago, Jann in TX said: I think they were wanting to avoid unnecessary meds for such a little guy. Steroids and Benadryl are second nature around our house, and have been since we brought our twins home, but they are also always given with careful prescribing information. I can understand them being cautious. Hopefully they can put together a discharge plan that doesn't include you going back in another 8 hours in the event that it doesn't settle down. 🤞he's a 24 hour case. You might want to follow-up with his pediatrician to see if carrying epi would be recommended based on his reaction or if there would be other treatment recommendations in case he's exposed again in the future. Edited July 27, 2021 by melmichigan 2 Quote Link to comment Share on other sites More sharing options...
Junie Posted July 27, 2021 Share Posted July 27, 2021 Praying for your little one... 😞 1 Quote Link to comment Share on other sites More sharing options...
ScoutTN Posted July 27, 2021 Share Posted July 27, 2021 Praying!! 1 Quote Link to comment Share on other sites More sharing options...
Serenade Posted July 27, 2021 Share Posted July 27, 2021 22 hours ago, Jann in TX said: He weighs just under 30 pounds-- anything more than 5 bites per 10 pounds should be evaluated... he had over 30... I am sorry for your grandson and hope he will be feeling better soon. I appreciate this information -- it is good to know. Quote Link to comment Share on other sites More sharing options...
Arcadia Posted July 27, 2021 Share Posted July 27, 2021 1 hour ago, matrips said: I would also start thinking about how to wrap his legs so he can’t scratch the bites and risk infection. Anti-itch cream then use gauze roll bandage to wrap the arms. If OP has oversized baby mittens, those can be useful too to cover his hands when sleeping. Eczema and hives run on my side of the family, and my nephews when small would sometimes scratch and cause bleeding. 1 Quote Link to comment Share on other sites More sharing options...
pinball Posted July 27, 2021 Share Posted July 27, 2021 Oh, how awful. poor little guy. I hope he heals quickly! Quote Link to comment Share on other sites More sharing options...
Katy Posted July 27, 2021 Share Posted July 27, 2021 How’s he doing now? Quote Link to comment Share on other sites More sharing options...
mommyoffive Posted July 27, 2021 Share Posted July 27, 2021 Oh wow, I missed this post. Your poor grandson. I am sending so many good thoughts his way. I hope he is feeling better today. Quote Link to comment Share on other sites More sharing options...
Jann in TX Posted July 28, 2021 Author Share Posted July 28, 2021 GS doing much better-- he hasn't started the itching phase yet-- but we made it through today without hives! Thanks for your thoughts and prayers! 15 1 Quote Link to comment Share on other sites More sharing options...
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