Skin Reactions After Insect Bites: What to Expect - Dermatology

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Insect bites?


Hello, doctor: Recently, I was bitten by either mosquitoes or fleas, resulting in many welts.
I have been bitten continuously for two to three days, and several areas are red and swollen with blisters.
While that is manageable, I noticed that after the swelling subsides, the skin around the wounds, which did not swell, feels numb.
I don't feel anything unless I touch it, and when I do, the skin in that area feels less sensitive, almost as if it is numb.
Is this a normal phenomenon? Will it heal on its own? There doesn't seem to be any visible changes, but I am still a bit worried.

Xiao Wei, 20~29 year old female. Ask Date: 2021/05/25

Dr. Wu Yuxin reply Dermatology


No lesions were observed, making it difficult to determine the issue.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2021/05/25

More Info


When dealing with skin reactions after insect bites, it's important to understand the body's response to such irritations. Insect bites, whether from mosquitoes or fleas, can trigger a variety of reactions, including redness, swelling, and the formation of blisters. These symptoms are typically due to the body's immune response to proteins in the insect's saliva, which can lead to localized inflammation.

The sensations you describe—where the skin feels numb or less sensitive to touch—can occur as a result of several factors. First, the inflammatory response can affect nerve endings in the skin, leading to temporary changes in sensation. This is often a normal part of the healing process. As the inflammation subsides, the nerves may gradually return to their normal function, and sensitivity should improve over time.

It is also worth noting that the presence of blisters indicates a more significant reaction, which can be uncomfortable but is generally not a cause for alarm. The blisters are a protective mechanism, allowing the skin to heal beneath them. However, if the blisters break, it is crucial to keep the area clean to prevent infection.

In terms of the numbness or reduced sensitivity you are experiencing, this can be a temporary condition. The skin may feel "asleep" due to the inflammation affecting the nerve pathways. In most cases, this sensation will resolve as the skin heals. However, if the numbness persists for an extended period or worsens, it would be advisable to consult a healthcare professional to rule out any underlying issues.

To promote healing and alleviate discomfort, consider the following recommendations:
1. Avoid Scratching: While it may be tempting, scratching can exacerbate inflammation and lead to secondary infections. Keeping the area clean and avoiding further irritation is essential.

2. Cold Compresses: Applying a cold compress to the affected areas can help reduce swelling and soothe itching. This can be particularly effective in the first few days after the bites occur.

3. Topical Treatments: Over-the-counter hydrocortisone cream or antihistamines can help alleviate itching and reduce inflammation. If you have a history of allergic reactions, it may be beneficial to have an antihistamine on hand.

4. Moisturization: Keeping the skin moisturized can aid in the healing process. Look for fragrance-free lotions or creams that are gentle on the skin.

5. Monitor Symptoms: Keep an eye on the affected areas. If you notice signs of infection (such as increased redness, warmth, swelling, or pus), or if the numbness persists beyond a few days, seek medical attention.

6. Consult a Professional: If you have concerns about the severity of your reaction or if you experience systemic symptoms (such as fever, difficulty breathing, or widespread rash), it is crucial to seek medical advice promptly.

In summary, while the numbness and reduced sensitivity you are experiencing can be concerning, they are often temporary and part of the healing process following insect bites. With proper care and monitoring, you should expect improvement over time. If symptoms persist or worsen, do not hesitate to reach out to a healthcare professional for further evaluation and guidance.

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