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Flea Bite - Symptoms, Diagnosis, Treatment and Prevention

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Flea bites appear as small red bumps, usually on the leg and ankles. Read the article below to learn more about flea bites.

Medically reviewed by

Dr. Sugreev Singh

Published At December 30, 2022
Reviewed AtJanuary 29, 2024

Introduction

Fleas are tiny insects that live by feeding on human or animal blood, with more than 2500 species. They are wingless insects that move around by jumping from one place to another. These can survive many environments but are most unlikely to be seen in places with low humidity and 1500 feet elevations. Fleas multiply quickly and are usually seen if a pet is at home. However, they may be in yards with tall grass and shaded areas. Once inside the house, it may enter fabric or furs, especially carpets, quilts, and beddings. Fleas can also be vectors of diseases and may spread infections to animals and humans by biting them.

What Does a Flea Bite Look Like?

Flea bites in humans look like tiny red bumps in clusters of three or four and sometimes in a line. It may appear as a scab with a light red halo around it. Depending on a person’s reaction to the bite, the redness may last a few hours to several days. The ankles, legs, and feet are the most common places to find a flea bite; it may also be seen in the armpit, groins, waist, and fold of the elbow and knees. Flea bites in animals form a small red bump, similar to humans, and are usually on the pet’s neck, belly, lower back, and the base of the tail. It is difficult to spot them underneath the fur, but a flea comb can help reveal the insect.

What Are the Signs and Symptoms of a Flea Bite?

The most common symptoms of a flea bite include:

  • Itching around the bite.

  • Small red bumps.

  • Irritated skin.

  • A discolored ring around the bite.

  • The site may become swollen, sore, and painful.

  • May develop hives or rash at the site of the bite.

  • Persistent scratching and damaging of the skin may lead to secondary bacterial infections.

In small children and people who are allergic, there may be severe symptoms like:

  • Shortness of breath or wheezing.

  • Dizziness.

  • Nausea.

  • Swelling of the lip, tongue, or throat.

  • Chest pain.

Allergic reactions to a flea bite are rare but require immediate medical attention.

What Is the Difference Between a Flea Bite, a Mosquito Bite, and a Bed Bug Bite?

Flea bites are distinctive and appear as tiny red bumps with a discolored area around in the form of clusters or a straight line. These are commonly seen on the feet, ankles, and legs. Mosquito bites are larger bumps, can be seen anywhere on the body, and may change color over time with a dark spot in the center. Unlike flea bites, bed bug bites are seen on the upper body (abdomen or arms). Whereas bed bug bites are small red bumps in a zigzag manner, the bed bugs bite at night when the person is asleep. These insects can sometimes act as vectors and be carriers of infectious diseases; hence, an infestation would require a pest control specialist.

What Are the Complications of a Flea Bite?

Complications of a flea bite may include an allergic reaction or a secondary infection. In allergic people, flea bites may cause breathing troubles, swelling of the lip, tongue, or throat, dizziness, etc. A secondary infection may occur due to vigorous scratching, causing damage to the skin, and a subsequent infection due to the bacteria in the fingernails or surroundings. Rarely, fleas may act as vectors and spread infectious diseases to animals and humans. When a flea bites, its saliva containing the pathogen enters the host body, resulting in the transmission of the disease such as:

What Is the Treatment for a Flea Bite?

Flea bites usually go away on their own and require no treatment unless there is an allergic reaction.

However, a few practices can help if there has been a flea bite:

  • Avoid scratching the area to prevent secondary bacterial infection.

  • To relieve the itching, use anti-itch creams or over-the-counter antihistamines.

  • Wash the area properly with soap and warm water to prohibit the risk of infections.

  • Apply a cold compress or an ice pack to relieve the pain and redness.

  • Apply soothing lotions on the bite to relieve the itching.

  • Avoid hot showers, as they may aggravate the itching.

  • In the case of children, cut children’s nails to prevent them from scratching the area.

  • If a pet has fleas, consult a vet for appropriate medications.

  • In case of an allergic reaction, seek medical help immediately.

How to Prevent Flea Bites?

To protect oneself from flea bites:

  • Wear long-sleeved clothes and socks, as fleas usually bite on the legs and ankles.

  • Use environmental protection agency (EPA) registered insect repellents.

  • Treat clothes and gears using products containing 0.5 % Permethrin.

  • Wear gloves when handling a sick animal.

  • Avoid contact with strange animals.

  • Prevent Fleas on Pets: Pets are the usual carriers of fleas into the house, so preventing fleas on the pet could help mitigate fleas from the house.

    • Bathe and brush the pet regularly.

    • Routine check for fleas.

    • Limit the pet's outdoor timing, especially in a humid climatic area.

    • Limit contact with other animals and pets which could be carriers of fleas.

    • Routine veterinary check-ups.

  • Prevent Fleas in the Yard: Fleas may also be present in yards with tall grass and shaded areas.

    • Mow the yard regularly. Exposing the soil to the sun can help get rid of fleas.

    • Do not overwater, as humid conditions are favorable for fleas.

    • Remove all debris and woodpiles.

    • Treat outdoor areas used by pets, like kennels, with insecticides.

    • Keep wild animals and rodents from the house, as they could be carriers of fleas.

    • Seal all holes where a rodent can enter.

    • Garbage bins and compost cans should be tightly closed.

  • Prevent Fleas in the House:

    • Clean and mop the house regularly.

    • Vacuum all surfaces, especially rugs, sofas, carpets, and other furry surfaces.

    • Empty the vacuum cleaner bag regularly.

    • Wash bedding and pet belongings regularly with soap and water.

Conclusion

Flea bites are tiny red itchy bumps, usually on the legs or ankles. These rarely cause any complications and usually go away without any treatment. Instead, use anti-itch creams, soothing lotions to relieve itching, and ice packs to reduce swelling. However, in case of an allergic reaction, seek medical help.

Frequently Asked Questions

1.

What Is the Quickest Way to Heal Flea Bites?

Flea bites usually do not require treatment. To reduce the risk of infection, wash the bites with antiseptic soap. To help relieve swelling, use an ice pack regularly. To relieve itching, apply calamine lotion, anesthetic creams, or something similar. Consult the pharmacist for advice on antihistamine medications that will help reduce swelling.

2.

What Are the Home Remedies to Stop Flea Bites From Itching?

Natural flea bite remedies can help relieve redness, itching, and swelling. Ice packs, rubbing alcohol,  aloe vera, witch hazel, tea tree oil, vinegar, and used tea bags are some home remedies for soothing or relieving itching from flea bites.

3.

How to Differentiate Flea Bites From Bed Bugs?

Flea bites are typically found on the lower half of the body or in warm, moist areas such as the elbow and knee bends. Bedbug bites are most common on the upper half of the body, especially around the face, neck, and arms. While bed bug bites can develop into larger pustules within 24 to 48 hours, flea bites typically present as small red bumps.

4.

What Does a Flea Bite Feel Like?

They are extremely itchy, and the skin around the bites can become sore or painful. In addition, one may develop hives or a rash near the site of a bite. Scratching excessively can cause further skin damage and possibly a bacterial infection in the bite area.

5.

How Many Times Will One Flea Bite?

Fleas can bite multiple times, leaving clusters of tiny red bumps. They can bite three times in a row. This is referred to as "breakfast, lunch, and dinner." Typically, the initial bites do not result in a skin lesion, but after prolonged exposure to the fleas, an individual develops a hypersensitive reaction.

6.

What Does a Flea Bite Look Like?

After a flea bite, a small, discolored bump appears. Around the bite, a discolored ring or halo may appear. Flea bites can occur in a straight line or cluster several bites. Flea bites are most common on the legs, particularly the feet, calves, and ankles.

7.

Do Flea Bites Appear Immediately?

Flea bites, in general, are felt almost immediately, are usually on the lower body, and as random small groups across different areas. Some of the chemicals in flea saliva cause hypersensitivity (extreme sensitivity) in some people. After a few minutes, the bites swell and form an itchy blister or hives (urticaria) that lasts several days or weeks.

8.

Does a Flea Bite Cause Itching Immediately?

The flea bites, typically but not always felt immediately, become increasingly irritated and last up to a week. Hives and welts can appear an hour after a flea bite, in addition to rashes. Hives are usually accompanied by itching and can be painful. Scratching may aggravate the itching and burning. Hives appear in groups of three or more.

9.

How Long Does a Flea Take to Bite You?

A flea will begin feeding within five minutes.  Female fleas are the most voracious, consuming blood up to 15 times their body weight. However, a flea is unlikely to remain on the body for an extended period. This is because humans lack the fur and feathers that other animals and birds have, allowing them to lay eggs and reproduce regularly.
Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

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