*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or view any of our Previous A to Z Features.

You should also know that OutUK has produced a special report about: Coronavirus Covid-19.

[Previous Feature][Next Feature]

This Week - Z : Zapping Insects

Bites from some insects can also cause illnesses, such as Lyme disease from ticks, scabies from mites, and malaria from mosquitoes in certain parts of the world.

Symptoms of an insect bite or sting

The main symptoms of an insect bite or sting are:

pain where you were bitten or stung
a small, swollen lump on the skin

The lump may look red. It may be more difficult to see on black or brown skin, but you should be able to feel it.

If you're not sure it's an insect bite or sting

How to treat an insect bite or sting

You can often treat an insect bite or sting without seeing a GP.

Removing stingers, ticks or caterpillars

If anything is left on or in your skin, the first thing you need to do is remove it carefully.

Easing your symptoms

If there's nothing in your skin, or you've removed it, wash your skin with soap and water to help lower the chance of infection.

The bite or sting should get better in a few days. There are some things you can do to ease your symptoms.

Do

put an ice pack wrapped in a cloth, or a clean cloth soaked in cold water, on the bite or sting for at least 20 minutes, if it's swollen
keep the area raised if you can
take painkillers such as paracetamol or ibuprofen if the sting is painful
use antihistamines to relieve any itching (but do not use antihistamine cream if you had caterpillar hairs on your skin)
use a hydrocortisone cream to reduce itching and swelling

Don't

do not scratch the bite or sting, as it could get infected
do not use home remedies such as bicarbonate of soda to treat the bite or sting

See a pharmacist if:

You or your child aged 1 year or older has an insect bite or sting and:

skin around it feels hot when you touch it or looks red - redness can be harder to see on brown and black skin
it's painful
the area looks swollen
there's pus or fluid coming out of the bite or sting

A pharmacist can recommend treatments, such as antihistamines and steroid creams, and give the same antibiotics as a GP if the bite or sting is infected. They can also give advice or direct you to other medical help if you need it.

Find a pharmacy

See a GP if:

a child under 1 year old has an insect bite or sting
you think you or your child have been bitten by a tick and have flu-like symptoms, or a round or oval rash that may look like a bullseye

Ask for an urgent GP appointment or get help from NHS 111 if:

You or your child has been bitten or stung by an insect and:

your symptoms get worse or are not getting any better
you were stung in your mouth or throat, or near your eyes
you have tummy pain and are being sick
you feel dizzy or lightheaded
you have a high temperature and swollen glands
you were stung more than once
you've had a serious allergic reaction to an insect bite or sting before

You can call 111 or get help from 111 online. Call 111 to get advice about a child under 5 years old.

Call 999 if:

your lips, mouth, throat or tongue suddenly become swollen
you're breathing very fast or struggling to breathe (you may become very wheezy or feel like you're choking or gasping for air)
your throat feels tight or you're struggling to swallow
your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
you suddenly become very confused, drowsy or dizzy
someone faints and cannot be woken up
a child is limp, floppy or not responding like they normally do (their head may fall to the side, backwards or forwards, or they may find it difficult to lift their head or focus on your face)

You or the person who's unwell may also have a rash that's swollen, raised or itchy.

These can be signs of a serious allergic reaction and may need immediate treatment in hospital.

[Previous Feature]

[Next Feature]

We'll have more information and advice next week on another topic in our A to Z of Gay Health. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this week's subject you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
Photos: LightFieldStudios and one of VladOrlov, Stockcube, darak77, ajr_images or rawpixel.com.