Symptoms and Signs of Catfish Sting: Treatment (2024)

Medical Author: John P. Cunha, DO, FACOEP

Medically Reviewed on 9/24/2021

Doctor's Notes on Catfish Sting

Catfish are a distinctive type of fish with whiskers protruding from the area around the mouth and external spines near their fins. Catfish are usually found in muddy rivers, lakes, and on beaches in tropical, subtropical, and temperate waters. Catfish are not aggressive. Catfish sings usually occur when people are fishing or bathing and they come into contact with a catfish, often by stepping on it or handling the fish after it has been caught. Both saltwater and freshwater catfish stings are dangerous. Each type of catfish has three spines and a stinging apparatus.

  • Symptoms of a Catfish Sting may include severe pain and inflammation at the site of the sting.
  • See a doctor if you have been stung by a catfish.
  • Over-the-counter (OTC) medications are usually recommended to relieve pain and decrease redness and inflammation from the catfish sting.

What Is the Treatment for a Catfish Sting?

Catfish stings are usually not life threatening but can be very painful. There is no direct antidote for a catfish sting and treatment is usually aimed at relief of symptoms.

Treatment of a catfish sting may include:

  • Immersing the stung body part in water as hot as is tolerable to inactivate the proteins and relieve pain from a sting
  • Spines should be removed carefully
  • Any wound should be scrubbed with soap and thoroughly rinsed with fresh water
  • Cover the wound but do not close with dermal glue or stich it together
  • Oral antibiotics are recommended for catfish stings that become infected
    • Seek medical care if the wound is red and you think it may be infected
    • Antibiotics should be taken if infection develops and continued for at least five days after all signs of infection have resolved
  • Pain associated with a catfish sting may be relieved with over-the-counter (OTC) pain medications such as acetaminophen (Tylenol) every four hours and/or one to two ibuprofen (Motrin, Advil) every six to eight hours

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  • Starfish Puncture Wounds Sea stars (starfish) and crown of thorns are both bottom dwellers. They can puncture the skin, which causes pain. Symptoms of starfish or crown of thorns puncture wound include pain, bleeding, inflammation at the injury site, nausea, vomiting, weakness, numbness, and in rare cases paralysis.Treatment methods include cleaning the area, removing any spines if possible, antibiotic cream, and oral antibiotics if infection occurs. Sea stars and crown of thorns punctures may need to be treated by a doctor.
  • Stingray Injury Injuries from sharklike stingrays are usually defensive actions, not attacks. Once disturbed, their venomous stinger (spine) at the base of their tails lashes out and can cause cuts or punctures. Stingray stings usually happen by accident when someone steps on stingray, resulting in injury to the legs or feet. Symptoms of a stingray bite include a jagged cut, swelling, bleeding, color change of injury, sweating, severe pain, low blood pressure, shortness of breath, weakness, vomiting, diarrhea, nausea, and more. Prevent stingray injury by shuffling your feet while wading in water to keep stingrays away.
  • Stingray Sting Stingrays have flat bodies with long, slender tails that have serrated spines. Their serrated spines can cause lacerations (cuts) and puncture wounds. The spines also contain venom. Stingray stings are one of the most common dive and beach-related injuries, and most require immediate medical attention.
  • Stitches and Sutures for Wounds and Lacerations Stitches are often required to help deep wounds heal and prevent major scarring. Other methods are available to surgeons and ER doctors as well, however. Depending on the wound, doctors can choose from several options for closure, including:skin glue (Dermabond),sutures (stitches), orstaples
  • Surgeonfish Cuts Surgeonfish (doctorfish, tang) is a tropical reef fish that has spines near the tail that can inflict cuts or lacerations. Symptoms of a surgeonfish cut are pain and bleeding.
  • Weever Fish Sting Weeverfish (weever fish) are the most venous fish found in the North Sea, European coastal areas, the Black Sea, Mediterranean Sea, and Eastern Atlantic Ocean. Symptoms of a weeverfish sting may include fever, chills, seizures, fainting, nausea, low blood pressure, cardiac arrhythmia, headaches, sweating, and difficulty breathing.
  • Wound Care Wounds are lacerations, cuts, or punctures in the skin. Wounds can be superficial, deep, punctures, or pressure sores. The amount of pain, inflammation, and bleeding depend on the type of wound. Most superficial wounds can be treated at home. Deep wounds, or complicated wounds generally need medical care. Sutures, staples, or surgical glue for a wound depend on the depth of the wound and the time lapse between the injury and when medical care is sought.

REFERENCE:

Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.

Symptoms and Signs of Catfish Sting: Treatment (2024)
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