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Thread: bee stings

  1. #1
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    Default bee stings

    got stung on wrist through my glove whilst inspecting the hive no immediate reaction but by 10.00pm my forearm was up like a balloon and very itchy, next day where the sting was a very red blistery patch done all the usual bicarbonate of soda etc and have never had a reaction to stings was just wondering if the type of pollen the bees bring in could cause such a reaction? Any thoughts? Meanwhile the bees are doing great 8 sealed brood and larvae, they have drawn the upper brood chamber with only two frames to go also put in honey super in as a drone trap for varroa in bottom brood. Its been lovely weather for the bees and they sure have been working hard.

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    Hi,
    sounds like someone in your area was spraying something fairly nasty. I have had multiple stings on the same day and some swell up anthers don't react at all. Worst day was about 25 stings. with quite a few on my face - without swelling, but one on my arm was like a balloon!
    What pollen are you allergic to? I only react to grass pollen so it is unlikely that caused my swelling.

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    On the subject of bee stings, I'd read an account on another forum of a beekeeper who had a bad reaction to a number of beestings, what they initially thought was an allergic reaction they now seem to think that it might be a result of having taking Ibuprofen shortly before the inspection. My google-fu is failing me as the only mention I can find at the moment is on Dave Cushman's site. Does anyone happen to know of any more detailed information as it was a new one to me when I heard about it and casual conversation with more experienced guys seems to suggest it's not common knowledge, indeed most websites detailing dealing with beestings specifically suggest taking iboprofen to lessen the pain/swelling.

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    Senior Member Jon's Avatar
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    Ibuprofen is the only headache tablet/anti-inflammatory I ever take. I never react to bee stings with or without it. I would be very surprised to hear that it can cause a reaction to a bee sting.

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    As I can see where this stands a chance of heading, can I just quickly make a point that the guy took a number of stings, I believe it was around 10-15, so I'm not suggesting for a second that a single sting after taking an ibuprofen tablet is going to send beekeepers everywhere to hospital in the back of an ambulance.

    What little I've managed to read about it suggests that it doesn't so much cause the reaction as lower your tolerance to the venom and, in the case of the guy mentioned, who took a lot of stings very quickly, caused what initially looked like a pretty severe allergic reaction.

    [edit] Found mention of a study on a New Zealand Medical site
    http://www.medsafe.govt.nz/profs/PUarticles/bee.htm
    Two published1 cases more clearly implicate a non-steroidal anti-inflammatory drug (NSAID) with sensitisation to insect stings. Two individuals who had previously been exposed to bee or wasp stings with no or only local effect developed a severe anaphylactoid reaction within minutes of being stung. One patient was taking ibuprofen and the other diclofenac
    Bernard AA, Kersley JB. Sensitivity to insect stings in patients taking anti-inflammatory drugs. Brit Med J 1986;292:378-9. is the study

    [edit edit] Not as informative as I'd hoped but a useful summary I guess.

    http://www.ncbi.nlm.nih.gov/pmc/arti...0220-0022b.pdf
    Last edited by Neils; 26-05-2010 at 04:05 PM.

  6. #6
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    The forum with the details of bad reactions to bee stings is on the "BEEKEEPING FORUM".On this forum is a download from the British Medical Journal which conclusively shows that non steroidal anti inflamitory drugs Ibuprofin and Diclophenac (Voltarol) can cause a tempory loss of immunity to bee stings causing anaphalatic shock.Immunity is regained if these drugs are not taken or when they cease to be in the system before "playing" with the bees.Extract shown below :-
    378 BRITISH MEDICAL JOURNAL VOLUME 292 8 FEBRUARY 1986
    Sensitivity to insect stings in patients
    taking anti-inflammatory drugs
    Bee sting are known to cause various reactions in different patients as well as
    on different occasions in the same patient. Anaphylactic reactions have been
    described in people who had previously developed no reaction to bee stings,
    and apparent spontaneous cure of their sen=sitivity has been reported.' We
    report two cases of sensitivity to bee stings occurring while patients were
    taking anti-inflammatory drugs.
    Case reports
    Case I-A 66 year old beekeeper had developed apparent immunity to bee
    stings over six years. She was prescribed diclofenac 50 mg three times daily for
    severe bilateral hip osteoarthrosis, not taking other drugs andnever having taken
    steroids. Some. months after -starting the anti-inflammatory treatment, however,
    she was stung on the wrists while attending her beehives and within 15
    minutes developed an aarming reaction with palpitations, a rash over the trunk
    and limbs, and swelling ofthe mouth and tongue causing dyspnoea. This settled
    spontaneously within a few hours. The following day she did not take any drugs
    but again sustained several bee sings, and although a similar reaction developed,
    it was much mildern The next day-48 hours after her last dose of the
    diclofenac-fluther bee stings had no effect. She took no more anti-inflammatory
    drugs and had no further reactions.
    Case 2-The 48 year old wife of a beekeeper had previously had only local
    reactions towasp stings. She had taken ibuprofen for osteoarthritis of the spine
    for five mhonths before she was stung by a wasp. Within two minutes generalised
    swelling, red itchy rash, palpitations, and shortness of breath developed, with a
    senseofimpendingdoom. Tr˘atmentinhospitalfor24hoursincluded parenteral
    adrenaline, antihistamine, and hydrocortisone. Another waspstnmg her two days
    Later, after she had stopped takting ibuprofen, and a less severe reaction
    developed, possibly helped by speedier transfer to-hospital.- Further antiBRITISH
    MEDICAL JOURNAL VOLUME 292 8 FEBRUARY 1986 379
    inflammatory drugs were taken and she began a course of desensitisation to wasp
    venom.
    Comment
    Immunity to bee stings is well known among beekeepers, indeed it
    appears that people get temporary relief from the pain of arthritis if they
    sustain several bee stings. Allergy to insect stings is a local or system type I
    immediate hypersensitivity reaction mediated by IgE. The effect of allergy
    to anti-inflammatory drugs may not be the same in all subjects, as has been
    shown in asthmatic patients sensitive to aspirin.2 Treatment with antiinflammatory
    drugs is widespread and may be overlooked in victims of bee
    stings as a possible complicating factor.
    We have found no previous report saying that diclofenac, ibuprofen, or
    other non-steroidal anti-inflammatory drugs can reversibly modify the
    immune response. Though changes in specific tests have been shown in
    animal and in vitro experiments," no noticeable general immunosupression
    has been reported in a clinical situation.
    We think that all beekeepers should be warned of this possible hazard if
    prescribed non-steroidal anti-inflammatory drugs.
    1 EwanPW. Allergytoinsectstings: areview.7R SocMed 1985;78:234-9.
    2 Asad SL, Kemeny DM, Youlten LJF, Frankland AW, Lessof MH. Effect of aspirin in "aspirin
    sensitive" patients. BrMedJ 1984;288:745-8.
    3 Aleksandrowa GM, Roshkowa WN, Borissowa LN. Study comparing immunotrophic effects of
    diclofenac sodium, indomethacin and sodium salicylate. Farmakol Toksikol 1981;44:450-3.
    4 Lang G, Phumb N, Kraus H. Inflence ofdiclofenac on PHA-4ymphocyte: stimulation in RA paients
    and controls. Bethesda, Maryland: International League against Rheumatism, 1977:256.
    (Abstracts from XIV International congress of rheumatology.)
    5 Wildfeuer A. Effect of anti-rheumatic drugs on the release of lysosomal enzymes from human
    leukocytes. Z Rhewmatol 1984;43:23-6.
    (Accepted 30 October 1985)
    Department ofOrthopaedic Surgery, East Birmingham Hospital, Birmingham
    B9 5ST
    Last edited by GRIZZLY; 27-05-2010 at 08:08 AM. Reason: Additrion of BMJ report

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    'may be overlooked as a possible complicating factor' seems right, but people should keep this in context.

    One case: anaphylaxis then OK after stopping taking the NSAID. Another case: wasn't so bad the second time but got to hospital quicker. This doesn't add up to very much.

    It has been known for a long time that allergies can come and go with no particular reason. The link with NSAIDs hasn't been made strongly, and it is pretty clear that bee sting allergy happens in people who are not taking NSAIDs. I was one. I'm pretty sure that it can also spontaneously disappear without NSAIDs being involved.

    I think that I've related my anaphylaxis experiences on the other (BBKA) south of the border forum and maybe we should discuss it here too. The short story is that this is a big issue for beekeepers and their families, and beginners ought to be aware of this from the outset. Particularly be aware that it might happen to you, and know what to do if it does.

    G.

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    Back to B's original post. You just have a normal reaction there. Sometimes stings are worse, sometimes not. I don't know what causes that but I doubt that the pollen they've been eating or even pesticides in the area have much to do with the strength of the reaction. In general, you should find that your reaction declines as your body adapts, but it is best to avoid stings if possible.

    I don't think that bicarbonate of soda helps. If you have a reaction that appears elsewhere, that may be an allergy. Red lumps, numbing sensation, swelling, dizzy, then get help.

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    Quote Originally Posted by gavin View Post
    'may be overlooked as a possible complicating factor' seems right, but people should keep this in context.

    One case: anaphylaxis then OK after stopping taking the NSAID. Another case: wasn't so bad the second time but got to hospital quicker. This doesn't add up to very much.

    It has been known for a long time that allergies can come and go with no particular reason. The link with NSAIDs hasn't been made strongly, and it is pretty clear that bee sting allergy happens in people who are not taking NSAIDs. I was one. I'm pretty sure that it can also spontaneously disappear without NSAIDs being involved.

    I think that I've related my anaphylaxis experiences on the other (BBKA) south of the border forum and maybe we should discuss it here too. The short story is that this is a big issue for beekeepers and their families, and beginners ought to be aware of this from the outset. Particularly be aware that it might happen to you, and know what to do if it does.

    G.
    I agree having actually had a chance to read what was being referred to. Again I want to re-iterate that I wasn't trying to suggest that taking a nurofen was going to lead to beekeepers around the country being rushed to hospital after taking a sting. I also hadn't realised until I found it that the study was dated 1986 and I'd have expected a lot more in the last 14 years if there was a major cause for concern than two cited cases, though I do still think that it's perhaps something to bear in mind. Part of why it took me a while to track stuff down was that searches throw up 10 pages of websites advising you to take an ibuprofen tablet after being stung.

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    I had my First Aid training recently (organised by Voluntary Action Orkney and the Red Cross), with a special half hour on anaphylactic shock treatment and the use of the epipen.
    It made me confident that I would be able to deal with such a situation and I can only recommend it.

    Our local GP also offered to give a short training session on dealing with anaphylactic shock, and as we are about to set up our teaching apiary I hope that a few of our association members are going to do it.

    A shame though, that those epipens are so expensive. Maybe we could do a bulk order through SBA?
    Doris

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