What should be applied to a child's bedbug bite? - briefly
Use a mild topical antihistamine or a 1 % hydrocortisone cream to alleviate itching and swelling. A cool compress can be added for additional soothing.
What should be applied to a child's bedbug bite? - in detail
Apply a gentle cleanser, such as mild soap and lukewarm water, to the affected area to remove any debris and reduce the risk of infection. Pat the skin dry with a clean towel; do not rub, as friction can aggravate irritation.
Follow the cleaning step with one of the following topical agents, chosen according to symptom severity:
- Calamine lotion – soothing, reduces itching and mild redness.
- 1% hydrocortisone cream – anti‑inflammatory, appropriate for moderate pruritus or swelling.
- Topical antihistamine gel (e.g., diphenhydramine) – provides rapid itch relief for sensitive children.
If itching persists or is intense, an oral antihistamine may be administered:
- Cetirizine 5 mg (for children 2–5 years) or Loratadine 10 mg (for children 6 years and older), given once daily, can control systemic histamine response.
Cold therapy can further diminish discomfort:
- Apply a clean, cold compress or a wrapped ice pack for 10–15 minutes, repeating every hour as needed. Protect the skin with a thin cloth to avoid frostbite.
Monitor the bite for signs of infection—increased warmth, pus, expanding redness, or fever. Should any of these develop, seek pediatric medical evaluation promptly. In such cases, a physician may prescribe oral antibiotics and a stronger corticosteroid formulation.
For pain relief, acetaminophen (10–15 mg/kg) or ibuprofen (5–10 mg/kg) may be given according to dosing guidelines, provided no contraindications exist.
Maintain a clean sleeping environment to prevent re‑infestation: wash bedding in hot water (≥ 60 °C), vacuum mattresses, and consider professional pest control if bedbugs are confirmed.