Health

Insect Bites and Stings — NHS: Scrape a Stinger With a Fingernail, Lift a Tick With Fine Tweezers

Insect Bites and Stings — NHS: Scrape a Stinger With a Fingernail, Lift a Tick With Fine Tweezers

A swollen, itchy bite after time outdoors can usually be treated at home. The NHS says insect bites and stings should get better in a few days. If a sting is left in, brush or scrape it out sideways with your fingernail (don’t use tweezers), wash with soap and water, and if it’s swollen hold an ice pack wrapped in a cloth on it for at least 20 minutes. Don’t scratch, and don’t use home remedies such as bicarbonate of soda. Ask for an urgent GP appointment or use 111 if you were stung in the mouth, throat or near the eyes, stung more than once, or it’s getting worse; call 999 if your lips, tongue or throat suddenly swell or you’re struggling to breathe. This sets out the NHS page “Insect bites and stings”.

1. It should get better in a few days. Scrape a stinger out sideways with a fingernail — not tweezers.
2. Wash it, ice it for at least 20 minutes if swollen, and don’t scratch. No home remedies like bicarbonate of soda.
3. Mouth, throat or near the eyes, stung more than once, or getting worse: urgent help. Swollen lips, tongue or throat, or trouble breathing: call 999 (119 in Korea).

What to do straight away — NHS

TypeWhat the NHS saysWorth noting (ours)
DoRemove a sting or tick if it’s still thereSee the table below
DoWash with soap and water—
DoIf swollen, an ice pack in a cloth for at least 20 minutes—
DoKeep the area raised if you can—
DoUse a hydrocortisone cream for itching and swelling—
Don’tScratchIt could get infected
Don’tUse home remedies such as bicarbonate of soda—

A pharmacist can recommend treatments such as antihistamines and steroid creams.

Removing a sting or tick — NHS

WhatHow the NHS saysWorth noting (ours)
Bee stingBrush or scrape it out sideways with your fingernail—
Bee stingDon’t use tweezers to pull it out—
TickUse fine-tipped tweezers or a tick-removal tool and grasp it as close to the skin as possible—
TickPull slowly upwards, taking care not to squeeze the tick—

Tick-borne illness in Korea in autumn is covered, from KDCA sources, in scrub typhus.

When to get help — NHS

IfWhereWorth noting (ours)
A child under 1 has a bite or stingGP—
You think you’ve been bitten by a tick and have flu-like symptoms or a round or oval rash (it may look like a bullseye)GP—
Symptoms get worse or aren’t getting betterUrgent GP or 111—
You were stung in your mouth or throat, or near your eyesUrgent GP or 111—
Tummy pain and being sick, or feeling dizzy or lightheadedUrgent GP or 111—
A high temperature and swollen glandsUrgent GP or 111—
You were stung more than onceUrgent GP or 111—
You’ve had a serious allergic reaction to a bite or sting beforeUrgent GP or 111—

Call 999 — NHS

IfWhereWorth noting (ours)
Your lips, mouth, throat or tongue suddenly swell999 (119 in Korea)May be a serious allergic reaction
Breathing very fast or struggling to breathe; throat tight or struggling to swallow999 (119 in Korea)—
Skin, tongue or lips turn blue, grey or pale999 (119 in Korea)—
Suddenly very confused, drowsy or dizzy999 (119 in Korea)—
Someone faints and cannot be woken, or a child is limp, floppy or not responding normally999 (119 in Korea)There may also be a swollen, raised or itchy rash

This 999 list matches the NHS list on hives. The Korean emergency number is 119 (our gloss).

Checklist

  • ☐ Scrape a stinger sideways with a fingernail — no tweezers
  • ☐ Ticks: fine tweezers close to the skin, pull slowly upwards
  • ☐ Wash; ice for at least 20 minutes if swollen; keep it raised
  • ☐ Don’t scratch; no home remedies
  • ☐ Mouth, throat or eyes, stung more than once, or worse: urgent help; swollen lips, tongue or throat or breathing trouble: 999 (119 in Korea)

Questions that remain

Why not tweezers for a sting?

The NHS says not to use tweezers on a stinger but to scrape it out sideways with a fingernail. For a tick it says the opposite: use fine-tipped tweezers.

I got a rash after a tick bite.

The NHS says see a GP if you think a tick bit you and you have flu-like symptoms or a round rash. Korean scrub typhus guidance is in the scrub typhus post.

Sources

  • NHS — Insect bites and stings — source (page shows: reviewed 1 June 2023, next review 1 June 2026 — the review date has passed and we quote the page as shown; checked 19 October 2026). Symptoms and duration, 5 things to do and 2 don’ts, pharmacist, removing stings and ticks, 2 GP, 7 urgent and 7 999 reasons.
  • Not read. Korean agency guidance on stings; ways to avoid insects.
  • What we added. The “worth noting” column and the Korean care gloss.

Where else to check

  • A pharmacy or clinic — if the itching is bad or it isn’t improving.

Written on 19 October 2026. The content is from the NHS; the glosses are ours.