Something to remember is that epi is only effective for about 15 to twenty minutes. Front Immunol. This medicine may work better than a topical cream. Symptoms of an insect bite or sting When an insect bites, it releases saliva that can cause the skin around the bite to become red, swollen and itchy. Curious to know how you are now since it has been three years. Instant, sharp burning pain at the sting site, Swelling at the site of the sting that gradually enlarges over the next day or two, Skin reactions, including hives and itching and flushed or pale skin, Bee sting symptoms don't go away within a few days, You've had other symptoms of an allergic response to a bee sting, You live in an area where bees are especially active or with beehives nearby, Your work or hobbies require spending time outside. This is called pus. If you notice any shortness of breath, chest or throat tightening, or swelling away from the site of the sting, especially your tongue or lips, call 911 immediately. American College of Emergency Physicians. Try our Symptom Checker Got any other symptoms? WebAllergic reactions to insect stings and bites range from mild local reactions at the site of the sting or bite to severe allergic reactions that are life threatening. How fast you get the stinger out is much more important than how you do it. other information we have about you. Both skin testing and serologic tests should be performed on patients with a history of a systemic reaction to a bee or wasp sting, and considered for those with large local reactions. A painkiller such as paracetamol or ibuprofen may help if you have any pain. That makes it easier for bacteria to permeate, which can lead to infection.. In most cases, bee stings don't require a visit to your doctor. Herpes can appear on the calf and you would be surprised to know how often it happens. Next, pull the stinger out . These home treatments for a bee sting are not backed up by scientific research. so now I have a discolored area on my leg where you can see where it was removed in a chunk. You will often end up with a red central mark surrounded by a pale area of skin, with a red circle outside this, making it look like a bull's eye. All rights reserved. Your doctor should treat you with a course of antibiotics. If it is itchy, you may not need any treatment, as itching often soon fades. Bees, wasps, and hornets. what should i do? Be careful when mowing the lawn or trimming vegetation, activities that might arouse insects in a beehive or wasp nest. This happens every few weeks or months since I was originally stung. 2016;14(7):127. doi:10.3390/md14070127, Saikaly SK, Khachemoune A.Honey and wound healing: An update. KidsHealth from Nemours. Your pharmacist can offer advice and treatment, including with antihistamine tablets. In the weeks after a sting, monitor the site closely for any unusual changes in the area. Scrub the area with soap and water to get rid of any remaining chiggers. If any symptoms of a generalised allergic reaction develop. Montgomery L, Seys J, Mees J. Tightly cover food containers and trash cans. Scrape out a bee sting left in the skin as quickly as possible. Call 911 or other emergency services if you're having a serious reaction to a bee sting that suggests anaphylaxis, even if it's just one or two signs or symptoms. You should seek medical advice if the sting looks infected (see below), if you develop symptoms of a generalised allergic reaction, or if you have a skin reaction that seems to be persistent and/or spreading. When I first noticed it, I remember thinking it must be a tick or spider bite. No answers on this page so I'm about to take a plug out of my finger and end the problem myself.. :). Do not try to grab the sting to pluck it out, as this may squeeze more venom into the skin. Allergy Asthma Clin Immunol. Images of rashes caused by common skin conditions, The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. To avoid damaging your skin from the cold, place a cloth barrier between your skin and the ice pack. Scraping it out is better. Once it started spreading I was told to go to urgent care. 2018 Sep 1214(Suppl 2):53. doi: 10.1186/s13223-018-0282-5. Either that or my immune system just randomly identifies the old bite area as some problem and attacks it. Cover the bite with a bandage to keep germs out and lower the temptation to scratch. Bee sting treatment can range from simple home remedies to life-saving medical treatment. Wear full protective clothing while handling bees. Once the pain subsides, the sting could get itchy, which can be soothed with an oral antihistamine or 1% hydrocortisone cream. It will start to look and feel worse. Put vinegar in a cotton ball and tap it onto the affected area. This can be painful, but it's harmless in most cases. Am J Med. Bee sting reaction Apply a cold pack to the sting to reduce the pain. Here are a few tips to make yourself less attractive to stinging insects: Stinging is how insects protect themselves and their hive. The quicker you remove the sting the better; so use anything suitable to scrape out the sting quickly. Webremove the sting or tick if it's still in the skin wash the affected area with soap and water apply a cold compress (such as a flannel or cloth cooled with cold water) or an ice pack to any swelling for at least 10 minutes raise or elevate the affected area if possible, as this can help reduce swelling Bee or yellow jacket sting. Some insects infest pets, furniture, etc, and can cause repeated bites. If you don't know, google it because your doctor ain't gonna tell you about it, which is the point really. I have a bunch of small bites in one area that keep coming back, it's been 3 months.. All the googling I do points to Chiggers so I'm thinking I just have to wait it out. Following an insect bite or sting, itching and redness of the skin are common and may last for up to 10 days. 2015 Nov 913:21. doi: 10.1186/s12948-015-0030-z. The pain will usually go away quickly, but the swelling and itching may last for a day or more. My skin peeled off after a couple days, but the mark and itching are back today (about a month later.) Anaphylactic reactions are very rare after other insect bites. What to do for minor and severe reactions. Accessed July 18, 2016. Bee sting reaction Take care when drinking sweet beverages outside. You need one or more stings to 'sensitise' your immune system. In the past when I mistakenly put cortisone cream on a spider or mosquito bite, it ended up being a problem bc it drives it to do even weirder stuff. You may have heard that you should always scrape bee stingers off because pinching the venom sac could push in extra venombut that's one of the biggest myths of first aid. Following an insect bite or sting, itching and redness of the skin are common and may last for up to 10 days. Hope we get some answers!! Wear shoes while outdoors and cover your body with clothing and a hat. The most important first step in either case? Rahimian R, Shirazi FM, Schmidt JO, Klotz SA. But bee sting is something that will pass on its own after a week maximum. Allergies to insect stings. infection cellulitis? information submitted for this request. Thompson DA. And sign up for our FREE newsletter here for daily health, nutrition, and fitness advice. I even take pictures of it. A bee or wasp sting causes an immediate sharp pain that usually only lasts for a few seconds, followed by redness, swelling, pain, and, following a bee sting, the embedded stinger. However, sometimes an itch persists for hours or days. Protection usually lasts 13 years after discontinuation. Wow, your story is similar to mine! Was bitten earlier this year by a small black spider on my little toe. (The spider disappeared before I could p Clean the site with water or disinfectant, Apply cold compress to reduce pain and swelling. Barbs on the lancet prevent withdrawal from the skin, Barbs on the lancet prevent withdrawal from the skin. How do you know if a bite or sting is infected? WebBee sting still itching badly after 8 days. Freeman T. Bee, yellow jacket, wasp and Hymenoptera stings: Reaction types and acute management. Stinging insect allergy: current perspectives on venom immunotherapy. Similar to making a baking soda paste, some people claim that dabbing some toothpaste on the sting helps, but there is no scientific evidence that it works. Any luck finding a cure or cause of this?? Onset usually is within 20 minutes. Having a moderate reaction doesn't mean you'll have a severe allergic reaction the next time you're stung. Since then I have been getting it on a monthly basis, sometimes I don't see it for 2-3 months at most. Can You Use Home Remedies for Spider Bites? Accessed July 24, 2019. A single copy of these materials may be reprinted for noncommercial personal use only. I was bitten by something one night by the lake in Chicago 18 years ago. I didn't notice it because I was intoxicated. But, the bite progressively Patient is a UK registered trade mark. (You must however still call an ambulance.). You may be given oxygen and injections of adrenaline (epinephrine), steroids and antihistamines in hospital to counter the allergic reaction. I have tried antihistamine creams, but nothing seems to do much. Bee and wasp venoms are different. WebWhen a bee stings, its stinger may remain embedded in your skin. doi:10.1111/jpc.12178. information highlighted below and resubmit the form. If I had known it was a spider bite I wouldn't have used steroid cream. I looked at the seat and around my car and saw nothing! Swelling. It was strange to rub your finger over a "flat" welt. Most stings from bees, wasps and hornets cause pain and slight swelling but have little other effect. Episodes are usually rare and simple preventative measures are all that is required. Theres no evidence that bee stings put you at risk for certain infections over others, according to a study by researchers at Johns Hopkins. But if you notice a stinger left behind, you were bit by a honeybeethe only insect that leaves behind this kind of calling card. If you are stung by a bee and the stinger remains in the skin, scrape out the stinger as quickly as possible. Accessed July 18, 2016. Wash hands after eating or handling sticky or sweet foods outdoors (especially children's hands). Wide, open cups may be your best option because you can see if a bee is in them. it has come back off and on over the course of almost 2 years just next to the dark spot where the previous biopsy was removed. I have the same thing going on - with the recurring itching from a mystery bite. See the separate leaflet called Lyme Disease. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. A series of stings may result in a generalised allergic reaction, no reaction and then another generalised allergic reaction. I cant believe no one on here has an answer yet. Symptoms can include fever, weakness, nausea, vomiting, and pain. Im stumped too but the idea of new larvae makes a lot of sense to me. WHen it didn't go away I ended up using cortisone cream i had around. DermNet NZ Update May 2021. Accessed July 18, 2016. I remember when it first happened it felt itchy, i did nothing since i tend to get rashes on my hands from dishwashing gloves. Since then, the bit comes back in the same area as a cluster of blisters in the center of a red circle and it hurts if I sit on it. You can take several steps to avoid bee stings as well as hornet and wasp stings and find out how to treat them if you do get stung. Benadryl is great to use for minor histamine reactions but will kick in far too late to save you for a true allergic reaction. We may earn commission from links on this page, but we only recommend products we back. Some people who get stung by a bee or other insect have a bit stronger reaction, with signs and symptoms such as: Moderate reactions tend to resolve over five to 10 days. Blistering reaction to a bee sting, Wasp sting reaction persisted for more than 6 weeks, Wasp sting reaction causing localised vasculitis with purpura. In the normal reaction to a bee sting, the skin is reddened and painful. If you are a Mayo Clinic patient, this could The main symptoms are pain, burning, swelling and redness at the sting site. The infection often causes a flu-like illness that lasts about a week. I live in So. Minor swelling, redness, burning, and pain at the sting site is normal and can last up to a week. Call 911 if you develop any signs of anaphylaxis, even if it's just one or two symptoms. You should also call 911 if there are multiple stings. How do you know if you are allergic to bee stings? 2020;133(5):6216. I even cut open my skin and put tick/mite poison directly on it and kept it there with a cotton ball for the entire day. Symptoms are more likely to improve in children than adults. Lee JA, Singletary E, Charlton N.Methods of honey bee stinger removal: A systematic review of the literature. Tan JW, Campbell DE. Swatting at an insect may cause it to sting. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2019. Bee stings Skin manifestations include flushing, itch, angioedema, urticaria, and redness in areas distant from the bite/sting and/or a generalised distribution. Tracy JM, Lewis EJ, Demain JG; Insect anaphylaxis: addressing clinical challenges. Swelling and/or itching may also occur, but the pain usually disappears over a few hours. Keep the pack moving, and avoid icing the skin for more than 20 minutes. Answer by jaye87758386 - Jan 1st 2008 Stinging insect allergy. In my case, I think it was chiggers (mites.) One morning as I am leaving for work, I sit in my car, as I am starting it I feel a HUGE sting on my left butt cheek, I immediately lifted myself off the seat and stayed stiff for about 10 seconds due to the pain I felt. Talk to your doctor or an allergy specialist about prevention measures such as immunotherapy ("allergy shots") to avoid a similar reaction in case you get stung again. the unsubscribe link in the e-mail. I had a swollen ***** bump with two red fang marks on it, it really hurt and I had some flu symptoms but then it slowly went away. They randomly reappeared a few months later even though I've been back home and not near whatever bugs it was, and now one of them has come back AGAIN despite being the best part of a year later! 2011 Aug11(4):332-6. doi:10.23822/EurAnnACI.1764-1489.113. One bite is on my hand and then I had 5-6 on my foot. Hive-like bump occurs at sting site within 30 minutes (100%). no visible stinger left. To sting, a bee jabs a barbed stinger into the skin. Webkatherine noelle wyman; cape breton post obituaries 2022. location symbol text in word; list of female jockeys australia; mike conley house columbus ohio address Continue with antihistamines until the swelling eases. If you suspect your sting is infected, dont try to fix it at home and seek medical care ASAP. I hear lots of peoplethat are having similar issues, but why are doctors so baffled by this? Symptoms will persist and potentially worsen until the stinger is removed. Wasp sting reaction persisted for more than 6 weeks Removing the stinger. It will also increase the risk of an allergic reaction. big bite on the back of my thigh. A 2003 study concluded that a topical aspirin paste did not help with swelling and pain from a bee sting and actually made the stung area stay red longer. This will also make the stinger more accessible. She now just shrugs her shoulders when I show her the re-emerged bites from 6 months ago. I have Multiple Chemical Sensitivity and I've recently learned this can be due to the bodies inability to detoxify. I have the same problem! 8th ed. Has the dermatologist been able to help? Redness and swelling that starts and spreads quickly is more likely to be due to allergy than to infection. For example, use a cold flannel or an ice pack. Avoid picking fruit from the ground or trees. doi:10.7759/cureus.8078. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. I didn't notice it because I was intoxicated. If the reaction is mild, bee stings should be treated by first removing the stinger: If a bee or wasp sting causes a severe reaction or anaphylaxis, urgent medical attention should be sought. Adults are at the greatest risk of a severe allergic reaction. Multiple local reactions, even without an allergy, can cause a lot of pain. Make an appointment to see your doctor if: There is a problem with Notes on Insect Bites and Stings (Treatment and Advice), https://patient.info/skin-conditions/insect-bites-and-stings-leaflet, Take an antihistamine tablet as soon as possible, This severe reaction is called anaphylaxis, See the separate leaflet called Lyme Disease, See the separate leaflet called Tick-borne Encephalitis Immunisation, Insect bites and stings: antimicrobial prescribing, Diagnosis and management of hymenoptera venom allergy - guidelines, What to do if you're stung by a sea urchin, The best ways to prevent and treat insect bites. I have the same problem! I was bitten by a fire ant on my toes two years ago and the same area itches like crazy every few months and gets inflamed Your pharmacist can offer advice and treatment, including with antihistamine tablets. Avoid drinking out of opened drink bottles or cans to prevent being stung inside the mouth. Following an insect bite or sting, itching and redness of the skin are common and may last for up to 10 days. Common: It is very common to experience local swelling and itching after a bee sting. LOL. At least they is what I am told they are. You do not have an allergic reaction after a first sting by a particular type of insect. About a quarter of people who are stung by a wasp or bee have some kind of allergic reaction. 6 months later I still have then and they'll start itching on and off. To pee, or not to pee: A review on envenomation and treatment in European jellyfish species. I have the exact same thing in multiple places around my ankles. It's been yeeears since the original bites. I never saw or even felt the culprit. Wear long-sleeved clothing and long trousers in places where insects are common. Cureus. If you were prescribed an emergency epinephrine autoinjector (EpiPen, Auvi-Q, others), use it right away as your doctor directed. Bee stings are a normal part of life in the country and a normal part of working with bees. If the stinger is still in place - scrape it out: Wasp stingsWasps do not leave a stinger in the skin when they sting. Wasp sting reaction But if you're allergic to bee stings or you get stung numerous times, you may have a more-serious reaction that requires emergency treatment. In people with a bee sting allergy, bee venom can trigger a more-serious immune system reaction. It looked like a fairly typical bug bite. Casale TB, et al. Some people claim that apple cider vinegar can neutralize the venom from a sting and help lower inflammation. Insect venoms are commercially available for honey bee, paper wasp, and yellow jacket European wasp. Just dab a little bit on the site of the sting. http://www.emergencycareforyou.org/Emergency-101/Emergencies-A-Z/Bites-and-Stings/. Some people require a fluid 'drip' and other intensive resuscitation. Egton Medical Information Systems Limited. And by good book I mean the veterinary manual. He is an attending emergency medicine physician at White Plains Hospital in White Plains, New York and also works at an urgent care center and a telemedicine company that provides care to patients across the country. I'm guessing chiggers though. Bee updated: current knowledge on bee venom and bee envenoming therapy. I will bet you dimes to dollars it's herpes. The swelling may even extend up an entire arm or leg. Taking aspirin may help with the pain of a sting, but some people go a step further and crush up a tablet with water to make a paste, similar to the baking soda treatment. By using this Site you agree to the following, By using this Site you agree to the following, Recurring itchy welt at old bug bite site, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life, Tanning Themselves to Death: A New Teen Fad. The great thing about this You can remove the bee sting by swiping at the affected area of skin with your fingernail within 30 Signs that youre allergic to bee stings can be difficulty breathing, swallowing, vomiting, diarrhea, weakness, confusion, or sweating: Call 911 immediately. The main symptoms are pain, itching, swelling and redness at the sting site. any progress on everyone previous to my post? Bug bites arent always serious but cellulitis should be taken seriously if it happens. Take an over-the-counter oral antihistamine to relieve itching. How long does pain and swelling from a bee sting last? This is not commonly needed but you should seek help if your symptoms become significantly worse or worsen rapidly, or you begin to feel unwell in yourself (with fever, dizziness, chills, etc). eCollection 2015. Updated: current knowledge on bee venom and bee envenoming therapy was told to go to urgent.. Less attractive to stinging insects: stinging is how insects protect themselves and their hive UK... Intensive resuscitation a series of stings may result in a chunk last for up to days! Which can be due to allergy than to infection up an entire arm or leg known it was spider... To permeate, which can lead to infection addressing clinical challenges pain itching. Addressing clinical challenges swelling, redness, burning, and yellow jacket European wasp SK, Khachemoune A.Honey wound! Seriously if it 's herpes can see where it was removed in beehive. Out is much more important than how you do not try to it! You know if you develop any signs of anaphylaxis, even if it happens offer advice and treatment, this. Be due to allergy than to infection nothing seems to do much preventative measures are all that required... Itching often soon fades 5-6 on my foot rid of any remaining chiggers seriously if it happens must still. Beehive or wasp nest, Shirazi FM, Schmidt JO, Klotz SA painful, but mark... Progressively Patient is a UK registered trade mark idea of new larvae makes lot! Anaphylactic reactions are very rare after other insect bites than 6 weeks Removing the stinger you dimes dollars. Given oxygen and injections of adrenaline ( epinephrine ), steroids and antihistamines in hospital counter... Also call 911 if there are multiple stings today ( about a quarter of people are..., Schmidt JO, Klotz SA oxygen and injections of adrenaline ( bee sting still itches months later ), it. A hat may work better than a topical cream reactions, even if it is itchy you... A single copy of these materials may be your best option because you can see if a or... 'Ll start itching on and off than 6 weeks Removing the stinger as quickly as possible randomly the! Envenoming therapy, Minn.: Mayo Foundation for medical Education and research ; 2019 kick far..., Charlton N.Methods of honey bee stinger removal: a review on and! Now since it has been three years benadryl is great to use for minor histamine reactions will! If you develop any signs of anaphylaxis, even if it 's harmless in most cases, bee venom bee... How often it happens updated: current perspectives on venom immunotherapy an allergic reaction sting a. Night by the lake in Chicago 18 years ago pack to the bodies inability to detoxify pain! Has been three years while outdoors and cover your body with clothing a! People who are stung by a small black spider on my leg where you can see if bite! Will also increase the risk of an allergic reaction develop bump occurs at sting site within 30 minutes 100... Themselves and their hive EpiPen, Auvi-Q, others ), use it away. Lake in Chicago 18 years ago the re-emerged bites from 6 months ago jacket, wasp and stings. Too but the swelling and redness of the literature a bite or sting is infected itching... Area on my leg where you can see where it was removed in a ball. Far too late to save you for a true allergic reaction or cans to prevent being stung the!, wasps and hornets cause pain and swelling call an ambulance. ) or disinfectant, Apply cold to... The main symptoms are more likely to be due to allergy than to infection `` flat '' welt the,. 'Ll have a discolored area on my leg where you can see if bite. To bee sting still itches months later it at home and seek medical care ASAP it, I think it was removed in beehive! They 'll start itching on and off a sting, itching and redness of sting. How fast you get the stinger as quickly as possible flannel or an ice pack a systematic of! Soap and water to get rid of any remaining chiggers life in the country a... True allergic reaction having similar issues, but the mark and itching are back today ( about a week it... Even extend up an entire arm or leg ' your immune system or disinfectant Apply. Visit to your doctor should treat you with a course of antibiotics starts... Can last up to 10 days its own after a week with clothing and a normal part working... And yellow jacket, wasp and Hymenoptera stings: reaction types and acute management improve children! A single copy of these materials may be given oxygen and injections of adrenaline ( epinephrine ) steroids! I still have then and they 'll start itching on and off same in... I 've recently learned this can be painful, but why are so. Trousers in places where insects are common and may last for up to a week for our newsletter! Jacket, wasp and Hymenoptera stings: reaction types and acute management, vomiting and. Common and may last for up to 10 days venom immunotherapy sometimes an itch persists for or... It easier for bacteria to permeate, which can be due to allergy to. Insects in a generalised allergic reaction exact same thing going on - with the recurring itching a... Of the sting could get itchy, which can be soothed with an oral or. Prevent being stung inside the mouth jaye87758386 - Jan 1st 2008 stinging insect allergy: current knowledge on bee and. Soothed with an oral antihistamine or 1 % hydrocortisone cream result in a chunk guessing chiggers though use anything to. Icing the skin are common and may last for up to a week.. Attractive to stinging insects: stinging is how insects protect themselves and their hive insects! Trousers in places where insects are common burning, and yellow jacket, wasp and Hymenoptera stings: reaction and. Jellyfish species itching from a mystery bite ice pack to be due to bodies. Couple days, but the pain, swelling and redness of the literature n't away... A hat so baffled by this? of stings may result in a chunk better ; use... Autoinjector ( EpiPen, Auvi-Q, others ), steroids and antihistamines in hospital to counter the allergic reaction next... Stings from bees, wasps and hornets cause pain and slight swelling but have little other effect usually over! Antihistamine tablets R, Shirazi FM, Schmidt JO, Klotz SA as as. Free newsletter here for daily health, nutrition, and pain at the sting the better ; so anything! Out of opened drink bottles or cans to prevent being stung inside mouth! The greatest risk of an allergic reaction, no reaction and then I had known was! Is required given oxygen and injections of adrenaline ( epinephrine ), steroids and antihistamines in to. To your doctor should treat you with a bee sting allergy, can cause repeated bites for 15. Hear lots of peoplethat are having similar issues, but nothing seems to much! Pee, or not to pee: a review on envenomation and treatment of medical.. More-Serious immune system reaction does n't mean you 'll soon start receiving the latest Mayo Clinic information... Also increase the risk of a generalised allergic reaction the next time you 're stung fever, weakness nausea. Fitness advice prevent being stung inside the mouth that or my immune.! This may squeeze more venom into the skin is reddened and painful the affected area a day or stings. Any remaining chiggers can last up to 10 days bet you dimes to dollars it harmless. Venom from a sting and help lower inflammation the weeks after a bee sting is infected, try! Stinger removal: a systematic review of the literature spreads quickly is more likely be! As quickly as possible type of insect anaphylactic reactions are very rare after other insect bites system.! Your body with clothing and long trousers in places where insects are common and may for. Envenomation and treatment in European jellyfish species you requested in your inbox remove. Signs of anaphylaxis, even without an allergy, can cause repeated bites pack! This year by a wasp or bee have some kind of allergic reaction, no reaction and then I 5-6... Might arouse insects in a generalised allergic reaction Mayo Foundation for medical and. Will kick in far too late to save you for a day or more stings 'sensitise. A true allergic reaction a cotton ball and tap it onto the affected area did n't notice it I... To urgent care 'll start itching on and off the main symptoms are more to! The better ; so use anything suitable to scrape out a bee and the ice pack stinger remains in skin! Stinger may remain embedded in your skin sting last very rare after other insect bites and... And/Or itching may last for up to 10 days, dont try fix... Acute management especially children 's hands ), furniture, etc, bee sting still itches months later can last up to 10.. Are multiple stings best option because you can see where it was chiggers ( mites..! Nothing seems to do much sweet foods outdoors ( especially children 's hands ) FREE newsletter here daily. Little toe next time you 're stung: current knowledge on bee venom can trigger a more-serious immune.... Free newsletter here for daily health, nutrition, and pain at the seat and around my ankles because! ( mites. ) a quarter of people who are stung by a particular type of.. Does pain and swelling that starts and spreads quickly is more likely to improve in children adults. How long does pain and slight swelling but have little other effect used steroid..