Spider Bite

Definition

  • Bite from a spider

Symptoms

  • Bite symptoms include redness, pain, swelling
  • Helpful if spider seen on the skin or around the child

Types of Spider Bites

Black Widow Spider Bite

  • A shiny, jet-black spider with long legs (total size 1 inch or 25 mm).
  • A red (or orange) hourglass-shaped marking on its under-side.
  • Causes immediate local pain and swelling.
  • Sometimes, you can see 2 fang marks at the bite site.
  • Severe muscle cramps (especially stomach cramps) occur within 1 to 6 hours. These last 24 to 48 hours.
  • Rarely causes death. (EXCEPTION: bitten by several spiders or small child is bitten)
  • Note: Many are dry bites because the fangs are small.
  • The brown widow spider is related to the black widow. It is found in southern US.
  • Brown widow spider bites are treated the same as black widow bites.

Brown Recluse Spider Bite

  • A brown spider with long legs (total size 1/2 inch or 12 mm).
  • A dark violin shaped marking on top of its head.
  • Causes pain at the bite. Blisters form within 4 to 8 hours.
  • The center becomes bluish and depressed (crater-like) over 2 to 3 days.
  • Skin damage may require skin grafting in 10% of cases.
  • Other symptoms such as fever, vomiting, muscle pain can occur. No life-threatening symptoms occur.
  • Brown recluse spiders are hard to identify. If you can, bring the spider along in a jar.

Non-dangerous Spider Bites

  • More than 50 spiders in the U.S. have venom. Their bites can cause nonserious reactions. This includes pain or redness at the bite site.
  • The bites are painful and swollen. This lasts for 1 or 2 days. They can feel and look like a bee sting.
  • Some single, unexplained, tender bites that occur during the night are due to spiders.

FIRST AID Advice for Shock: Lie down with feet elevated.

FIRST AID Advice for Spider Bite (localized symptoms only):

  • Wash bite wound with soap and water.
  • Use a cold pack to the bite for 10-20 minutes.

FIRST AID Advice for Black Widow Spider Bite:

  • Wash bite wound with soap and water.
  • Use a cold pack to the bite for 10-20 minutes.
  • If possible, capture the spider and place it in a jar (for spider identification).
  • Do not use heat. Reason: It may increase the pain.
  • Do not use a tourniquet or pressure bandage. Reason: There is no evidence that this helps.

FIRST AID Advice for Brown Recluse Spider Bite:

  • Wash bite wound with soap and water.
  • Apply a cold pack to the bite for 10-20 minutes.
  • If possible, capture the spider and place it in a jar (for spider identification).

When to Call Us for Spider Bite

Call 911 Now (your child may need an ambulance) If

  • Trouble breathing or wheezing
  • Passed out or too weak to stand
  • You think your child has a life-threatening emergency

Call Us Now (night or day) If

  • Your child looks or acts very sick
  • Black or brown widow spider bite suspected (see FIRST AID)
  • Stomach pain, chest tightness or other muscle cramps
  • Bite pain is severe and not improved after using care advice
  • Fever and bite looks infected (spreading redness)
  • You think your child needs to be seen urgently

Call Us During Weekday Office Hours If

  • You have other questions or concerns

Parent Care at Home If

  • Non-serious spider bite

CARE ADVICE FOR NON-DANGEROUS SPIDER BITES

What You Should Know:
  • Most spider bites look and feel like a bee sting.
  • The main symptoms are pain and redness.
  • Here is some care advice that should help.
Cleansing:
  • Wash the bite well with soap and water.
Cold Pack:
  • For pain or swelling, use a cold pack. You can also use ice wrapped in a wet cloth.
  • Put it on the bite for 20 minutes.
Pain Medicine:
  • To help with the pain, give acetaminophen (such as Tylenol) or ibuprofen. Use as needed. See Dose Table.
What to Expect:
  • The swelling and pain lasts for 1 to 2 days.
  • It should not be any worse than a bee sting.
Call Your Doctor If:
  • Severe bite pain lasts more than 2 hours after pain medicine
  • Stomach pains or muscle cramps occur
  • Bite pain lasts more than 2 days (48 hours)
  • Bite starts to look infected
  • Your child becomes worse
Black Widow Spider

Brown Recluse Spider


And remember, contact us if your child develops any of the "Call Us" symptoms.

Author and Senior Reviewer: Barton D. Schmitt, M.D.

Copyright 1994-2013 Barton D. Schmitt, M.D.