Flea Bites: Why Do Blisters Form and Sensation Diminish? - Dermatology

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Flea bites causing blisters?


Hello Doctor: Recently, I was bitten by fleas after animals entered my home, resulting in blisters.
However, the skin around the blisters has little sensation; even when I pinch it hard, I don't feel much.
Could you please explain why this is happening? P.S.
I have applied over-the-counter flea bite ointment, but I'm also worried about scratching and breaking the skin around the blisters, so I used breathable adhesive bandages to cover them.

Niming, 10~19 year old female. Ask Date: 2018/07/17

Dr. Wu Yuxin reply Dermatology


If a person is not frequently bitten by a certain type of insect, their immune response may be more severe, leading to larger swelling and even the formation of blisters.

Reply Date: 2018/07/17

More Info


Flea bites can be quite bothersome and may lead to various skin reactions, including the formation of blisters. When a flea bites, it injects saliva into the skin, which contains proteins that can cause an allergic reaction in some individuals. This reaction can manifest as redness, swelling, and itching. In some cases, particularly in individuals who are more sensitive or allergic to flea saliva, blisters may form as a result of the skin's inflammatory response.

The formation of blisters is essentially a protective mechanism. When the skin is irritated or damaged, the body responds by creating a fluid-filled sac (the blister) to protect the underlying tissue. This fluid can help cushion the area and promote healing. However, the presence of blisters can also indicate a more severe reaction to the bite, especially if they are large or painful.

As for the diminished sensation around the blistered area, this could be due to several factors. One possibility is that the nerve endings in the skin have been affected by the inflammatory response. Inflammation can lead to temporary nerve dysfunction, which may result in a reduced ability to feel sensations such as touch or pressure. This is often a temporary condition, and sensation typically returns as the inflammation subsides and the skin heals.

Another reason for decreased sensation could be related to the formation of the blister itself. The fluid within the blister can create a barrier that alters the way sensory signals are transmitted from the skin to the brain. Additionally, if the blister is large, it may stretch the skin and affect the underlying nerve endings, leading to a temporary loss of sensation.

It's important to take care of the affected area to prevent infection, especially if you're concerned about breaking the blister. Keeping the area clean and covered with a breathable bandage can help protect it while allowing for some air circulation, which is essential for healing. Over-the-counter treatments for flea bites, such as antihistamines or topical corticosteroids, can help reduce itching and inflammation.

If the blisters become increasingly painful, show signs of infection (such as increased redness, warmth, or pus), or if the sensation does not return after a few days, it would be advisable to consult a healthcare professional. They can assess the situation more thoroughly and provide appropriate treatment options.

In summary, flea bites can lead to blister formation due to an allergic reaction to the saliva, and diminished sensation around the blisters may result from inflammation or nerve involvement. Proper care and monitoring of the affected area are crucial to ensure healing and prevent complications.

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