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Bee Sting – Sting Symptoms, Risks & First Aid

Bee sting treatment

Table of Contents

A bee sting is a painful but common occurrence in Australia, often happening when someone accidentally disturbs a bee while outdoors. This guide explains how to identify a bee sting, understand its symptoms and causes, manage the risks, and apply proper first aid. It also highlights when a sting may lead to a severe allergic reaction or require emergency treatment.

Don’t wait until an emergency strikes — enrol in a nationally recognised first aid course with First Aid Pro and gain the skills to handle bites and stings safely and confidently.

Key Takeaways

  • Bee stings are common in Australia and can cause local pain, redness, and swelling. 
  • Some people may experience a severe allergic reaction that requires urgent medical care. 
  • Knowing how to treat a bee sting properly helps reduce swelling and discomfort. 
  • Always monitor for signs and symptoms of anaphylaxis after any insect sting.
  • Training in first aid for bites and stings can prepare you to respond effectively in emergencies.
Australian bees

Understanding Bee Sting in Australia

Australia is home to over 1,700 species of bees, including the European honey bee (Apis mellifera), native stingless bees, and various solitary bees. While most bees are non-aggressive and only sting when threatened, bee stings can cause painful local reactions or even life-threatening allergic responses in sensitive individuals.

When a bee stings, it injects venom into the skin through a sharp stinger left behind in the sting site. This venom triggers inflammation, pain, and swelling around the area. In rare cases, the sting may cause a severe allergic reaction known as anaphylaxis, requiring immediate medical treatment.

Identifying a Bee Sting – What Does It Look Like?

A bee sting usually appears as a small puncture surrounded by redness, pain, and mild swelling. You might see the stinger still embedded in the skin — a key difference between bee and wasp stings. Bees typically leave their sting behind, which causes the bee to die afterward, while wasps can sting multiple times without losing their stinger.

Common signs of a bee sting:

  • Sharp pain at the sting site 
  • Local redness and warmth 
  • Small puncture mark (with or without stinger)
  • Localised swelling or itching 

How to Tell if the Stinger Is Still in the Skin

Look closely for a small black or brown speck in the centre of the sting area. The bee stinger often has a venom sac attached. Remove it quickly by scraping sideways with a firm-edged object (like a credit card). Avoid using tweezers, which can inject more venom.

Symptoms of a Bee Sting

bee sting

Bee sting symptoms can vary depending on the person’s reaction to bee venom. Most people experience local reactions, while some develop severe allergic reactions requiring emergency care.

Reaction Type

Signs and Symptoms

Severity

Local Reaction

Pain, redness, mild swelling around the sting site

Mild

Large Local Reaction

Swelling extending beyond the sting area, itching lasting >24 hours

Moderate

Severe Allergic Reaction (Anaphylaxis)

Breathing difficulty, dizziness, swelling of face/tongue, rapid pulse, nausea

Severe – Medical Emergency

Local Reactions – Pain, Itch, and Swelling

Most stings from bees cause minor discomfort and swelling that resolves within 24 to 48 hours. Apply a cold compress and elevate the area to reduce swelling.

Systemic Reactions – Recognising a Bee Sting Allergy

Some individuals are allergic to bee venom, developing symptoms like hives, throat tightness, or dizziness. These signs indicate a systemic allergic reaction and may progress to anaphylaxis — a life-threatening emergency.

Risks and Complications of Bee Stings

While most bee stings are mild, complications can occur, especially for those with a known allergy to bee stings or repeated exposure.

Possible complications:

  • Infection at the sting site if scratched
  • Large local reactions causing severe swelling
  • Multiple stings leading to toxin effects
  • Anaphylaxis, a severe allergic reaction to bee venom

Seek medical attention if symptoms worsen after 48 hours or if swelling affects the face, neck, or airway.

When to Seek Emergency Help

Call Triple Zero (000) if you or someone else shows:

  • Difficulty breathing or swallowing
  • Swelling of the lips, tongue, or face
  • Wheezing or persistent coughing
  • Dizziness, confusion, or fainting

These are classic signs of an allergic reaction or anaphylaxis that require emergency treatment.

🐝 First Aid for Bee Stings in Australia

Knowing basic first aid for a bee sting can prevent complications and ease discomfort. Follow these steps immediately after being stung by a bee.

  1. Stay calm and move away from the area to avoid further stings.
  2. Remove the stinger by scraping it out gently (do not squeeze).
  3. Wash the sting site with soap and water.
  4. Apply a cold pack for 10–15 minutes to reduce swelling and pain.
  5. Take an antihistamine or pain reliever if needed.
  6. Monitor for symptoms of an allergic reaction for at least 30 minutes.
  7. If symptoms worsen or signs of anaphylaxis develop, call 000 immediately.
🩺 Learn how to manage bites and stings — Enrol in a nationally recognised First Aid course with First Aid Pro
treating a bee sting with ice pack

Bee Sting Home Remedies

For minor bee stings, self-care is often all that’s required. These remedies can help relieve pain and reduce swelling around the sting site.

Effective self-care treatments:

  • Apply a bicarbonate of soda paste to neutralise the venom.
  • Use aloe vera gel or honey to soothe the skin.
  • Take oral antihistamines for itching or inflammation.
  • Rest and keep the affected area elevated.

🌿 Bee Sting Self-Care & Swelling Relief

Practical home measures to reduce swelling, ease pain, and support recovery after a bee sting. Use these tips for minor local reactions and continue to monitor for any signs of an allergic reaction.

Tip: Most local reactions improve within 24–48 hours. If pain, redness, or swelling worsens after 48 hours, seek medical advice.
ICE
Cold compress
Apply a cold pack wrapped in cloth for 10–15 minutes, then off for 10 minutes. Repeat for the first few hours to help reduce swelling and pain.
ELEV
Elevate the limb
Keep the sting site raised above heart level where possible to limit swelling and pain.
AH
Antihistamine (itch & swelling)
An oral antihistamine can help ease itching and local reaction. Ask a pharmacist which option suits your age and health.
HC
Mild hydrocortisone cream
For persistent itch or swelling, a short course of low-strength cream may help. Use only as directed; check suitability for children or pregnancy.
PR
Pain relief
Over-the-counter options can reduce discomfort at the site of the sting. Follow label instructions and seek advice if unsure.
SK
Protect the skin
Avoid scratching. Keep nails short and the area clean/dry to reduce infection risk. A light non-stick dressing can prevent irritation.
✅ Do
  • Use cold packs in short intervals.
  • Elevate the affected area when resting.
  • Take a suitable antihistamine for itch/swelling.
  • Watch for new or worsening signs and symptoms.
❌ Don’t
  • Use heat on the sting area.
  • Scratch or squeeze the sting site.
  • Apply topical anaesthetics to young children unless advised.
  • Ignore worsening pain, spreading redness, or fever.
See a GP or call 13 HEALTH if swelling or pain is worsening after 48 hours, there are signs of infection (increasing redness, warmth, pus), or you’re concerned about reactions to medicines.
Call 000 immediately for breathing difficulty, wheeze, swelling of tongue or throat, dizziness/fainting, or any severe allergic reaction.

Learn these life-saving skills in a flexible blended training format — enrol in a First Aid Pro course today and gain confidence in providing emergency treatment for insect stings.

🩺 Medical Treatments and Medication for Bee Stings

When bee sting symptoms persist beyond 48 hours or signs of infection appear, professional medical treatment may be necessary.

Heads-up: Worsening redness, heat, pus, fever, or spreading swelling around the sting site should be reviewed by a health professional.
H1
Antihistamines
Help control itching and swelling caused by the sting. Ask a pharmacist or GP which option suits your situation.
CS
Corticosteroid creams or tablets
Used for significant local inflammation or large local reactions. Follow medical advice on dose and duration.
AD
Adrenaline (epinephrine) – Emergency
First-line treatment for severe allergic reaction (anaphylaxis). Use an adrenaline auto-injector if prescribed and call 000.
AB
Antibiotics
Considered if there are signs of skin infection (e.g., increasing pain, warmth, pus). Only with medical assessment/prescription.
VI
Venom immunotherapy (VIT)
For recurrent severe allergic reactions or confirmed bee venom allergy. An allergist gradually desensitises the immune system to reduce future risk.
Call 000 immediately if there are signs of anaphylaxis: breathing difficulty, wheeze, throat or tongue swelling, dizziness, or collapse.
Note: Always follow label directions and seek professional advice. Some medicines may not be suitable for children, pregnancy, or certain health conditions.

Australian Bees and Their Stings

Australia’s diverse bee population includes both stinging and stingless bees. Understanding the difference helps in preventing bee stings and identifying the insect responsible.

Type of Bee

Behaviour

Sting Characteristics

European Honey Bee

Defensive, dies after stinging

Leaves stinger behind

Native Stingless Bee

Non-aggressive

No sting, mild bite

Carpenter Bee

Large, rarely stings

Can sting multiple times if provoked

While wasps can sting repeatedly, native Australian bees generally sting only in defence. Identifying whether a bee or wasp caused the sting can help guide the treatment described.

Preventing Bee Stings – Safety Tips

To prevent bee stings and other insect bites and stings, follow these simple steps:

insect sting prevention steps

Knowledge Test Quiz: Bee Sting First Aid

Test your understanding of bee sting first aid. Click to choose, then press Check Answers.

1) What’s the first thing you should do after being stung by a bee?
2) What is a key sign of a severe allergic reaction?
3) Which of the following should you not do?
4) How long can local swelling last after a bee sting?
5) Who should call 000 immediately after a bee sting?

🚑 When Bee Stings Become a Medical Emergency

A severe reaction to a bee sting can occur within minutes. This condition, known as anaphylaxis, requires immediate treatment.

!
Signs of Anaphylaxis
  • Difficulty breathing or swallowing
  • Swelling of lips, face, or throat
  • Hives or widespread rash
  • Drop in blood pressure or collapse
1
Call 000 immediately
Ask for an ambulance and state “anaphylaxis”. Stay on the line for instructions.
2
Use an adrenaline auto-injector (EpiPen) if available
Administer into the outer mid-thigh and note the time. A second dose may be given after 5 minutes if symptoms persist or worsen.
3
Positioning
Lay the person flat and raise legs. If breathing is difficult, they may sit with legs out. Do not allow them to stand or walk.
4
Begin CPR if unresponsive
If the person becomes unresponsive and is not breathing normally, start CPR and follow ambulance call-taker guidance.
Stay with the person until paramedics arrive. Keep them warm and calm. Note any medications given and the time.

These actions can save a life — and proper training ensures you know exactly what to do.
Take action today: enrol in a First Aid Pro HLTAID011 course and be ready for any emergency.

Be Prepared for a Wasp or Bee Sting

Wasp and bee stings are an inevitable part of outdoor life in Australia, but being prepared can make all the difference. Most stings can cause local reactions that settle quickly with basic first aid, but a small number lead to severe allergic reactions requiring urgent care.

By learning how to treat a bee sting, recognise symptoms, and manage risks, you can protect yourself and others from harm.

Don’t leave it to chance — enrol in a nationally recognised first aid course with First Aid Pro and be ready for any bite or sting emergency.

References

  1. Australian Resuscitation Council (ARC) Guidelines – Bites and Stings 
  2. Healthdirect Australia – Bee and Wasp Stings 
  3. ASCIA (Australasian Society of Clinical Immunology and Allergy) – Allergic Reactions to Insect Stings 
  4. Queensland Health – First Aid for Bites and Stings 
  5. NSW Poisons Information Centre: Health – Fact Sheet: Stings and Bites

Frequently Asked Questions

The content on this website offers general insights regarding health conditions and potential treatments. It is not intended as, and should not be construed as, medical advice. If you are facing a medical emergency, dial 000 immediately and follow the guidance provided.

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