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Jellyfish stings

Overview

Jellyfish stings are relatively common problems for people swimming, wading or diving in seawaters. The long tentacles trailing from the jellyfish body can inject you with venom from thousands of microscopic barbed stingers.

Jellyfish stings vary greatly in severity. Most often they result in immediate pain and red, irritated marks on the skin. Some jellyfish stings may cause more whole-body (systemic) illness. And in rare cases jellyfish stings are life-threatening.

Most jellyfish stings get better with home treatment. Severe reactions require emergency medical care.

Symptoms

Common signs and symptoms of jellyfish stings include:

  • Burning, prickling, stinging pain
  • Red, brown or purplish tracks on the skin — a "print" of the tentacles' contact with your skin
  • Itching
  • Swelling
  • Throbbing pain that radiates up a leg or an arm

Severe jellyfish stings can affect multiple body systems. These reactions may appear rapidly or several hours after the stings. Signs and symptoms of severe jellyfish stings include:

  • Stomach pain, nausea and vomiting
  • Headache
  • Muscle pain or spasms
  • Weakness, drowsiness, fainting and confusion
  • Difficulty breathing
  • Heart problems

The severity of your reaction depends on:

  • The type and size of the jellyfish
  • Your age, size and health, with severe reactions more likely in children and people in poor health
  • How long you were exposed to the stingers
  • How much of your skin is affected

When to see a doctor

Seek emergency treatment if you have severe symptoms.

Causes

Jellyfish tentacles contain microscopic barbed stingers. Each stinger has a tiny bulb that holds venom and a coiled, sharp-tipped tube. The jellyfish uses the venom to protect itself and kill prey.

When you brush against a tentacle, tiny triggers on its surface release the stingers. The tube penetrates the skin and releases venom. It affects the immediate area of contact and may enter the bloodstream.

Jellyfish that have washed up on a beach may still release venomous stingers if touched.

Types of jellyfish

While many types of jellyfish are relatively harmless to humans, some can cause severe pain and are more likely to cause a systemic reaction. These jellyfish cause more-serious problems in people:

  • Box jellyfish. Box jellyfish can cause intense pain. Life-threatening reactions — although rare — are more common with this type. The more dangerous species of box jellyfish are in the warm waters of the Pacific and Indian oceans.
  • Portuguese man-of-war. Also called bluebottle jellyfish, Portuguese man-of-war jellyfish live mostly in warmer seas. This type has a blue or purplish gas-filled bubble that keeps it afloat on the water and acts as a sail.
  • Sea nettle. Common in both warm and cool seawaters, sea nettles live along the northeast coast of the United States and are abundant in the Chesapeake Bay.
  • Lion's mane jellyfish. These are the world's largest jellyfish, with a body diameter of more than 3 feet (1 meter). They're most common in cooler, northern regions of the Pacific and Atlantic oceans.

Risk factors

Conditions that increase your risk of getting stung by jellyfish include:

  • Swimming at times when jellyfish appear in large numbers (a jellyfish bloom)
  • Swimming or diving in jellyfish areas without protective clothing
  • Playing or sunbathing where jellyfish are washed up on the beach
  • Swimming in a place known to have many jellyfish

Complications

Possible complications of a jellyfish sting include:

  • Delayed hypersensitivity reaction, causing blisters, rash or other skin irritations one to two weeks after the sting
  • Irukandji syndrome, which causes chest and stomach pain, high blood pressure and heart problems

Diagnosis

You generally won't need to see your doctor for a jellyfish sting. If you do visit your doctor, he or she will be able to diagnose your injury by looking at it.

Sometimes treatment is based on the type of jellyfish that caused the sting. Your doctor may collect samples of the stingers by scraping your skin or using sticky tape.

Treatment

Most jellyfish stings can be treated by rinsing the area with salt water to remove tentacles and prevent further release of venom and then immersing the affected area in hot water.

Someone having a severe reaction to a jellyfish sting needs emergency care that may include:

  • Cardiopulmonary resuscitation (CPR)
  • Life support to stabilize breathing, heart rate and blood pressure
  • Antivenin medication, if the sting is from a box jellyfish
  • Pain medicine

Other medical treatments

Other circumstances also may require doctor-supervised treatment:

  • A rash or other skin reaction due to delayed hypersensitivity may be treated with oral antihistamines or corticosteroids.
  • A jellyfish sting occurring on or near an eye requires immediate medical care for pain control and a good eye flushing. You will likely be seen by a doctor specializing in eye care (ophthalmologist).

Lifestyle and home remedies

The best treatment for you may depend on the type of jellyfish that stung you. But in general most stings can be treated with these simple remedies:

  • Remove stingers. Remove any pieces of jellyfish tentacle in your skin by rinsing the wound with seawater. Then try gently scraping off any remaining stingers with the edge of an ID card or a credit card. You can also use sticky tape to remove stingers. And don't rinse with fresh water or rub the area with a towel, as these actions may activate more stingers.
  • Take steps to relieve pain. The best method depends on what type of jellyfish stung you. Options include taking a hot shower or rinsing with vinegar or saltwater. Applying calamine lotion or lidocaine might help relieve itching and pain.

Remedies to avoid

These remedies are unhelpful or unproved:

  • Rinsing with human urine
  • Rinsing with fresh water
  • Applying meat tenderizer
  • Applying alcohol, ethanol or ammonia
  • Pressure bandages

Prevention

The following tips can help you avoid jellyfish stings:

  • Wear a protective suit. When swimming or diving in areas where jellyfish stings are possible, wear a wet suit or other protective clothing. Diving stores sell protective "skin suits" or "stinger suits" made of thin, high-tech fabric. Consider protective footwear as stings can also occur while wading in shallow water.
  • Get information about conditions. Talk to lifeguards, local residents or officials with a local health department before swimming or diving in coastal waters, especially in areas where jellyfish are common.
  • Avoid water during jellyfish season. Stay out of the water when jellyfish numbers are high.
  • Use protective lotions. Some clinical evidence shows that lotions such as Safe Sea may result in fewer stings after exposure to jellyfish tentacles. It may be especially helpful to people at high risk of stings, such as children or people in poor health.

Last updated: August 1st, 2017

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