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How to Identify a Spider by Its Bite

A black widow spider, with its tell-tale red hourglass. If you feel pain when the spider bites, this is likely the culprit.

by James Hubbard, MD, MPH

I’ve seen a lot of spider bites in my day, and more often than not, the spider is never seen. Over the years I’ve developed several tricks for how to identify the spider by the bite.

There are three types of poisonous spiders in the U.S. The brown recluse is found in the southern two-thirds of the country. It likes to hide in boxes so I often wonder if it doesn’t catch an occasional ride by freight. The hobo spider likes it out west. The black widow has been found in every state but Alaska.

Here are my tips on how to identify a spider bite.

1. Evaluate the Pain

If you feel pain when the spider bites, it’s likely a black widow, whose bite is often but not always painful. You may also develop severe body aches and fever.

A brown recluse spider bite is a slight sting at best. Most of the time you feel nothing. They hide in or under boxes, under your bed sheets, in your clothes. The first you know about it is the pain that develops several minutes to hours after the bite.

A brown recluse spider bite, two months later. This is the eschar—the black, leathery, dead tissue—that can form over the wound. The photographer writes that it was surgically removed about a month after this photo.

A hobo spider’s bite feels similar to a brown recluse’s, and the pain also occurs minutes to hours after the bite.

2. Look at the Skin Damage

That’s the key to the brown recluse spider bite. You may not know when it bit you, but the bite area becomes red, blistered, or black. The area starts out small, and the redness spreads. A black spot of dead tissue develops in the middle of the redness. This dead tissue can be anything from small and superficial to deep and large—sometimes enough to warrant a skin graft when everything’s said and done. As the tissue dies, the area becomes very painful.

The hobo spider can cause skin damage, but less so than the brown recluse.

The black widow spider bite causes a red spot that’s sometimes hard to see. (More obvious: It can cause plenty of muscle aches and cramping throughout the body for one to three weeks.)

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How to Treat a Bite From a Poisonous Spider

If you can get to a doctor, do so. If you can’t, consider the following.

If you think the spider was a brown recluse or hobo:
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  1. Slow the venom’s spread: Apply ice, and keep the area at heart level or above.
  2. Prevent infection. As the black layer of dead skin (eschar) sloughs off, treat the wound as you would any other, by keeping it clean and covered and applying antibiotic ointment or honey. Some large wounds take several weeks to heal. If it starts looking infected, you’ll need oral antibiotics.
  3. Treat the pain. Take an over-the-counter pain reliever.

Some think steroids might decrease the extent of skin damage from a brown recluse bite. Sometimes skin grafts are required when the wounds are too big to heal on their own.

If you think the spider was a black widow take a pain reliever like ibuprofen or acetaminophen for the muscle cramps.

Within minutes to hours, a black widow bite can lead to severe chest and abdominal pain mimicking appendicitis or a heart attack. It can make your blood pressure go up, which may need to be treated. (Possible signs include an increased heart rate and a flushed face.) If you can’t get to a doctor, rest to try to lower the blood pressure. In worst cases, antivenin may be given.

The good news is it’s very rare to die from a spider bite.

Has anyone ever had a brown recluse, hobo, or black widow bite? How did you identify the spider type? What were the symptoms? How was it treated? How are you doing now?

 

Black widow photo by Texas AgriLife Extension Service. Photo of brown recluse spider bite by Jeffrey Rowland.

  • Layla

    I have slept in my basement several nights this past week due to extreme summer heat- it is cooler down there. I have definitely noticed spiders in my basement, but thought little of it. Yesterday evening, I was cooking supper and felt a sharp pinch on my back. I immediately revealed the site to my companion, who confirmed that there was no bug on me at the time- I must have just finally rubbed the area on my clothing in a way that irritated. It looked almost like a big mosquito bite, but it felt painful and tight rather than itchy. I put polysporin and a bandaid on it over night. In the morning, it seemed to have slightly less red skin surrounding the bump. Now, approximately 24hrs after finding the bump, I noticed that it looks like a big pimple, with a white head on top. It still hurts if any pressure it is touched even lightly, and bulges unpleasantly. Does anyone know what this might be? Do I need to see a physician, or will it likely heal fine on its own? THANKS!

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Any spider can cause such a reaction. Or many other insects. You could try heat, ibuprofen, and Benadryl, but if it’s not getting better see your doctor. If it’s getting worse and your doctor is not in today, consider an urgent care center. It may be getting infected.

  • Lanna

    Im not sure if I have a spider bite or not. Its some kind of biteI have never experienced before. I live in GA about an hour away from Savannah. This morning I woke up with a bite on the left side of my chest that looked like a mosqueto bite. It didnt hurt or itch, nothing. So I went about my day as usual. Its now 10:16pm here and about 30 minutes ago when I put my son down in his crib, the area of the bite started itching. I walked out of his room scratching and when I looked down, the bite it now dark red with a raised center. It almost looks more like a burn then a bite. Ive tried searching for information on what kind of bug could cause this but I have found nothing. Does anyone know what tbks could be?

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Any spider could give you a local reaction. Many bugs can also. If the spot in the middle turns black, it could be a brown recluse.There’s also a thing called a blister beetle, but it’s usually more blister than redness http://entnemdept.ufl.edu/creatures/urban/medical/blister_beetles.htm

      Unless it’s getting infected, benadryl will usually help, along with some over-the-counter cortisone cream, baking soda, etc.

      • LanLanna

        Thank you for your reply. My main concern istoxin because I am on medication for heart failure

        • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

          It’s always best to talk to your doctor and take her/his advice, but I would think that you would have felt any toxin effect by now, it there were going to be any.

  • katie anne

    A week ago I noticed 3 red bumps on my right side, directly above pelvic. They were red and somewhat itchy, but not blistered or particularly painful. By the time 48 hours had past the bumps had blistering in the middle and some blisters began to open. Now they have progressed into a pitted dark red/black center and now very sensitive, I havealso noticed a swollen lymph gland in my groin on the same side. Any advice on what my next steps should be or will this just resolve on its own?
    Also, each bump is around the size of a pencil eraser with a red ring around.
    Thanks so much, this info is so helpful!

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      I’d have a doctor check it out to see what is causing it.

      • katie anne

        Thank you for your response. I will do that

  • Melanie, WV

    After searching bites for a couple days came across this very informative site. Thanks for all the great info! Received my bite sometime during the day working in the yard or at night when i noticed a web had formed on a new hanging flower basket i recently placed on the deck. I remember yard work , weeding, mowing, etc but nothing noteworthy as far as feeling bad pain or bad stinging. A few times the day of yard work an that night i brushed the web off my new hanging basket i may have had a minor itch or sting . Nothing noteworthy until about 12hrs later waking up with severe itching on my leg near the ankle. I scratched it a few times in my sleep an thats all it took to realize this was no mosquito bite! Felt bigger itchier an hot. When i jumped up to inspect it i t was nickel size red with slight purple color. I put benedryl itch cream all over it real thick and sprayed anti-itch benedryl spray . This took care of itch after just one application. Never experienced much pain or itch at site after initial application of meds. Upon close inspection later that morning i did see the telltale 2 small fang marks! Eeww! Never had anything in my life worse than a mosquito bite so i thought fang marks were just for snakes! It never swelled much , weeped or oozed clear fluid put of two tiny holes all day . After a day it crusted up on top of each fang hole . As it did it just stayed same nickel sized reddish purple color never growing . The two ting fang marks turned from 2little scabs to one bigger scab but still small nothing too gross. After getting over shock of dealing with a spider creeping up on me pr vice versa its been a week an finally had the nerve to research this as i hate spiders hate seeing pictures of them or pictures of bites. I freaked out because the only symptoms ive had this week following the bite were i thought unrelated to a spider bite. I been complaining of weird things ive never had prior like a slight earache or general discomfort in my ear, jaw area, neck area. Felt it when trying to lay down like a slight toothache or ear pain stiffness in the neck an jaw!! I read about 100 different comments on about 20 different spider bite sites an i felt justified but confused as i read 3-4 other folks reported this strange issue. I keep saying wow im 40 an i guess i got my first official earache but the whole neck side of head hurt like stiff neck if i slept sitting up it helped. Its gradually getting better. Could this be from the bite as i have read a few others reporting this?? Almost feels like lock jaw on one side. Freaked out that a bite that caused little issues at the actual site of entry not much itching not very noticeable can pack a punch with other seemingly unrelated weird symptoms?! Thanks for reading my post. Appreciated.

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      As you no doubt read in my post, there are three types of spiders in the U.S. that can cause problems from their venom. It’s certainly possible it could have been a black widow. If so, the symptoms should go away in a few days. With spiders other than the three types, a bite can cause an allergic reaction. Again, it should go away in a few days. If the symptoms don’t fade away soon, check with your doctor.

  • kpmjam

    My daughter who is 7 came home from school a couple days ago and said she got bit by a spider at school on her upper thigh. Not sure if it was a spider or not, but it looks a mosquito bite or a pimple with a white dot (we live in Streator, Illinois, still too chilly for mosquitoes). At first she said it really itched, but now she says it’s starting to hurt. I’m worried because 18 years ago, I had a similar experience in which I thought I had a mosquito bite on my butt…at first it itched, then it hurt, then it grew rapidly and I had to have it it drained and packed every day for a week! They told me it was a spider bite and that my tissue was dying from the inside out. I was left with a hole in my butt the size of a quarter. Should I take her to the doctor and have them look at it just to be safe?

  • shelly

    Several years ago, my boyfriend received a panicked call from his dad crying saying his little sister, just turned 5, was being rushed to the hospital via ambulance…I had met her once for a few minutes as they were moving in to their new house and she was telling me the whole basement was her playroom. I hate spiders but I was standing next to the basement windows outside and could see they had some condensation and webbing. I knew it was a black widow. The girl later said, cuz she’s fine now, she went to look out the window and then her hand hurt really bad and then her chest. Dad found her on the floor unconscious. I had arranged for an exterminator before they got home and the guy found a few down there.

    • http://thesurvivaldoctor.com/ James Hubbard, MD, MPH

      Oh, that’s really scary. I’m glad she’s fine now, though.

  • mel

    I had what I believe was a brown recluse bite just above my ankle a few years back, but it didn’t look nowhere near as bad as the photo! It started almost like a bad mosquito bite but with only minor itching, and just felt sore. Over a 3-4 day period the redness and swelling got worse and the knot got harder. It finally formed a head, and stared to crust over. I cleaned it with peroxide and kept ointment on it, but never put a bandage on it until it began to heal because it made it kinda mushy. After 10 or so days my husband finally had to drain it, and squeeze out some of the very disgusting puss. After doing that it finally began to heal, and I continued to clean it a couple of times a day. I still have a pretty bad scar from it, it left a hole in my leg a little smaller than a dime. Holding a hot rag and applying slight pressure seemed to help with the pain. Btw thanks for this awesome blog and info, I love it! :)

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Mel, glad you like the info. Thanks.

    • mel

      Oh I also soaked it in warm water and Epsom salt, which kinda hurt but wasn’t too bad and really helped get rid of the gunk

  • duncan

    i got a spider bite that is red but no black spot it is shapeted like a tad pole it is ichey to i is not pain ful and iches pleas healp

  • Danny

    I got a spider that seems to be coming and going I don’t know where it is coming from.I have about 2 bites from it I saw it today when I was eating lunch I’m not sure if I should be worried about it or not.

    It small had a big plate thats redish orange with black dots can you help me find out what it is and if I should be worried???

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Danny, here in the U.S., the ones that can cause big problems are the hobo, brown recluse, and black widow. You can read about them in the post. I have a photo of the black widow and a link to a photo of the brown recluse, and you can google photos of the hobo spiders. Here’s one of many sites with photos of other spiders http://www.insectidentification.org/spiders.asp If it’s in your house, and has been biting you, perhaps you could put down some of that insect sticky paper and catch it.

      • Danny

        The one I belive I’m seeing is the Arrow-shaped Micrathena spider.

        • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

          Danny, that one looks pretty menacing. However, from what I read, it’s pretty harmless to humans.

          • Danny

            Ok good.

  • Abigail

    My boyfriend has keep getting bit by spiders when he sleeps lately. He thinks they’re in the corner by the head of the bed, but doesn’t really have a way to get to them. The other night, he got bit three times on one arm and the bite marks for each one was about a fourth to a half an inch apart and he said they were really bruised when he first got them, but he thinks it was from scratching them. We live in Texas, he’s also kinda out in the country, so they do have lots of spiders around. I know they have lots of tarantulas outside and knowing it was a big spider thought that was a possibility? Do you know what could’ve bit him? He’s only complained about them being itchy, so as far as I know, there are no symptoms and there’s not much to worry about. I’m concerned about this because he gets bit so often and usually they’re just tiny spider bites. I don’t want something to bite him that’s much more dangerous.

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Abigail, I’m assuming there is more evidence of the bite than just itching? I wonder about bed bugs. If they itch all the time, it could be scabies. He might try sleeping in another room. If he doesn’t get bitten that night, maybe he needs to call out somebody like Orkin or Terminex. If the bites still occur even in another room, maybe he needs to be checked by a doctor to try to find out the specific cause.

      • Abigail

        The itching goes away, but they do look like spider bites. There is two pretty definite fang-type marks that are red and irritated around them. I’m pretty sure they aren’t bed bugs because its not every night and there is usually only a couple of bites when he does get bit, usually on his arms or feet/lower legs. I’d say he maybe gets bit maybe once a week? It’s not that often, but often enough to concern me. I’m pretty used to sleeping in his bed and me, being extremely paranoid of bugs, have never gotten bit by anything or noticed anything. I already have to watch for fleas at my own house because my dog has them pretty bad, I notice those easily. Sadly, having someone else look at the problem isn’t really an option. His family doesn’t have much money at all and his mom wouldn’t even consider it.

        • Abigail

          Oh, and another thing to add that might be important is that he seems to have only started getting bit after the weather got cold.

          • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

            Abigail, sorry. I have nothing more I can think to add to my comments already.