What should be applied to flea bites on a child? - briefly
Apply a mild topical antihistamine or 1% hydrocortisone cream to the affected area after washing it gently with soap and water. If itching persists, an age‑appropriate oral antihistamine can be used under pediatric guidance.
What should be applied to flea bites on a child? - in detail
When a child is bitten by fleas, the primary goal is to relieve itching, prevent infection, and promote healing.
First‑line care includes gentle cleansing. Wash the affected area with lukewarm water and a mild, fragrance‑free soap. Pat dry with a soft cloth; do not rub, which can aggravate the skin.
Topical options:
- Hydrocortisone 1 % cream – reduces inflammation and pruritus; apply a thin layer three times daily for up to seven days.
- Calamine lotion – provides a cooling effect and helps dry out weeping lesions; apply as needed.
- Antihistamine cream (e.g., diphenhydramine 1 %) – eases itching; limit use to short periods to avoid skin irritation.
- Antibiotic ointment (e.g., bacitracin or mupirocin) – indicated only if the bite shows signs of bacterial infection such as increased redness, warmth, or pus.
Oral medications may be required for extensive discomfort:
- Children’s antihistamine tablets or syrup (cetirizine, loratadine, diphenhydramine) – dosage based on age and weight; helps control systemic itching.
- Acetaminophen or ibuprofen – for pain or fever; follow pediatric dosing guidelines.
Additional measures:
- Keep the child’s nails trimmed to reduce skin damage from scratching.
- Apply a cool compress (a clean, damp cloth) for 10–15 minutes several times a day to soothe inflammation.
- Use breathable, cotton clothing to minimize irritation.
- Ensure the home environment is treated for fleas: vacuum carpets, wash bedding in hot water, and consider a veterinarian‑approved flea control product for pets.
Monitor the bites for worsening signs—spreading redness, swelling, or fever—and seek medical evaluation promptly if they appear.