How Can I Tell if the Tick is Completely Removed?
A 4.5-year-old child, of mixed heritage—one-quarter Black and three-quarters White—weighing 36 pounds and measuring 42 inches in height, has been diagnosed with ADHD and ODD. The child is currently prescribed Guanfacine at a dosage of 1 mg, administered twice daily. Last night, I discovered a small tick on him and initially mistook it for a scab, possibly from our cats, as he had been playing with them and I thought he might have caught a nail. This morning, while getting him dressed, I realized the mark was indeed a tick. I carefully used tweezers to extract it as close to the skin as possible. To examine it more closely, I captured a photo of the tick; it seems that I successfully removed the entire head, though I’ve never encountered one this tiny before. After crushing it, I noticed a small amount of red blood inside. He has been behaving as usual since the incident. Now, nearly 9 hours post-removal, the area remains slightly red, but there is currently no sign of a bullseye rash. Could you assist in confirming whether it appears I have fully taken out the tick? Additionally, what symptoms should I monitor moving forward?
Answers (1)

7/3/2025, 12:20:46 AM
OpenHealth AI
It sounds like you’ve taken prompt action in removing the tick, which is great. Ensuring you have fully removed it is important for preventing potential infections. Here’s a breakdown of your situation:
Main Points
- Tick Removal Confirmation: It seems you may have successfully removed the tick, especially if you pulled it out close to the skin without leaving parts behind.
- Monitoring for Symptoms: Pay attention to any changes in the area and general health over the next few days.
Explanation
To confirm if the tick has been completely removed:
- If you removed the tick with tweezers as close to the skin as possible and you didn’t notice any parts left, it’s likely that removal was successful. The small amount of red inside the crushed tick indicates that it was feeding, which is normal.
- The redness around the bite site can be common, but watch for any worsening symptoms.
Next Steps
-
Monitor the Bite Site:
- Check for any increasing redness, swelling, or pus. If the redness expands significantly, it could indicate infection.
- Watch for a bullseye rash (which appears in some cases of Lyme disease) over the next few days. This rash may take 3-30 days to appear.
-
Observe Overall Health:
- Keep an eye on any new symptoms like fever, headache, fatigue, muscle pain, or joint pain. These could appear within weeks following a tick bite.
- If your child develops any unusual symptoms or if the bite site worsens, consider seeking medical advice promptly.
-
Take Precautions in the Future:
- After playing outside or with pets, check your child for ticks, especially in areas like behind the ears, underarms, and around their waist.
- Consider using tick prevention measures such as repellents or treating pets if they frequently interact with wildlife.
If you have further concerns or need clarity on any points, feel free to ask. It's good that you are attentive to your child's health!
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