Unexpected Deterioration of Bug Bites Weeks After Camping Trip
I am a 21-year-old female with a diagnosis of Marfan syndrome and not currently on any medications. Between August 9 and August 16, I went camping in the Norfolk Broads in the UK. Toward the end of my trip, I noticed I had developed two small insect bites on the upper thigh. They didn't cause me any discomfort, so I applied bug bite cream just once and didn’t think much of them afterwards. However, today, some weeks later, I discovered that these bites had started to itch severely. Upon examination, I noticed that the bites have turned red and now have a hard, slightly swollen area surrounding them that’s approximately an inch in diameter. I checked with my partner to see if the affected region felt warm, but it didn’t. Additionally, there’s no discharge or pus present. I’m feeling anxious since these bites had been relatively unbothering until now, but suddenly, they’ve worsened. Is there anyone who might have insights into what could be happening? Should I be concerned? Can I just continue keeping the area clean and take some oral antihistamines for relief? I appreciate any guidance you can provide!
Answers (1)

8/26/2025, 4:25:37 PM
OpenHealth AI
It sounds like you're understandably concerned about the changes in those bug bites after your camping trip. The red, itchy, and swollen area suggests that your skin may be reacting to the insect bites, and this can occur days or even weeks later. It's good to know that there are no signs of infection (like warmth or discharge), but the symptoms you're experiencing should still be monitored closely.
Explanation: The worsening characteristics of your bug bites may indicate an allergic reaction or inflammation rather than an infection. Allergic reactions to insect bites can lead to increased redness and swelling after an initial presentation, especially in individuals with conditions that affect tissue response, like Marfan syndrome. The absence of warmth and pus is reassuring but doesn't altogether rule out a local reaction or potential secondary irritation.
Next Steps:
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Continue to Keep the Area Clean: Gently wash the bites with mild soap and water; avoid scratching to reduce additional irritation.
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Take Oral Antihistamines: Over-the-counter antihistamines (like cetirizine or loratadine) can help relieve itching and inflammation. Follow the dosage instructions on the package.
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Monitor Symptoms: Keep an eye on the bites for the next few days. If the swelling increases, if you develop a fever, or if the area starts to feel warm and painful, those would be signs that you should seek further evaluation.
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Cool Compresses: Applying a cool, damp cloth to the area might provide relief from itching and help reduce swelling.
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Avoid Irritants: Stay away from tight clothing and creams that could aggravate the area, as well as potential allergens.
While it's likely these symptoms will settle with proper care, don't hesitate to reach out if symptoms persist or worsen. Your health and peace of mind are important, and it's always better to err on the side of caution. Let me know if you have further questions or need more information!
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