Tick Bites: Pictures, Symptoms, and Treatment

Unfortunately, tick season is here. If you and your pets go outside, it’s important to be aware of ticks! Be clear on what a tick (and tick bite) looks like, Lyme disease symptoms, how to prevent tick bites, and how to remove ticks—plus, what to do with a removed tick!

What Are Ticks?

Ticks are small bloodsucking parasites. Although people assume ticks are insects, they are actually arachnids (like spiders) with three pairs of legs and one pair of antennae.

They are the leading carriers of diseases to humans in the U.S., and second only to mosquitoes worldwide. Not only do ticks carry the very dangerous Lyme disease, but they also carry Rocky Mountain spotted fever, Colorado tick fever, and a number of other diseases. 

There are both hard ticks and soft ticks, but it’s the hard ticks that are associated with most diseases. Hard ticks have a tough back plate and tend to feed for hours to days. With hard ticks, disease transmission usually occurs near the end of a meal.

What Do Ticks Look Like?

Ticks are very tiny! At the nymph stage, a tick is about the size of a poppy seed and translucent. By the adult stage, it’s the size of a sesame seed. Both nymph (young) and adult deer ticks will bite humans. Most cases of Lyme disease are contracted when deer ticks are in the nymphal stage because they are so tiny and latch onto bodies unnoticed. 

If you look carefully, you can identify a tick not only by its number of legs but also by its scutum or “shield” on the top side. In adult females, the scutum covers the front 1/3 of the body; in males, it covers the entire body. 

Which Ticks Transmit Lyme Disease?

In the United States, Lyme Disease is transmitted by the black-legged tick, also called the deer tick; it’s found mostly in the Northeast and Upper Midwest of the United States. Along the Pacific coast, the western black-legged tick transmits Lyme disease. 

When an infected black-legged tick bites a human, pet, or other animal, it transmits the bacterium Borrelia burgdorferi. Prompt tick removal lowers the risk of Lyme disease transmission.

Lyme disease is most common in the Northeast, Upper Midwest, and Mid-Atlantic United States.

What Does a Tick Bite Look Like?

Tick bites are also generally painless and may go completely unnoticed. On day one, the typical bite reaction is a red spot. It may look similar to a mosquito bite with redness or a red bump. If it goes away in 1 to 2 days, there’s nothing to worry about. Only a small number of individuals will develop Lyme disease following a tick bite.

After 3 days, watch out for the telltale Lyme disease rash, called erythema migrans. This rash usually forms the shape of a bull’s-eye around the location of the tick bite. (Note: The appearance can vary widely.) It is red and usually appears within 3 to 14 days of the tick bite. The rash will then grow larger, and sometimes more than one rash can develop. 

After 3 to 30 days, you may also start to have a fever, headache, chills, sore joints, and fatigue. Be aware that you may have these symptoms without a bull’s-eye rash. Either way, call your doctor. Other rashes can develop around tick bites that are not associated with Lyme disease, but it is best to be safe. 

Lyme disease can be treated successfully with a few weeks of antibiotics. Early diagnosis and treatment will usually lead to full recovery. So, it’s critical to identify Lyme disease early to get prompt and appropriate antibiotic therapy.

After 30 days, if left untreated, Lyme disease can be incredibly debilitating as the infection can spread to joints, the heart, and the nervous system. Symptoms include neck stiffness; facial palsy (loss of muscle tone or droop on one or both sides of the face); arthritis with severe joint pain and swelling; pain in tendons, muscles, joints, and bones; shooting pains in the hands or feet; and more.

Tick Prevention Is Worth the Effort!

Tick bites can lead to a range of diseases, which can cause paralysis or even death. (See a list from the Centers for Disease Control and Prevention of 16 tick-borne diseases.) Taking steps to avoid ticks is worth the effort.

• Avoid tick-friendly areas such as tall grasses, brush, woods, meadows, and leaf litter. Ticks like moist areas with thick vegetation; they are rarely in your garden, dry pastures, or cornfields.
• If you live in an area known to have ticks, wear the right clothes: long pants tucked into socks, a long-sleeved shirt, and a hat.
• Wear light-colored protective clothing so you can more easily see the tiny ticks.
• Use an insect repellent containing 20–25% DEET; take care to cover exposed skin such as hands, wrists, ankles, and neck. Always follow label directions.
• Campers and hikers: If you’re going outdoors, stick to the main trail. Treat all clothing, gear, and shoes/boots with 0.5% permethrin in advance and let dry on clothing. It will repel ticks for up to six washings. 
• Tall rubber boots are too slippery for ticks. Also, wear long sleeves and long pants to keep them off your skin.
• Before you come inside, do a “tick check” on all people and pets. Here are places ticks like to hide:
  • In and around the ears
  • Backs of knees
  • Around waist
  • In and around hair
  • Under the arms
  • Inside belly button
  • Between the legs
• Shower within two hours of coming indoors to reduce the risk of tick bites.
• Wash clothing after spending time in tick habitat and dry it on high heat to help kill any ticks.

Ticks on Dogs

Dogs are especially susceptible to tick bites as well as tick-borne diseases.

• It’s very important to use a tick preventive product on your dog. Do not use tick products on your cat without speaking to your vet as cats are very sensitive to chemicals.
• Check your pets for ticks daily during tick season. If your dog is bitten, symptoms may not appear for 7 to 21 days, so watch very carefully for any changes in behavior. Check around the ears, tail, eyelids, and toes. Also check under the collar, under the front legs, and between the back legs. 

Tick Removal

If you find a tick on your skin, fine-tipped tweezers or a tick key will remove a tick quite effectively. To use a tick key, simply place it over an attached tick and slide it gently along the skin, removing the tick. Tweezers require a more delicate touch: 

• Use the tweezers to firmly grasp the tick as close to its head and as close to your skin as possible. Avoid squeezing the tick’s abdomen; crushing a tick may transmit diseases.
• Pull gently upward until the tick comes free. Do not twist and turn the tick, as the head or mouthparts may break off and stay in the skin, increasing the chances for infection. If this happens, remove the mouthparts with tweezers. If you are unable to remove the mouthpart easily with clean tweezers, leave it alone and let the skin heal.
• After removing the tick, thoroughly clean the bite area and your hands with rubbing alcohol, an iodine scrub, or soap and water.

• Disinfect the tweezers with rubbing alcohol and wash your hands thoroughly.
• Observe the bite area for several days. Illnesses transmitted by the tick often begin only days or weeks after the tick is gone. If symptoms occur, tell the physician if you have been outdoors.
• Symptoms may include fever, numbness, rash, confusion, weakness, pain and swelling in the joints, shortness of breath, nausea, and/or vomiting. Blood tests are needed to diagnose any illness.

What to Do With a Removed Tick

If the tick has attached, save it in a sealed container if your healthcare provider recommends testing. Otherwise, dispose of it by placing it in rubbing alcohol, sealing it in a bag, or wrapping it tightly in tape. Never crush a tick with your fingers or flush a live tick down the toilet.

Do you often deal with ticks? How do you keep yourself tick-free? Please share with the Almanac community in the comments section below!