Sea ‘stings’ in UK and Med waters - first aid, folklore and facts.
When it comes to stings you get in the sea from creatures like jellyfish or the Portuguese man o' war, there's a tremendous amount of folklore and "beach wisdom" that gets passed down through generations. Much of it is ineffective, and some can even make the sting worse. Let's break down the folklore and compare it to current medical advice.
1. The Urine Myth
This is perhaps the most famous piece of folklore, popularised by TV shows and films.
The Folklore: The belief is that the ammonia and uric acid in urine will neutralise the venom from the jellyfish's stinging cells (nematocysts).
The Reality: This is completely ineffective and not recommended. The composition of urine is not consistent enough to be a reliable treatment. The low concentration of salts in fresh urine (compared to seawater) can cause the stinging cells that haven't yet fired to discharge their venom, intensifying the pain and making the sting much worse.
Verdict: Myth, and a potentially harmful one, and no one wants a well-meaning friend or family member embarrassing all on the beach!!
2. The "Cocktail" or Alcohol Remedy
This refers to using alcoholic drinks or rubbing alcohol on a sting.
The Folklore: The idea is that alcohol, like spirits (gin, vodka) or surgical spirit, will "disinfect" the area and neutralise the venom.
The Reality: Similar to urine, applying alcohol is a bad idea. It can also trigger the nematocysts to fire, increasing the amount of venom released into the skin and causing more pain.
Verdict: Myth, and definitely one to avoid. What a waste of an expensive beach cocktail that would be!
3. Beach Plants and Natural Remedies
The Folklore: People often suggest rubbing sand, seaweed, or specific coastal plants onto a sting. The idea behind rubbing sand is to scrape off the stinging cells physically. Other beliefs involve the soothing properties of certain plant saps. In some parts of the world, specific plants like the sea hibiscus are used traditionally.
The Reality: Rubbing the area with sand or a towel is abrasive and will almost certainly trigger any remaining nematocysts, effectively "squeezing" more venom into the skin. While some plants may have soothing properties for general skin irritation, there is no scientific evidence that common UK beach plants can neutralise marine venom. This approach is more likely to cause further irritation and pain.
Verdict: Myth. Do not rub the sting.
Other Common Folk Remedies
Meat Tenderiser: The theory was that an enzyme (papain) in the tenderiser would break down the proteins in the venom. This has been scientifically debunked as the venom is injected too deeply into the skin for a surface application to have any effect.
Baking Soda Paste: While less harmful than others, a baking soda paste is generally considered ineffective against the venom of jellyfish common to UK and European waters.
What Works: The Recommended First Aid
Medical advice has evolved, and the current best practice is clear and straightforward. Here’s what the NHS and RNLI recommend for stings from creatures found in UK waters:
Rinse with Seawater: Immediately rinse the affected area with seawater (not cold fresh water). This helps wash away any invisible stinging cells that have not yet fired.
Remove Tentacles: Use a stick, a credit card edge, or tweezers to carefully remove any visible tentacles. Do not use your bare hands.
Heat Application (The Best Pain Relief): For jellyfish and Portuguese man o' war stings, the best way to treat the pain is with heat. Immerse the affected area in hot water—as hot as can be comfortably tolerated without burning (around 43-45°C)—for at least 30 minutes. A hot flannel or towel can also be used. The heat helps to break down the proteins in the venom, providing effective pain relief.
Painkillers: Take simple painkillers like paracetamol or ibuprofen. If itchy, an antihistamine will help.
Local Anaesthetic: Apply local anaesthetic numbing creams.
A Note on Vinegar: You may have heard that vinegar (acetic acid) is recommended. This is only effective for certain types of jellyfish, most notably the Box jellyfish, which is not found in UK waters.
For the jellyfish and Portuguese man o' war common here, vinegar can make the sting worse by causing the nematocysts to discharge. Therefore, it should not be used in the UK or Europe as effectiveness depends on the type of envenomation, particularly the species of jellyfish involved. For Mediterranean jellyfish stings, especially those caused by scyphozoan species such as Pelagia noctiluca, vinegar (acetic acid) has been shown to trigger nematocyst discharge, which can worsen pain and local symptoms. Seawater is considered a neutral solution and is recommended for rinsing the sting site, as it does not induce nematocyst discharge or exacerbate symptoms. The use of vinegar, acetic acid, or commercial products based on these compounds is counterproductive for scyphozoan stings in the Mediterranean. In the United Kingdom, jellyfish stings are typically from scyphozoan species, and the evidence supports that vinegar is not effective and may worsen symptoms.
