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Medical Forum / General / General / January 2004

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Advice for bluebottle stings

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Paul Brown - 19 Jan 2004 11:31 GMT
Remedy that worked extremely well:
Wash area stung with soap and warm water. Apply neat TCP(see below).
The pain was effectively gone in a couple of hours, about six hours
later the welts were gone too.

This was the treatment I applied after I had received a really bad
second sting in two days. I was about 100m out body surfing, and had
popped about half a dozen blue bottles (I assume they sink when the
air sac is popped - maybe not, and this is why I got stung).  I am
always careful when surfacing after diving under a wave as I am really
scared of getting stung near my eyes, but this one got me while I was
swimming (head up, water-polo style) against the sidewash in clear
water. It got me across my cheek, neck, chest, under the arm and
across the shoulder blade. I scraped it off furiously for a few
seconds (never did see the air sac) then struck off for the beach. I
had had a bad sting two days before (see below) so was worried that I
might get a limb seizure as I had previously.

Read the rest of this message... (55 more lines)
*** THIS IS RECOMMENDED IF YOU WANT THE FULL DETAILS OF THE REMEDY ***

Once on land I asked at the life-guard tower for some vinegar (this is
provided at beaches at the Great Barrier reef for same - I will quote
an article tomorrow that claims this is ineffective, which suggested
meat tenderizer instead {I remember when I was a child my father used
to say use paw-paw skin, apparently some enzyme therein helps}). The
life guards had a tube of white cream, I asked to see what it was, the
name was not memorable - something pretty generic and uninformative. I
most remember them asking me to leave the tower as I was dripping on
their floor!

I made speed back to the holiday flat, fortunately only a few minutes
fast walk. By now my cheek and underarm were stinging violently. Once
there I did not try any of the previous remedy that had not worked,
instead took a warm bath and soaped off all the stinging areas. On a
whim I tried neat TCP, applied liberally to all these areas.
TCP is an antiseptic product produced by Pfizer Laboratories,
containing
6% Chlorinated Phenol
2% Phenol (Isn't this the stuff mothballs are made of - it certainly
smells thereof)
1% Iodinated Phenol
½% Sodium Salicylate.

I am not sure whether it was the soapy wash or the TCP, but the
results were dramatic compared with the previous treatment I
attempted. As I said above, 6 hours later no pain and no marks.

The previous sting referred to above, occurred when walking at the
surf's edge on the beach. Being aware of blue bottle presence, I was
watching out for them, and had been fishing them out and burying them.
A lifeguard's opinion was that the stinging tails remain active for
about 12 hours after removal from water - any one have corroboration
of this or alternative information?

Anyway, out of the blue I got a stinging tail wrapped around my ankle.
The first priority was to get this off - no sticks or implements
around so I scoured it off with sand (the article I will cite tomorrow
also says this is a no-no, what else can one do though?). Then I got
some ice from a beach vendor and held this on for about 10 minutes.
The latter is my universal treatment for all injuries bar frost-bite,
and generally it works very well, particularly for cuts, burns,
bruises, insect bites etc.

So I sat on the beach, watching everyone else continue swimming in
blue bottle riddled water (as I was to do myself too, prior to the
incident above) waiting for my remedy to take effect. Well it didn't,
I started developing a mild seizure in my hamstring and also began to
feel dizzy. I stuck this out for about 45 minutes, with the side
effects getting worse, then decided to get back to flat. I doused it
with methiolate there (a mercurochrome based product) and had a few
cups of warm sugary tea, but it took most of the day before I felt up
to doing anything, and it was painful for a couple of days.

The contrast between the two recoveries astounded me. I realise one
probably gets variation in virulence between bluebottles, but given
the initial pain of the later sting being as much, if not more,
pronounced than the sting on my ankle, I doubt this could explain the
different reactions.

The final anecdote I have was the only other time I had a serious blue
bottle sting - the tail wrapped a couple of times round my forearm. I
don't think I put anything on that, if anything it was only something
like Dettol. I can't remember how long the stinging lasted, but the
welt was visible for 8-10 days.
NZed - 19 Jan 2004 11:58 GMT
Thanks for that Paul.
I was also stung today...Lots of the blighters....
The worst I had was a few years ago when I had a blue bottle wash into my
wetsuit.
It was like whiplash across my neck and chest.
I tried everything then. With not much luck.
NZed

> Remedy that worked extremely well:
> Wash area stung with soap and warm water. Apply neat TCP(see below).
[quoted text clipped - 81 lines]
> like Dettol. I can't remember how long the stinging lasted, but the
> welt was visible for 8-10 days.
Raffi Balmanoukian - 19 Jan 2004 14:40 GMT
> Thanks for that Paul.
> I was also stung today...Lots of the blighters....
[quoted text clipped - 8 lines]
>> The pain was effectively gone in a couple of hours, about six hours
>> later the welts were gone too.

By TCP do you mean Trisodium Phosphate?  That's what it means to me and it's
EXTREMELY corrosive - we use it to scrub paint!
XPEH - 19 Jan 2004 15:10 GMT
i heard that vinegar works well

> Remedy that worked extremely well:
> Wash area stung with soap and warm water. Apply neat TCP(see below).
[quoted text clipped - 81 lines]
> like Dettol. I can't remember how long the stinging lasted, but the
> welt was visible for 8-10 days.
shaft? - 19 Jan 2004 15:49 GMT
Try pissing on yourself

> i heard that vinegar works well
Awe F'shore - 19 Jan 2004 16:13 GMT
Pre-emptively

> Try pissing on yourself
>
> > i heard that vinegar works well
Roger Martin - 19 Jan 2004 21:35 GMT
General advice from surf lifesaving training is to apply a lot of fresh
water to the sting - washing off whatever remains. Then apply ice directly
onto the sting to cool the burning sensation. Dont use salt water as this
will make it worse. Vinegar is generally thought to be ineffective and may
make some stings worse on children - even scarring.

Dont pop the little buggers on the beach or in the sea as they are
impossible to see when back in the water.

Danger days are when there are North Easterly winds (East Coast) blowing the
little buggers down from the tropics.

I was told by guy up North that the large number of Bluebottles is due to
the reduction in numbers of Barramundi - they apparently feed on the
Bluebottles.

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Roger Martin - 19 Jan 2004 21:53 GMT
Ooops - forgot to mention that vinegar is the first aid for the blue ring
octopus sting - first aid!! If stung you must get to hospital ASAP. If stung
some people will stop breathing and they should be given mouth to mouth
until the paralysis stops and they can breathe again on their own. Never
give up even if you have to keep at it for an hour or more.
tyubes - 23 Jan 2004 04:48 GMT
best advice I've heard here for awhile.
bluebottles aren't gonna kill anyone, box jelly fish or a fishy jelly box
might!
take precautions folks! ;)

> Ooops - forgot to mention that vinegar is the first aid for the blue ring
> octopus sting - first aid!! If stung you must get to hospital ASAP. If stung
> some people will stop breathing and they should be given mouth to mouth
> until the paralysis stops and they can breathe again on their own. Never
> give up even if you have to keep at it for an hour or more.
Turby - 20 Jan 2004 14:00 GMT
>General advice from surf lifesaving training is to apply a lot of fresh
>water to the sting - washing off whatever remains. Then apply ice directly
[quoted text clipped - 4 lines]
>Dont pop the little buggers on the beach or in the sea as they are
>impossible to see when back in the water.

ISTR that hot water is better than ice water, and that some people
wear pantyhose or spandex rashguards during the season with some
success. Dunno if that's true or not.

Turby the Turbosurfer
Roger Martin - 21 Jan 2004 11:21 GMT
> >General advice from surf lifesaving training is to apply a lot of fresh
> >water to the sting - washing off whatever remains. Then apply ice directly
[quoted text clipped - 10 lines]
>
> Turby the Turbosurfer

Stinger Suits are the go - full body rashies.

The surf life saving clubs usually get the kids to wear them North of Hervey
Bay during the stinger season. A few years ago when the State Champs for
Nippers was held at Sarina it was compulsory for all of the kids to wear the
stinger suits.
Raoul Duke - 19 Jan 2004 16:30 GMT
Meat tenderizer or baking soda also work well for Bluebottle (aka Portugese
Man O' War) stings, as they neutralize the sting.  I have also been told
that putting water on or rubbing the affected area will only worsen the
sting.
Tom Henderson - 22 Jan 2004 23:19 GMT
> Meat tenderizer or baking soda also work well for Bluebottle (aka
> Portugese Man O' War) stings, as they neutralize the sting.  I have
> also been told that putting water on or rubbing the affected area will
> only worsen the sting.

I wondered if they were what we call Portugese Man O' War. Haven't had the
pleasure myself, but I hear that's a sting that puts the standard jellyfish
sting to shame! Ouch!
Glenn - 19 Jan 2004 23:15 GMT
What should you do though while you are racing and get a blue-bottle sting?
I am doing a 20km
race next month and it is quite possible I'll get stung. What do you do if
you still want to
finish the race. I'm thinking of removing it, pouring vinegar on the
infection and taking some
liquid panadol. Is this a bad idea or have any otherong distance swimmers
have some better ideas?

Thanks,
Glenn
shaft? - 19 Jan 2004 23:34 GMT
> What should you do though while you are racing and get a blue-bottle sting?
> I am doing a 20km
[quoted text clipped - 4 lines]
> liquid panadol. Is this a bad idea or have any otherong distance swimmers
> have some better ideas?

Call your mommy!
 
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