BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuTick removalTicks are small, insect-like creatures that live in woods and fields. They attach to you as you brush past bushes, plants, and grass. Once on you, ticks often move to a warm, moist location. They are often found in the armpits, groin, and hair. Ticks attach firmly to your skin and begin to draw blood for their meal. This process is painless. Most people will not notice the tick bite.Tick biteTicks are bugs that can attach to you as you brush past bushes, plants, and grass. Once on you, ticks often move to a warm, moist place on your body...ImageRead Article Now Book Mark Article Some species of ticks can be as large as a pencil eraser. They can also be so small that they are very hard to see. They grow in size (engorgement) after attachment. Ticks can transmit bacteria that can cause disease. Some of these can be serious. Considerations While most ticks do not carry bacteria that cause human diseases, some ticks do carry these bacteria. These bacteria can cause:Colorado tick fever Colorado tick feverColorado tick fever (CTF) is a viral infection. It is spread by the bite of the Rocky Mountain wood tick (Dermacentor andersoni).ImageRead Article Now Book Mark Article Lyme disease Lyme diseaseLyme disease is a bacterial infection that is spread through the bite of one of several types of ticks.ImageRead Article Now Book Mark Article Rocky Mountain spotted fever Rocky Mountain spotted feverRocky Mountain spotted fever (RMSF) is a disease caused by a type of bacteria carried by ticks.ImageRead Article Now Book Mark Article TularemiaTularemiaTularemia is a bacterial infection in wild rodents. The bacteria are passed to humans through contact with tissue from the infected animal. The bac...ImageRead Article Now Book Mark Article First Aid If a tick is attached to you, follow these steps to remove it:Use tweezers to grasp the tick close to its head or mouth. Do not use your bare fingers. If you don't have tweezers and need to use your fingers, use a tissue or paper towel. Pull the tick straight out with a slow and steady motion. Avoid squeezing or crushing the tick. Be careful not to leave the head embedded in the skin. Clean the area well with soap and water. Also wash your hands thoroughly. Save the tick in a jar. Watch the person who was bitten carefully over the next week or two for symptoms of Lyme disease (such as rash or fever). If all parts of the tick can't be removed, get medical help. Bring the tick in the jar to your health care provider appointment. Do Not Do not try to burn the tick with a match or other hot object. Do not twist the tick when pulling it out. Do not try to kill, smother, or lubricate the tick with oil, alcohol, petroleum jelly, or similar material while the tick is still embedded in the skin. When to Contact a Medical Professional Contact your provider if you have not been able to remove the entire tick. Also contact in the days following a tick bite if you develop:A rash Flu-like symptoms, including fever and headache Joint pain or redness Swollen lymph nodes Call 911 or the local emergency number if you have any signs of:Chest pain Heart palpitations Paralysis Severe headache Trouble breathing Prevention To prevent tick bites:Wear long pants and long sleeves when walking through heavy brush, tall grass, and thickly wooded areas. Pull your socks over the outside of your pants to prevent ticks from crawling up your leg. Keep your shirt tucked into your pants. Wear light-colored clothes so that ticks can be spotted easily. Spray your clothes with insect repellant. Check your clothes and skin often while in the woods. After returning home:Remove your clothes. Look closely at all your skin surfaces, including your scalp. Ticks can quickly climb up the length of your body. Some ticks are large and easy to locate. Other ticks can be quite small, so carefully look at all black or brown spots on the skin. If possible, ask someone to help you examine your body for ticks. An adult should examine children carefully. Open ReferencesReferencesBolgiano EB, Sexton J. Tickborne illnesses. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 123.Cummins GA, Traub SJ. Tick-borne diseases. In: Auerbach PS, Cushing TA, Harris NS, eds. Auerbach's Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 42.Diaz JH. Ticks, including tick paralysis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 296.AllVideoImagesTogLyme disease - illustration The most common early sign of lyme disease is the appearance of a rash on the skin that looks like a bulls eye. The rash begins as a reddened area near the area of the tick bite. As the rash gets bigger, it clears in the center and develops a red ring around the outer perimeter. Other symptoms include muscle or joint aches, stiff neck, headache, weakness, fever, swollen lymph nodes and other flu-like symptoms.Lyme diseaseillustrationDeer and dog tick - illustration Ticks are small, insect-like creatures that live in woods and fields. They can attach to people or animals as they brush past bushes, plants, and grass. Ticks can be fairly large, as big as a pencil eraser, or so small that they are almost impossible to see. While most ticks do not carry diseases, some ticks can cause Lyme disease, Rocky Mountain spotted fever, Colorado tick fever, and tularemia.Deer and dog tickillustrationTick imbedded in the skin - illustration This is a close-up photograph of a tick embedded in the skin. Ticks are important because they can carry diseases such as Rocky Mountain spotted fever, tularemia, Colorado tick fever, Lyme disease, and others.Tick imbedded in the skinillustrationLyme disease - illustration The most common early sign of lyme disease is the appearance of a rash on the skin that looks like a bulls eye. The rash begins as a reddened area near the area of the tick bite. As the rash gets bigger, it clears in the center and develops a red ring around the outer perimeter. Other symptoms include muscle or joint aches, stiff neck, headache, weakness, fever, swollen lymph nodes and other flu-like symptoms.Lyme diseaseillustrationDeer and dog tick - illustration Ticks are small, insect-like creatures that live in woods and fields. They can attach to people or animals as they brush past bushes, plants, and grass. Ticks can be fairly large, as big as a pencil eraser, or so small that they are almost impossible to see. While most ticks do not carry diseases, some ticks can cause Lyme disease, Rocky Mountain spotted fever, Colorado tick fever, and tularemia.Deer and dog tickillustrationTick imbedded in the skin - illustration This is a close-up photograph of a tick embedded in the skin. Ticks are important because they can carry diseases such as Rocky Mountain spotted fever, tularemia, Colorado tick fever, Lyme disease, and others.Tick imbedded in the skinillustrationRelated Information Lyme disease and related tick-borne infections - InDepth(In-Depth) Review Date: 2/11/2023 Reviewed By: Jatin M. Vyas, MD, PhD, Associate Professor in Medicine, Harvard Medical School; Associate in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. 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Tick removalTicks are small, insect-like creatures that live in woods and fields. They attach to you as you brush past bushes, plants, and grass. Once on you, ticks often move to a warm, moist location. They are often found in the armpits, groin, and hair. Ticks attach firmly to your skin and begin to draw blood for their meal. This process is painless. Most people will not notice the tick bite.Tick biteTicks are bugs that can attach to you as you brush past bushes, plants, and grass. Once on you, ticks often move to a warm, moist place on your body...ImageRead Article Now Book Mark Article Some species of ticks can be as large as a pencil eraser. They can also be so small that they are very hard to see. They grow in size (engorgement) after attachment. Ticks can transmit bacteria that can cause disease. Some of these can be serious. Considerations While most ticks do not carry bacteria that cause human diseases, some ticks do carry these bacteria. These bacteria can cause:Colorado tick fever Colorado tick feverColorado tick fever (CTF) is a viral infection. It is spread by the bite of the Rocky Mountain wood tick (Dermacentor andersoni).ImageRead Article Now Book Mark Article Lyme disease Lyme diseaseLyme disease is a bacterial infection that is spread through the bite of one of several types of ticks.ImageRead Article Now Book Mark Article Rocky Mountain spotted fever Rocky Mountain spotted feverRocky Mountain spotted fever (RMSF) is a disease caused by a type of bacteria carried by ticks.ImageRead Article Now Book Mark Article TularemiaTularemiaTularemia is a bacterial infection in wild rodents. The bacteria are passed to humans through contact with tissue from the infected animal. The bac...ImageRead Article Now Book Mark Article First Aid If a tick is attached to you, follow these steps to remove it:Use tweezers to grasp the tick close to its head or mouth. Do not use your bare fingers. If you don't have tweezers and need to use your fingers, use a tissue or paper towel. Pull the tick straight out with a slow and steady motion. Avoid squeezing or crushing the tick. Be careful not to leave the head embedded in the skin. Clean the area well with soap and water. Also wash your hands thoroughly. Save the tick in a jar. Watch the person who was bitten carefully over the next week or two for symptoms of Lyme disease (such as rash or fever). If all parts of the tick can't be removed, get medical help. Bring the tick in the jar to your health care provider appointment. Do Not Do not try to burn the tick with a match or other hot object. Do not twist the tick when pulling it out. Do not try to kill, smother, or lubricate the tick with oil, alcohol, petroleum jelly, or similar material while the tick is still embedded in the skin. When to Contact a Medical Professional Contact your provider if you have not been able to remove the entire tick. Also contact in the days following a tick bite if you develop:A rash Flu-like symptoms, including fever and headache Joint pain or redness Swollen lymph nodes Call 911 or the local emergency number if you have any signs of:Chest pain Heart palpitations Paralysis Severe headache Trouble breathing Prevention To prevent tick bites:Wear long pants and long sleeves when walking through heavy brush, tall grass, and thickly wooded areas. Pull your socks over the outside of your pants to prevent ticks from crawling up your leg. Keep your shirt tucked into your pants. Wear light-colored clothes so that ticks can be spotted easily. Spray your clothes with insect repellant. Check your clothes and skin often while in the woods. After returning home:Remove your clothes. Look closely at all your skin surfaces, including your scalp. Ticks can quickly climb up the length of your body. Some ticks are large and easy to locate. Other ticks can be quite small, so carefully look at all black or brown spots on the skin. If possible, ask someone to help you examine your body for ticks. An adult should examine children carefully. Open ReferencesReferencesBolgiano EB, Sexton J. Tickborne illnesses. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 123.Cummins GA, Traub SJ. Tick-borne diseases. In: Auerbach PS, Cushing TA, Harris NS, eds. Auerbach's Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 42.Diaz JH. Ticks, including tick paralysis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 296.