• Mechanicsburg Office
    Fredricksen Outpatient Center
    2025 Technology Parkway, Suites 108 & 109
    Mechanicsburg, PA 17050
    Phone: (717) 791-2680
    Fax: (717) 791-2686
  • Camp Hill Office
    25 West Shore Drive
    Camp Hill, PA 17011
    Phone: (717) 791-2680
    Fax: (717) 909-6803
HealthCenter
JDC is currently accepting newborns into the practice. However, so that we can continue to offer our existing patients the care and attention that they deserve, JDC is no longer accepting families with existing children who wish to transfer their care from another practice. This will remain in effect until further notice.
Text4baby is a free* health information service delivered on your mobile phone, to help keep you and your baby healthy. JDC Pediatrics recommends this app, which will give you access to well-visit information, a personalized vaccination tracker, and appointment reminders. Click here for sign-up info.
Does your child always seem to have some kind of form or another to be completed? He may or may not need to be seen, depending on the type of form. Click here to find out what you will need to do.
The flu vaccine for the 2017-18 flu season is now available at JDC Pediatrics. We recommend that all children ages 6 months through 18 years receive this vaccine. Please call our office to schedule an appointment. Click here for more info on the flu vaccine.
The American Accademy of Pediatrics (AAP) is advising parents to stop giving fruit juice to children in the first year of life, saying the drink is not as healthful as many parents think. Click here for more info and age-group recommendations for fruit juice.
Previously the HPV vaccine was given as a 3-dose series for all eligible-aged children. Now only 2 doses are recommended for children age 9 through 14, with the doses separated by at least 6 months. Children who begin HPV vaccination at 15 years of age and older will still need 3 doses. We will send a reminder call to you when your child is due for their next dose.

Is Your Child Sick? TM


Bee or Yellow Jacket Sting

Is this your child's symptom?

  • Stung by a honeybee, bumblebee, hornet, wasp, or yellow jacket
  • Over 95 percent of stings are from honey bees or yellow jackets
  • The main symptoms are pain and redness

If NOT, try one of these:


Cause of Bee Sting Reactions

  • The bee's stinger injects venom into the skin.
  • The venom is what causes the symptoms.

Local Skin Reactions to the Sting

  • The main symptoms are pain, itching, swelling and redness at the sting site.
  • Pain. Severe pain or burning at the site lasts 1 to 2 hours. Itching often follows the pain.
  • Swelling. The bee sting may swell for 48 hours after the sting. The swelling can be small or large. Stings on the face can cause a lot of swelling around the eye. It looks bad, but this is not serious. The swelling may last for 7 days.
  • Redness. Bee stings are often red. That doesn't mean they are infected. Infections rarely happen with stings. The redness can last 3 days.

Anaphylactic Reaction to the Sting

  • A severe life-threatening allergic reaction is called anaphylaxis.
  • The main symptoms are hives with trouble breathing and swallowing. It starts within 2 hours of the sting.
  • This severe reaction to bee stings happens in 4 out of a 1,000 children.
  • Hives. After a bee sting, some children just develop hives all over or face swelling. Hives or face swelling alone may be able to be treated at home. But, at times, these symptoms can also lead to anaphylaxis. Be sure to call your doctor now to help decide.

Prevention of Bee Stings

  • Don't go barefoot if bees are around.
  • Be careful in gardens and orchards.
  • Insect repellents do not work against these stinging insects.

When to Call for Bee or Yellow Jacket Sting

Call 911 Now

  • Past severe allergic reaction to bee stings (not just hives) and stung less than 2 hours ago
  • Wheezing or trouble breathing
  • Hoarseness, cough or tightness in the throat or chest
  • Trouble swallowing or drooling
  • Speech is slurred
  • Acts or talks confused
  • Passed out or too weak to stand
  • You think your child has a life-threatening emergency

Call Doctor Now or Go to ER

  • Sting inside the mouth
  • Sting on the eye
  • Stomach pain or vomiting
  • More than 5 stings for 10 pounds (5 kg) of weight. (In teens, more than 50 stings)
  • Fever and sting looks infected (spreading redness)
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • More than 48 hours since the sting and redness getting larger. (Note: Infection is not common. It does not start until at least 24-48 hours after the sting. Redness that starts in the first 24 hours is due to venom)
  • Swelling is huge (4 inches or 10 cm). It spreads across a joint such as the wrist.
  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • You have other questions or concerns

Self Care at Home

  • Normal reaction to bee or yellow jacket

Call 911 Now

  • Past severe allergic reaction to bee stings (not just hives) and stung less than 2 hours ago
  • Wheezing or trouble breathing
  • Hoarseness, cough or tightness in the throat or chest
  • Trouble swallowing or drooling
  • Speech is slurred
  • Acts or talks confused
  • Passed out or too weak to stand
  • You think your child has a life-threatening emergency

Call Doctor Now or Go to ER

  • Sting inside the mouth
  • Sting on the eye
  • Stomach pain or vomiting
  • More than 5 stings for 10 pounds (5 kg) of weight. (In teens, more than 50 stings)
  • Fever and sting looks infected (spreading redness)
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • More than 48 hours since the sting and redness getting larger. (Note: Infection is not common. It does not start until at least 24-48 hours after the sting. Redness that starts in the first 24 hours is due to venom)
  • Swelling is huge (4 inches or 10 cm). It spreads across a joint such as the wrist.
  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • You have other questions or concerns

Self Care at Home

  • Normal reaction to bee or yellow jacket

Care Advice for Bee or Yellow Jacket Sting

  1. What You Should Know About Bee Stings:
    • Bee stings are common.
    • The main symptoms are pain and redness.
    • The swelling can be large. This does not mean it's an allergy.
    • Here is some care advice that should help.
  2. Try to Remove the Stinger (if present):
    • Only honey bees leave a stinger.
    • The stinger looks like a tiny black dot in the sting.
    • Use a fingernail or credit card edge to scrape it off.
    • If the stinger is below the skin surface, leave it alone. It will come out with normal skin shedding.
  3. Meat Tenderizer for Pain Relief:
    • Make a meat tenderizer paste with a little water. Use a cotton ball to rub it on the sting. Do this once for 20 minutes. Reason: This may neutralize the venom and reduce the pain and swelling. Caution: Do not use near the eye.
    • If you don't have any, use an aluminum-based deodorant. You can also put a baking soda paste on the sting. Do this for 20 minutes.
  4. Cold Pack for Pain:
    • If pain does not improve after using the meat tenderizer paste, rub with an ice cube.
    • Do this for 20 minutes.
  5. Pain Medicine:
    • To help with the pain, give an acetaminophen product (such as Tylenol).
    • Another choice is an ibuprofen product (such as Advil).
    • Use as needed.
  6. Steroid Cream for Itching:
    • For itching or swelling, put 1% hydrocortisone cream (such as Cortaid) on the sting.
    • No prescription is needed.
    • Use 3 times per day.
  7. Allergy Medicine for Itching:
    • For hives or severe itching, give a dose of Benadryl.
  8. What to Expect:
    • Severe pain or burning at the site lasts 1 to 2 hours.
    • Normal swelling from venom can increase for 48 hours after the sting.
    • The redness can last 3 days.
    • The swelling can last 7 days.
  9. Call Your Doctor If:
    • Trouble breathing or swallowing occurs (mainly during the 2 hours after the sting). Call 911.
    • Redness gets larger after 2 days
    • Swelling becomes huge
    • Sting starts to look infected
    • You think your child needs to be seen
    • Your child becomes worse

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: This information is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Copyright 1994-2017 Schmitt Pediatric Guidelines LLC. All rights reserved.

Bee Sting of Upper Arm

This photo shows the typical localized reaction to a bee sting. There is mild redness in an oval 4 inches (10 cm) wide of the left upper arm.

Bee Sting of Left Hand

Moderate swelling of left hand from a bee sting that occurred the day before.

Wasp
First Aid - Shock - Child
  • Lie down with the feet elevated (Reason: counteract shock).
First Aid - Removing a Stinger

The stinger looks like as a tiny black dot in the center of the sting. There are several different methods of removal. Removing the stinger quickly is more important than the type of removal used.

  • You can scrape it out with a credit card or finger nail.
  • You can also use adhesive tape.
  • If only a small fragment remains, don't worry about it. It will shed with the skin.

Special Notes:

  • In many cases no stinger will be present.
  • Only bees leave their stingers. Wasps, yellow jackets, and hornets do not.
Honeybee Collecting Pollen
Paper Wasp

A paper wasp (Polistes dominulus) in its nest.

Hornet

Bald-faced "hornet" (Dolichovespula maculata).


Mechanicsburg Office • 2025 Technology Parkway, Suites 108 & 109 • (717) 791-2680 | Camp Hill Office • 25 West Shore Drive • (717) 791-2680