How long before a mosquito bite starts to itch

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How long before a mosquito bite starts to itch

Beware the mosquito. (Image credit: James Gathany. Provided by CDC | Paul I. Howell, MPH; Prof. Frank Hadley Collins)

When a mosquito bites you, it doesn't just help itself to some of your blood — it also kindly gives you some of its spit in return. It's this saliva that's responsible for the irritating itch of a mosquito bite, thanks to a concoction of proteins found in it that people are slightly allergic to.

Now, a new study in mice suggests that your immune system could react to these allergy-inducing proteins for up to a week, potentially explaining why an itchy bite lingers so long.

Previous research has shown that the human immune system reacts to mosquito spit. However, it wasn't clear to what extent, because the effects were studied primarily in the immune systems of mice. But in the new study, published today (May 17) in the journal PLOS Neglected Tropical Diseases, the researchers created a close replica of a human immune system in mice. [10 Deadly Diseases That Hopped Across Species]

(The researchers noted that the immune system they created in the mice didn't have every component of a human immune system and that they want to conduct further studies to get a more complete picture.)

In the study, the researchers, from the Baylor College of Medicine in Texas, injected baby mice with human hematopoietic stem cells — which later turn into various types of blood cells, including immune system cells — that were taken from umbilical cords. When the mice grew up and had a well-established "human" immune system, the researchers held an open vial of mosquitoes against the footpads of each mouse. The insects bit each mouse around four times.

By analyzing blood bone marrow, skin and spleen cells from the mice, the researchers found that a number of immune cells remained active even seven days after the mice were bitten.

This was the "most interesting" part of the study — "that the effects lasted that long," said senior study author Rebecca Rico-Hesse, a professor of virology at the Baylor College of Medicine. The methods in this study are novel, she added, "because you can't go around sampling people's spleen and bone marrow after they've been bitten by mosquitoes."

The immune response is complex, Rico-Hesse told Live Science. For example, the levels of cytokines — proteins that help cells communicate during immune responses — sometimes increased and sometimes decreased during the time points the researchers studied. But when the researchers mixed human immune cells in a lab dish with mosquito saliva, they found that cytokines only increased with time.  

The new findings show how important it is to look at a more complete picture of the immune system like the one in the so-called humanized mice, Rico-Hesse said. "In the dish, you only have a select subgroup of immune system cells versus the mouse, where all of these cells were interacting and living in correct tissues and developing in different areas like bone marrow and spleen."

Rico-Hesse said that next, she'd like to do a similar experiment but with mosquitoes that are infected with a virus such as Zika or dengue.

"Viruses are probably hitching a ride in some of these immune cells that mosquito saliva is attracting to skin after the mosquito bites," she said. The fact that these cells are being activated for as long as seven days suggests that "viruses might escape immune system" destruction, she added.

Now it comes down to figuring out how this happens. "If we could block the effects of mosquito saliva proteins, it might be possible to "block a whole bunch of different [mosquito-borne] viruses and parasites," Rico-Hesse said.

Originally published on Live Science.

Yasemin is a staff writer at Live Science, covering health, neuroscience and biology. Her work has appeared in Scientific American, Science and the San Jose Mercury News. She has a bachelor's degree in biomedical engineering from the University of Connecticut and a graduate certificate in science communication from the University of California, Santa Cruz.

When backyard barbecues, family picnics, and lakeside hangouts are underway, it's only a matter of time before relentlessly itchy red spots start to pop up (if they haven't already) from mosquito bites. Naturally, once you get bit, you'll want to know how to make the mosquito bites stop itching.

If the overwhelming urge to scratch at a cluster of mosquito bites is disrupting your plans, there are a slew of different treatments and home remedies you could try to help relieve your itch. Some are backed by science—others not so much.

Here, learn why mosquito bites itch so much, which treatments actually work, and how to keep the insects away all summer long, with expert insight from healthcare providers.

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When a mosquito latches on to suck your blood, it leaves behind a little saliva that contains proteins your body registers as unwanted intruders. Reactions to mosquito bites are caused by your immune system's response to these proteins, Kelly Maples, MD, chair of the Dermatology Committee for the American College of Allergy, Asthma, & Immunology, told Health.

In order to protect you, your body releases compounds known as histamines. As they mount their defense, they also trigger itchiness, inflammation, and swelling.

"It's normal to have a mild reaction to mosquito bites with redness about twenty minutes after the bite, followed by an itchy, firm bump that forms over the next day or two," Dr. Maples said. Mosquito bites can be particularly itchy for children, people who haven't been bitten by a certain species of the mosquito before, or those living with immune system disorders, according to the CDC.

However, severe allergic reactions (known as anaphylaxis or "skeeter syndrome") to mosquito bites are very rare, Dr. Maples said. According to MedlinePlus, signs that indicate you should seek emergency medical care immediately include hives, swelling and redness beyond the bite site, and trouble breathing.

Otherwise, mosquito bites can be especially itchy based on how we respond to them. As annoying as they can be, it's best to avoid rubbing or scratching at them, which only makes the itch worse, Payel Gupta, MD, a board-certified allergist and immunologist and co-founder of Cleared, a teleallergy platform, told Health.

While it might feel good at first, scratching at bites damages your skin which triggers the release of more histamines—and the itchiness that comes with them. You could also increase your risk of infection by opening yourself up to bacteria in your environment and underneath your nails, Dr. Gupta said.

So, how can you finally break the itch-scratch cycle and let those bites heal? Start with mosquito bite treatments you can count on.

"Cool compresses, over-the-counter oral antihistamines, and topical corticosteroids like hydrocortisone cream can help ease reactions to mosquito bites by blocking histamine and other mediators of allergic reactions," Dr. Maples said—though there are other home remedies that may help as well.

Ice the Itch Away

"Cold exposure can help numb the area and calm down any inflammation so you don't feel the irritation from bites as much," Dr. Gupta said. You can use an ice pack to relieve itching, per the American Academy of Dermatology Association (AAD).

Lather on Anti-Itch Creams

Another option is to apply an over-the-counter calamine lotion or hydrocortisone cream according to the label instructions. Look for ointments that contain lidocaine or benzocaine for an additional numbing effect, said Anna Guanche, MD, a board-certified dermatologist and founder of Bella Skin Institute in Calabasas, Calif.

But talk to your healthcare provider before using hydrocortisone products on young children as they could cause side effects such as delayed growth and weight gain, according to MedlinePlus.

Take Antihistamines

For speedy relief from lots of must-scratch bites, try a non-drowsy, over-the-counter antihistamine like Zyrtec (cetirizine), Allegra (fexofenadine), or Claritin (loratadine). "Antihistamines block histamine receptors to reduce the intensity of the itching and the welting and swelling associated with bites," Dr. Guanche explained.

Apply Rubbing Alcohol

Dab some rubbing alcohol on bites if you're looking for quick, temporary relief, Dr. Guanche suggested. Because it rapidly evaporates, rubbing alcohol could have a short-term cooling effect which may help relieve itchiness. Too much alcohol can be irritating or burn, though, so only use a little.

Try Lemon Balm Cream

For a time-honored herbal remedy, try applying a cream that contains lemon balm essential oils to bites. "Compounds in lemon balm essential oils can help ease inflammation, speed up healing, and reduce the risk of infection," Dr. Guanche said. However, talk to a healthcare provider to make sure it's safe and determine the proper dosage to use if you're pregnant, breastfeeding, or treating a child.

Within a few days, you should feel better. But if you give these a try and your mosquito bites look worse or just won't stop itching, the AAD recommends that you see a healthcare provider for additional treatment.

Despite old wives' tales or other beneficial properties, the healthcare providers we spoke with say these remedies aren't worth your time when it comes to easing itchy mosquito bites:

  • Honey
  • Oatmeal baths
  • Aloe vera
  • Basil
  • Garlic
  • Baking soda
  • Lemon or lime juice
  • Toothpaste
  • Vinegar

While some home remedies for mosquito bites such as honey, oatmeal, and aloe vera could help dial down inflamed skin, they're not nearly as effective in the anti-itch department compared to other mosquito bite treatments, Susan Bard, MD, a board-certified dermatologist based in New York City, told Health. Others like garlic and baking soda could also cause effects you definitely don't want like skin irritation, dryness, and burns, Dr. Bard noted.

Usually, it only takes one bad cluster of mosquito bites to remind you that prevention is the best medicine. Here are a few ways to reduce your risk of being bitten by mosquitoes from the CDC.

Spray Away

Use an insect repellent approved by the Environmental Protection Agency such as DEET, picaridin, IR3535, oil of lemon eucalyptus (OLE), para-menthane-diol (PMD), or 2-undecanone. For children, avoid OLE or PMD products, opt for DEET 30% or lower, and avoid using repellent on infants younger than 2 months old.

Cover Up

Wear long sleeves and pants or treat your threads with permethrin spray specially formulated for clothing, which irritates biters on contact. (Of note, permethrin spray should not be used directly on the skin per the CDC.)

Pour Out Standing Water

Regularly turn over water collectors (hot spots for mosquito eggs) in your yards—such as bird baths, buckets, trash cans, and flower pots. The CDC also recommended that you make sure to cover water storage containers (e.g., buckets and cisterns) so that mosquitoes cannot get into them.

Hang Mosquito Nets

Surround outdoor hangout areas, strollers, and baby carriers with mosquito netting to keep bugs out, and patch up holes in screens on doors and windows.

Mosquito bites are annoying and itchy. While there are some ways to avoid them—using insect repellent, mosquito nets, and more—those pesky bites are sometimes inevitable. To tame down the itchiness, try applying lemon balm cream, cold compresses, and anti-itch creams. If you have what appears to be an allergic reaction to a bite (hives, difficulty breathing), seek out emergency medical care.

Can mosquito bites start itching hours later?

Thereafter, most of us develop a tiny, itchy red bump that appears hours to days after they have been bitten and may last a few days. However, some people have more serious reactions like blistering lesions or larger hives accompanied by fever and joint swelling.

How long does it take for a bite to start itching?

It may develop immediately after being bitten. A weal lasts about two hours, but is often followed by a small itchy solid lump which develops up to 24 hours later. This can last for several days before fading away. A localised allergic skin reaction - occurs in some cases causing swelling at the site of the sting.

How long does mosquito bites take to show?

Mosquito bites often happen on parts of the body that aren't covered by clothing. Symptoms include: An itchy, inflamed bump that forms a few minutes after a bite. A painful spot that looks like a hive and forms within 24 hours after a bite.

Why do mosquito bites start to itch days later?

Now, a new study in mice suggests that your immune system could react to these allergy-inducing proteins for up to a week, potentially explaining why an itchy bite lingers so long.