Dealing with Flea Bites: Itching Relief and Scar Treatment Tips

It really itches?

A few days ago, while organizing the warehouse, I unfortunately got bitten by fleas, resulting in over twenty welts.
Initially, they weren't very itchy, but by nighttime, the itching became unbearable, making it impossible to sleep.
I consulted a doctor, who advised me not to scratch.
I received an injection and medication, but it hasn't been effective, and the itching is still intolerable.
As a result of scratching, I now have scars on my body.
I would like to ask the doctor what medication I should apply, when the scars will fade, and how to prevent and treat flea bites.
Thank you!

Xiao Nan, 10~19 year old female. Ask Date: 2001/03/21

Dr. Zheng Lizhen reply Dermatology

The most common sources of fleas are cats, dogs, and mice.
Although fleas prefer to feed on the blood of these hosts, they will also bite humans when given the opportunity, especially in the absence of their usual hosts.
Therefore, do not assume that sending away cats or dogs infested with fleas will prevent bites; in fact, the opposite may occur.

In terms of prevention and control:
1.
Fleas typically reside on their hosts or in their resting places, but they can attach themselves to people's clothing and enter homes to bite.
Remember to shake off your pants and skirts when coming indoors from outside.

2.
Simply treating fleas on cats and dogs is insufficient; attention must also be paid to the cleanliness of both indoor and outdoor environments.
Otherwise, pets can easily become reinfested with fleas from larvae present in the environment.
There is now a new flea treatment called "Flea Away" that is effective against both adult fleas and larvae, which you can inquire about from your veterinarian.

3.
Standard insecticides are ineffective against flea pupae in their cocoons, so a single application of insecticide is not enough.
Treatments should be repeated every two to three weeks for a total of six weeks, and then every four to six weeks thereafter to maintain effectiveness.

4.
Control rodent populations, and avoid storing items under the bed to prevent creating a nesting site for mice.
Reactions to flea bites can vary among individuals; it is advisable to avoid scratching to prevent secondary bacterial infections, which can prolong recovery.
It is best to consult a dermatologist for appropriate treatment.

Reply Date: 2001/03/21

More Info

Dealing with flea bites can be quite uncomfortable, especially when the itching becomes unbearable and leads to scratching, which can result in scarring. Here are some tips and recommendations for managing flea bites, relieving itching, and treating scars.

Immediate Relief from Itching
1. Cold Compress: Applying a cold compress to the affected areas can help reduce swelling and numb the itch. You can use a clean cloth soaked in cold water or ice wrapped in a towel. Apply it for 10-15 minutes several times a day.

2. Topical Treatments: Over-the-counter (OTC) hydrocortisone cream can be effective in reducing inflammation and itching. Calamine lotion is another option that can soothe the skin. Antihistamine creams or gels containing diphenhydramine may also provide relief.

3. Oral Antihistamines: If the itching is severe, consider taking an oral antihistamine like diphenhydramine (Benadryl) or cetirizine (Zyrtec). These medications can help alleviate itching and may also help you sleep better at night.

4. Avoid Scratching: As difficult as it may be, try to avoid scratching the bites. Scratching can lead to secondary infections and increase the risk of scarring. Keeping your nails short and wearing loose clothing can help minimize irritation.

Scar Treatment
1. Moisturizers: Keeping the skin moisturized can aid in the healing process. Look for products containing ingredients like aloe vera, vitamin E, or hyaluronic acid, which can help soothe the skin and promote healing.

2. Silicone Gel Sheets or Creams: These products are often recommended for scar treatment. They can help flatten and soften scars over time. Apply them as directed, usually after the skin has healed from the initial bite.

3. Sun Protection: Protecting the scarred area from sun exposure is crucial, as UV rays can darken scars and make them more noticeable. Use a broad-spectrum sunscreen with an SPF of at least 30 on the affected areas when going outdoors.

4. Time: Scars can take time to fade. Depending on the severity of the scarring, it may take several months to a year for scars to improve significantly. If the scars remain prominent after this period, consider consulting a dermatologist for further treatment options, such as laser therapy or chemical peels.

Prevention of Future Flea Bites
1. Home Treatment: To prevent future flea bites, it's essential to treat your home for fleas. This can include vacuuming carpets and upholstery regularly, washing bedding in hot water, and using flea sprays or powders designed for home use.

2. Pet Care: If you have pets, ensure they are treated with veterinarian-approved flea control products. Regular grooming and bathing can also help reduce flea populations.

3. Protective Clothing: When working in areas where fleas may be present, such as warehouses or grassy areas, wear long sleeves and pants to minimize skin exposure.

4. Insect Repellents: Consider using insect repellents that contain DEET or picaridin on exposed skin when you are in areas known to have fleas.

In conclusion, managing flea bites involves immediate relief strategies, scar treatment, and preventive measures. If your symptoms persist or worsen, or if you notice signs of infection (such as increased redness, swelling, or pus), it is essential to seek medical attention. A healthcare professional can provide further guidance and treatment options tailored to your specific situation.

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