What to Do for Fire Ant Bites: Treatment & Prevention

Fire ants are small, aggressive insects known for their painful stings. These ants, particularly the red imported fire ant (Solenopsis invicta), are prevalent in the southeastern United States and have spread to other parts of the world. When a fire ant stings, it injects a venom that causes an immediate burning sensation, which is how they earned their name. This initial pain is often followed by intense itching, redness, and the formation of fluid-filled blisters, known as pustules, within 24 hours.

Immediate Care for Bites

Upon being stung by fire ants, promptly remove any ants still on the skin by briskly rubbing them off. Fire ants can sting multiple times, so stepping away from the area where the disturbance occurred is advisable to prevent further stings. Clean the affected area thoroughly with soap and cool water to help prevent potential infection.

To alleviate pain and reduce swelling, apply a cold compress or ice pack to the sting sites for about 20 minutes. Over-the-counter remedies can help manage discomfort. Apply a hydrocortisone cream to soothe itching and inflammation. Oral antihistamines can also reduce widespread itching and swelling.

Ongoing Care and Prevention

After the initial sting, continued care focuses on preventing complications and promoting healing. Pustules should not be scratched or broken, as this can introduce bacteria and lead to secondary infections. If a pustule breaks open, clean the area immediately with soap and water and consider applying an antibiotic ointment to reduce infection risk. Continued use of topical creams, like hydrocortisone, or oral antihistamines can help manage persistent itching and discomfort for several days.

Preventing future fire ant bites involves being mindful of their habitats. Fire ants build dome-shaped mounds in open areas like lawns, pastures, and along roadsides. Wear protective clothing, such as long pants and closed-toe shoes, in areas where fire ants are present. Avoid disturbing fire ant mounds, as they aggressively defend their nests by swarming and stinging.

When to Consult a Doctor

While most fire ant stings can be managed with home care, certain situations warrant medical attention. Seek immediate medical help if signs of a severe allergic reaction, known as anaphylaxis, develop. Symptoms of anaphylaxis can include difficulty breathing, wheezing, swelling of the face, lips, tongue, or throat, widespread hives, dizziness, a rapid heart rate, or a sudden drop in blood pressure.

Medical consultation is advisable if signs of a secondary bacterial infection appear at the sting sites. These signs may include increasing redness, warmth, swelling, pus drainage, or a fever. If a large number of stings occur, particularly in young children, older adults, or individuals with compromised immune systems, consult a healthcare professional.