I would not attempt to give a specific diagnosis based on the information and one photo you have posted.


Most bites / stings in this country don’t need a visit to the doctor – helpful advice may often be given, if needed, by a pharmacist.


For those with more serious symptoms, it’s essential, in my opinion, to speak to the patient, take a full clinical history, and make a careful examination.


It is possible to give general advice and links which may be helpful.


• Insect bites and stings are common – and appear to be getting commoner – in the UK, usually only causing mild irritation.


• While bites and stings – not only from insects but also snakes, fish and jellyfish – may be more serious in the Philippines, and so far dengue and malaria only occur in the UK when " imported " from the tropics, there’s an increasing chance of disease-carrying mosquitoes surviving in the UK within the next decade or so.



• A small proportion of bites and stings in the UK MAY be serious.


1. They may cause a " large localised reaction ", with / without infection ( made worse by scratching ).

2. They may also cause a " systemic reaction " ( due to allergy – usually AFTER repeated bites or stings, due to the body over-reacting ).


• Have a look at these links which give information and advice which should be helpful :-



http://www.patient.co.uk/health/inse...stings-leaflet
http://www.nhs.uk/Conditions/Bites-i...roduction.aspx



http://www.nhs.uk/Livewell/bites-and...ite-sting.aspx



http://www.nhs.uk/Conditions/Bites-i.../Symptoms.aspx



http://www.nhs.uk/Conditions/Bites-i...Treatment.aspx



http://www.nhs.uk/Conditions/Bites-i...revention.aspx



http://www.traveldoctor.co.uk/stings.htm