What are tick bites?
A tick is a small brown bug that attaches to the skin and sucks blood for 3 to 6 days. The bite is usually painless and doesn’t itch. The wood tick, which carries Rocky Mountain spotted fever and Colorado tick fever, is up to 1/2 inch in size. The deer tick, which spreads Lyme disease, is the size of a pinhead. After feeding, both of these ticks will be swollen and easy to see.
How can I take care of my child?
Remove the tick. The simplest and quickest way to remove a wood tick is to pull it off. Use tweezers to grasp the tick as close to the skin as possible (try to get a grip on its head). Pull upward steadily until it releases its grip. Do not twist the tick or jerk it suddenly because these movements can break off the tick’s head or mouth parts. Do not squeeze the tweezers to the point of crushing the tick.
If you don’t have tweezers, pull the tick off in the same way using your fingers. Tiny deer ticks need to be scraped off with the edge of a credit card. If the body is removed but the head is left in the skin, use a sterile needle to remove the head (as you would remove a splinter). Wash the wound and your hands with soap and water after you take out the tick. Then put antibiotic ointment on the bite.
Ticks do not back out when you put a hot match near them or when you cover them with petroleum jelly, fingernail polish, or rubbing alcohol.
How can I prevent tick bites?
Use an insect repellent on clothes. The best kind to use is one that has permethrin in it. Put it on clothes (especially pant cuffs), shoes, and socks. This product should be used on clothes and other outdoor items only. It does not help if put on the skin.
Anyone hiking in tick-infested areas should wear long clothes and tuck the ends of their pants in their socks. Stay near the center of trails and away from underbrush. During the hike, check clothes or exposed skin for ticks every 2 to 3 hours. At the end of the day, do a bare skin check. A shower at the end of a hike will remove most ticks.
Call your child’s doctor right away if:
- You can’t remove the tick or the tick’s head.
- Your child has a fever or rash within 2 weeks after the bite.
Call during office hours if:
- Your child has a rash that looks like a bull’s-eye near the bite.
- You have other questions or concerns.
Written by Barton D. Schmitt, MD, author of “My Child Is Sick”, American Academy of Pediatrics Books. Published by RelayHealth.
Last modified: 2009-06-22
Last reviewed: 2011-06-06 This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Pediatric Advisor 2011.4 Index
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