What are the symptoms of fire coral rash. How long can symptoms take to appear after contact. What is the recommended treatment for fire coral stings. How can divers prevent contact with fire coral.

Understanding Fire Coral and Its Effects on Divers

Fire coral is a marine organism that can cause painful stings and rashes when divers come into contact with it. Despite its name, fire coral is not actually a true coral, but rather a colony of marine organisms called hydroids. These organisms have stinging cells called nematocysts that can inject venom into human skin upon contact.

The effects of fire coral contact can vary widely between individuals, ranging from mild irritation to severe allergic reactions in some cases. Understanding the nature of fire coral and its potential impacts is crucial for divers to stay safe and know how to respond if exposure occurs.

Common Locations of Fire Coral

Fire coral is found in many tropical and subtropical waters around the world, including popular diving destinations such as:

• The Caribbean Sea
• The Red Sea
• The Indo-Pacific region
• Parts of the Atlantic Ocean

It often grows in shallow reef environments, making accidental contact a real risk for divers and snorkelers. The organism can take on various growth forms, from branching structures to flat, encrusting sheets on rocks and other corals.

Symptoms of Fire Coral Contact

The symptoms of fire coral exposure can be immediate or delayed, sometimes appearing days after the initial contact. This delayed onset can make it challenging for divers to identify the cause of their symptoms.

Immediate Symptoms

Some divers may experience immediate effects upon contact with fire coral, including:

• A burning or stinging sensation
• Redness and inflammation at the site of contact
• Itching or tingling of the affected area

Delayed Symptoms

In many cases, symptoms may not appear until hours or even days after the dive. Delayed symptoms can include:

• Raised, red, itchy welts or rash
• Blistering of the skin
• Swelling and inflammation
• Persistent itching or burning sensation

Why do symptoms sometimes take days to appear? The delayed reaction may be due to the body’s immune response to the venom or to tiny fragments of the fire coral that can become embedded in the skin. These fragments may continue to release toxins over time, leading to a gradual onset of symptoms.

Treating Fire Coral Stings and Rashes

Proper treatment of fire coral stings and rashes is essential to alleviate symptoms and prevent complications. While mild cases may resolve on their own, more severe reactions may require medical intervention.

First Aid for Fire Coral Stings

If you suspect contact with fire coral, take the following steps:

1. Rinse the affected area thoroughly with seawater (not fresh water, which can trigger more nematocysts to fire)
2. Apply vinegar to the area for at least 30 seconds to help neutralize the venom
3. Carefully remove any visible fragments of fire coral with tweezers
4. Apply a cool compress to reduce pain and swelling

Medical Treatment Options

For more severe or persistent symptoms, medical treatment may be necessary. This can include:

• Topical corticosteroid creams to reduce inflammation and itching
• Oral antihistamines to alleviate allergic reactions
• In some cases, oral corticosteroids may be prescribed for severe reactions
• Antibiotics if there are signs of secondary bacterial infection

How long does it typically take for fire coral rash to heal? Most cases of fire coral rash will resolve within 1-2 weeks with proper treatment. However, some individuals may experience persistent symptoms for several weeks, especially if the initial exposure was significant or if secondary infections occur.

Preventing Fire Coral Injuries While Diving

Prevention is always better than treatment when it comes to fire coral injuries. Divers can take several precautions to minimize their risk of contact with fire coral.

Proper Buoyancy Control

One of the most effective ways to avoid fire coral contact is through excellent buoyancy control. This involves:

• Maintaining proper weighting
• Using controlled, deliberate movements underwater
• Being aware of your surroundings and keeping a safe distance from the reef

Protective Gear

Wearing appropriate protective gear can provide an additional layer of defense against fire coral stings. Consider using:

• Full-length wetsuits or dive skins
• Dive gloves
• Dive booties or fins that cover the entire foot

How effective is protective gear in preventing fire coral stings? While no gear is 100% foolproof, proper protective clothing can significantly reduce the risk of direct skin contact with fire coral, minimizing the chances of stings and rashes.

Identifying Fire Coral in Dive Environments

Being able to identify fire coral in its various forms can help divers avoid accidental contact. Fire coral can be challenging to distinguish from other coral species, but there are some key characteristics to look for:

• Color: Often yellow-green or brownish-orange
• Texture: Smooth or slightly fuzzy appearance
• Growth patterns: Can form branching structures or flat, encrusting sheets
• Location: Typically found in shallow reef areas, often growing on or near other corals

Divers should familiarize themselves with the appearance of fire coral in the specific regions where they plan to dive. Local dive guides and marine biology resources can provide valuable information on identifying fire coral and other potentially harmful marine organisms in a given area.

Long-Term Effects and Complications of Fire Coral Exposure

While most cases of fire coral exposure resolve without long-term consequences, some individuals may experience more persistent or serious effects. Understanding these potential complications can help divers recognize when to seek additional medical care.

Potential Complications

In rare cases, fire coral exposure may lead to:

• Hypersensitivity reactions: Some individuals may develop increased sensitivity to fire coral venom, leading to more severe reactions with subsequent exposures
• Scarring: In cases of severe blistering or secondary infections, permanent scarring of the skin may occur
• Chronic dermatitis: Some people may experience ongoing skin irritation or inflammation in the affected area
• Systemic reactions: In extremely rare cases, individuals may experience systemic allergic reactions affecting multiple body systems

Can fire coral exposure lead to long-term health issues? While uncommon, some individuals may develop chronic skin sensitivity or recurring dermatitis in areas previously exposed to fire coral. This underscores the importance of preventing initial contact and seeking proper treatment if exposure occurs.

The Role of Dive Planning in Avoiding Fire Coral Injuries

Effective dive planning can play a crucial role in minimizing the risk of fire coral injuries. By incorporating awareness of fire coral into dive preparations, divers can significantly reduce their chances of accidental contact.

Pre-Dive Briefings and Site Research

Before entering the water, divers should:

• Attend thorough dive briefings that include information on local marine hazards, including fire coral
• Research dive sites in advance to understand the types of coral and potential risks present
• Discuss entry and exit points with dive guides to avoid areas with high concentrations of fire coral

Dive Site Selection

When planning dive itineraries, consider:

• Choosing dive sites appropriate for your skill level to reduce the risk of accidental contact with the reef
• Opting for deeper sites or those with less fire coral presence during periods of rough surface conditions
• Planning dives during optimal tide and current conditions to improve visibility and control

How can careful dive planning reduce the risk of fire coral injuries? By incorporating awareness of fire coral into every aspect of dive preparation, from site selection to gear choices, divers can create a comprehensive strategy for avoiding contact with this potentially harmful organism.

Environmental Considerations and Fire Coral Conservation

While divers must protect themselves from fire coral injuries, it’s equally important to consider the conservation of these marine organisms and their ecosystem roles. Fire coral, despite its potential harm to humans, plays a vital part in reef ecosystems.

Ecological Importance of Fire Coral

Fire coral contributes to reef ecosystems in several ways:

• Providing habitat and shelter for small fish and invertebrates
• Contributing to reef structure and growth
• Participating in the complex food web of coral reef ecosystems

Responsible Diving Practices

To balance personal safety with environmental conservation, divers should:

• Practice good buoyancy control to avoid damaging any coral, including fire coral
• Refrain from touching or collecting any marine life, including coral fragments
• Support dive operators and resorts that prioritize reef conservation and sustainable diving practices
• Participate in reef conservation and cleanup efforts when possible

How can divers contribute to fire coral conservation while protecting themselves? By adopting responsible diving practices and supporting conservation efforts, divers can help preserve fire coral and other marine life while minimizing their own risk of injury. This balanced approach ensures the long-term health of coral reef ecosystems and the continued enjoyment of these underwater environments for future generations of divers.

Mysterious Rash 10 days AFTER bumping a reef

ScubaDawn10

Guest

• Mar 2, 2011

• #1

Was diving off Fowl Cay in the Abacos on February 17th and a swell pushed me close to the reef and I brushed my right knee and calf against the reef. Small scrapes, nothing major. The scrapes healed almost completely and then Sunday night, the

27th, my leg is itching and when I look down, I now have raised , red, itchy whelps in the exacts spots where I had the scratches from bumping the reef. I talked with my dive buddy and he has the same. It took almost 10 days for these to appear. Anyone have any idea of what I may have touched ?

BDSC

Contributor

• Mar 2, 2011

• #2

I’m not sure but I had the very same thing happen to me a couple of times. No big deal as the rash went away after several days. It kinda itched so I put something on it for that. I remember looking it up one time but forgot what I found out about it. I’ll see if I can look it up again.

Jersey

Contributor

• Mar 2, 2011

• #3

Could it be fire coral? I’ve learned different people react differently. I break out in a rash that resembles poison ivy and for me only a round or 2 of oral steroids clears it completely. Primary buddy has little (itching) to no reaction and another buddy gets a bit of a rash that clears after about 5 – 7 days.

Kilili

Contributor

• Mar 2, 2011

• #4

Once had light brush with coral, and days later turned red, then showing signs of infection. Needed the right antibiotics to resolve, and this was determined only after submitting sample for analysis. Can be quite nasty.

Know little about this, but it results from tiny pieces of living coral embedded in the skin. DAN [Divers Alert Network] can give more info.

Ken

~~~

“There’s nothing remarkable about it. All one has to do is hit the right keys at the right time and the instrument plays itself.” – Johann Sebastian Bach

Scuba Dive Asia

Contributor

• Mar 2, 2011

• #5

Hello ScubaDawn,

It could indeed be fire coral. Do you remember what the reef looked like where you touched it?

Check the below links from DAN:

DAN Divers Alert Network

DAN Divers Alert Network

I would seek doctor’s advice if symptoms persist.

[SIGPIC][/SIGPIC]
www.scubadiveasia.com

Indonesia | Thailand | Philippines | Maldives | Micronesia | Fiji | Tahiti | Malaysia | PNG | The Solomons | Red Sea |
South Africa

openmindOW

Contributor

• Mar 2, 2011

• #6

I’m not a doctor, but I do want to raise three questions as part of the diagnosis you are working on.

Do you have any any allergies that has caused red, itchy, welts on your skin?
Have you ever had psoriasis?
You said the rash occurred where you touched the coral. Did the rash occur ONLY on the site where you touched the coral? If you’re not sure, that’s fine.

DandyDon

Also answers to Don Quixote on some issues

• Mar 3, 2011

• #7

psoriasis?

Carbon Monoxide is toxic, odorless, tasteless, and can be produced by any overheated compressor, but most fill stations don’t test. You can test the tanks you breathe or – dive on hope.
Testing is safer…The agencies & DAN are doing little as exposure is bad for business and the industry. It gets boring checking tank after tank always getting zeroes until you get your first tank failure, then you view it all as worthwhile.

AND, always take your own CO alarm on any overnight trip!
See “Carbon Monoxide kills again, while they slept”​

vladimir

Contributor

• Mar 3, 2011

• #8

From DAN:

Q: When I was diving two weeks ago, I inadvertently brushed up against a reef and apparently came in contact with a type of stinging coral. As soon as I got out of the water I noticed that I had a few small cuts and scrapes on the outside of my left wrist and forearm. Later that evening, I felt an itching and burning sensation around the affected skin. It became red and tender to touch. I washed it with soap and hot water, which actually seemed to help. However, the redness, itching and burning lasted for three to four days. The local doctor prescribed a steroid cream twice a day, and everything seemed to heal during the next four or five days.

Since I returned from my dive trip, the redness and itchy skin sensation have come back. The area is uncomfortable and not that pleasant to look at. I’ve never had trouble with any marine life before, so I am unsure if this reaction is to be expected or if this is unusual. Do I need special care?

Click to expand…

Sound close to your problem?

Here’s part of the reply:

It is not uncommon for the rash, itching and burning to recur after these symptoms have resolved initially because tiny, microscopic fragments of living coral can remain in the wound. In addition, a cyclic immune response (redness, inflammation, itching, and swelling, itching or burning) can persist for a few weeks after the incident.

Treatment for the inflammatory response is symptomatic. Steroid creams are rarely helpful, and they can prolong a skin infection. If the inflammation is severe, systemic steroids in a moderate, tapering dose may be administered under the supervision of a trained medical provider. Oral antihistamines can sometimes, but not always, help reduce the itching or burning sensation.

Click to expand…

And here’s their best advice:

When underwater, try to avoid contact with coral or any other living creature. Whenever possible, wear a wetsuit or diveskin to protect yourself during those times when you are pushed into coral by another diver or by a current.

Click to expand…

“Explaining a joke is like dissecting a frog. You understand it better but the frog dies in the process.”― E.B. White

Shasta_man

Contributor

• Mar 3, 2011

• #9

Calling DAN is going to be your best bet. There can be a lot of critters in that little scrape.

vladimir

Contributor

• Mar 3, 2011

• #10

Shasta_man:

Calling DAN is going to be your best bet. There can be a lot of critters in that little scrape.

Click to expand…

None of which they will be able to identify over the phone. It seems like treatment is symptomatic, anyway, so identifying the culprit is largely an academic exercise. They can, however, probably direct you to a physician who is better qualified to treat the condition.

“Explaining a joke is like dissecting a frog. You understand it better but the frog dies in the process.”― E.B. White

Fire coral? For over a week???

Jayfarmlaw

Contributor

• Apr 28, 2017

• #1

My wife touched the reef on Barracuda in the current. She said her hand stung when she hit it. The general consensus on the boat was fire coral. My reading about fire coral is that symptoms go away witching 24 hours and hot water or vinegar help with the symptoms. Hot water makes it worse and the rash is spreading. It started as a dime size spot on her knuckle. Over a week later and it looks like this. Any ideas?

There are no anaphylactic symptoms and my usual advice would be “call DAN” which we will do if it persists through the weekend. I’m not sure a local Oklahoma doctor would know much about Carribbean reef mechanisms of injury.

Thanks in advance for your response.

Jay

Divemaster
Diver, Grady County Emergency Management Dive Team
Seriously Addicted Diver

Joneill

Contributor

• Apr 28, 2017

• #2

Jayfarmlaw:

My wife touched the reef on Barracuda in the current. She said her hand stung when she hit it. The general consensus on the boat was fire coral. My reading about fire coral is that symptoms go away witching 24 hours and hot water or vinegar help with the symptoms. Hot water makes it worse and the rash is spreading. It started as a dime size spot on her knuckle. Over a week later and it looks like this. Any ideas?

There are no anaphylactic symptoms and my usual advice would be “call DAN” which we will do if it persists through the weekend. I’m not sure a local Oklahoma doctor would know much about Carribbean reef mechanisms of injury.

Thanks in advance for your response.

Jay

Click to expand…

It looks like a fire coral sting to me and it is not uncommon for it to take time to resolve – From DAN:

“It is not uncommon for the rash, itching and burning to recur after these symptoms have resolved initially because tiny, microscopic fragments of living coral can remain in the wound. In addition, a cyclic immune response (redness, inflammation, itching and swelling, itching or burning) can persist for a few weeks after the incident.”

DAN Asia-Pacific DAN DOC-Coral Stings

northernone

Contributor

• Apr 28, 2017

• #3

Ouch. Sorry to hear it.

The photo appears like what happens when I brush the green prickly coral. (Coral contact = bad)

My worst was 5 weeks until the rash was gone.

I have since discovered Aloe vera seems to speed the healing process.

Regards,
Cameron

KUUCHIITAAU – experience healing together.
Adaptive therapeutic diving.

fmerkel

Contributor

• Apr 28, 2017

• #4

Probably not fire coral. There is a innocuous looking black lacy hydroid there, delicate, fluffy, soft looking. It’s easy to brush the back of your hand on it during a drift. Simple touch feels initially like fire coral. You don’t have to bash it, just touch it. Happened to a whole group of us.
The pain goes away in not too long like fire coral, usually by the end of the dive so you tend to forget it. Then the rash that looks like your picture starts showing up, usually the next day. It just gets worse and worse over time with no other insult.

Almost everyone ended up on steroids, either prescription cream or if a really bad case oral prednisone. You could try some over the counter steroid cream but it’s probably too puny to do much. Benydral cream might help, wouldn’t hurt, but again probably too puny. Calamine lotion is useless.

Just tell your Dr. you want to try some Rx steroid cream, strong stuff. It’s mostly safe so there shouldn’t be an issue getting that.

shardison

Contributor

• Apr 28, 2017

• #5

I hit one when I was there. .. The black wispy fan coral (looks like a small bush with no leaves)…. Was cruising along on Paradise reef kind of “tree top flying” through the coral when I saw it coming up… tried to pull out, but brushed it with my arm apparently…. I was wearing a full suit so I didn’t get stung initially, but when I got back to the resort and peeled the wetsuit down, It fired into the back of my hand…. The whole back of my hand had that same looking rash for several weeks afterward. I put Cortizone cream on it the entire time I had it.

Not something I wish to do again,

Jayfarmlaw

Contributor

• Apr 28, 2017

• #6

Thanks for the responses. .. FMerkel, she said she thought it was black….

Oh Sweet Baby Jesus…..not prednisone!! We call it Bitchisone. My daughter and I will just have to get a hotel for a week…lol. Somehow we will manage. Fingers crossed a steroid cream will work. All. Fingers. Crossed.

Thanks again everyone….

Jay

Divemaster
Diver, Grady County Emergency Management Dive Team
Seriously Addicted Diver

nodakdive

Contributor

• Apr 28, 2017

• #7

fmerkel:

Probably not fire coral. There is a innocuous looking black lacy hydroid there, delicate, fluffy, soft looking. It’s easy to brush the back of your hand on it during a drift. Simple touch feels initially like fire coral. You don’t have to bash it, just touch it. Happened to a whole group of us.
The pain goes away in not too long like fire coral, usually by the end of the dive so you tend to forget it. Then the rash that looks like your picture starts showing up, usually the next day. It just gets worse and worse over time with no other insult.

Almost everyone ended up on steroids, either prescription cream or if a really bad case oral prednisone. You could try some over the counter steroid cream but it’s probably too puny to do much. Benydral cream might help, wouldn’t hurt, but again probably too puny. Calamine lotion is useless.

Just tell your Dr. you want to try some Rx steroid cream, strong stuff. It’s mostly safe so there shouldn’t be an issue getting that.

Click to expand…

Years ago I brushed the black lacy hydroid. It got better over time, but a long time. I think I had the rash for a couple months? I never treated it and even a couple years later it would react, very faintly, in lake water. No reappearance of rash, but I could feel the burning itch for a few minutes.

I was diving with a friend who’d been diving all over. He suggested, and he was right, urine. Instant relief, and it sped the healing process considerably. He told the story of a dive where he and friends got exposed on their legs and bellies. They were diving somewhere really warm and weren’t wearing neoprene. He said that by the end of the trip, anything exposed to urine (heh. On them, their rashes from about the waist down.) was in far better shape than what wasn’t exposed to urine.

By the end of my trip, the rash/boils were still there, but they weren’t really bothering me anymore.

I was amazed at the instant relief, and amazed that it would still react 2 years after when exposed to lake water, diving up here.

mediumone

Contributor

• Apr 28, 2017

• #8

Some people are more sensitive to the hydroid that fmerkel mentions, and I agree, this is most likely the cause of the rash. I am one of those, while the rest of the family (3 others), have only a very mild reaction.

My rash spreads over time, and gets much worse.

Benadryl – tablets, pills, capsules or whatever they’re called, will take care of it.

First time I got “stung” it continued to get worse and spread the first week we got back. Went to the Doctor, and he diagnosed it as a staff infection. He prescribed a cream, pills, and wanted me to wash the affected areas with a solution of bleach water.

The pharmacist that I went to was curious, and when I told him the situation, he was pretty skeptical, (without undermining the Dr – he’d married a Hawaiian woman, and spend years there), He suggested that I try the Doctors regimen, and if that didn’t take care of it, to take the Benadryl. Full disclosure here, I didn’t wash with bleach water, but the pills and cream didn’t do a damn thing. After 3 days, decided to go the Benadryl route, and the results were clear by the next day.

I later kicked myself for spending $100.00 + on the visit and meds, when I could have spent $3.00 + on the generic Benadryl. To my knowledge, Ahorro pharmacies are the only place where you can get generic Benadryl in Mexico.

CASA PAKAL
A view second to none

nodakdive

Contributor

• Apr 28, 2017

• #9

More posts appeared as I was typing.

Not kidding. Pee on it. Whatever embarrassment she might feel will be quickly replaced by relief from the itching/burning, and it’ll go away faster.

Brules

Contributor

• Apr 28, 2017

• #10

That black spongy coral is worse than fire coral. I got tagged on my right knee last year in the current an arm of it flipped up and hit me – took 6+ weeks for it to resolve……….!

/Insert snarky signature here ​

Treatment of acne, pimples, blackheads, acne in Moscow

#clinic_kosmetomed

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What is acne?

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      6600
      rub

   10. Laser resurfacing

   11. Face resurfacing

       20400
       rub

   12. Regional sanding (A6/10x14cm)

       7200
       rub

   13. Scar polishing 1 cm2

       840
       rub

   14. Fractional technologies with damage to the skin surface

   15. Fractional treatment of connective tissue, scar treatment/per 1 cm2

       840
       rub

   16. Fractional treatment of connective tissue, treatment of scars from 10 cm2 (per 1 cm2)

       450
       rub

   17. Regional fractionation (A6/10x14cm)

       4800
       rub

   18. Therapeutic combined resurfacing (severe post-acne)

       21600
       rub

4. Prices for procedures using Palomar 1540 laser technology without damaging the skin surface

   1. Scars, scars treatment 1 cm2

      840
      rub

   2. Post-acne treatment treatment area 1 cm2

      1200
      rub

   3. Cheek acne treatment

      7800
      rub

   4. Chin acne treatment

      4200
      rub

What are papillomas – clinic “Cosmetomed”

Question – answer
#clinic_kosmetomed

April 14, 2020

Papillomas are growths of various forms on the skin and mucous membranes. The causative agent of the disease and, accordingly, the cause of the appearance of neoplasms is the human papillomavirus (HPV). To date, more than 100 types of HPV have been identified. Some types of virus cause damage to the mucous membranes of the urogenital tract, others affect the skin.

The source of papillomavirus infection is a patient or virus carrier. Various inflammations on the skin, as well as microtraumas of the skin, abrasions, abrasions or cracks serve as “entrance gates” for the penetration of the virus into the human body. Papilloma can be found not only on the skin and mucous organs of the genitourinary system, papillomavirus can circulate in urine, semen and saliva. If there is an active papillomavirus in the saliva, it can be transmitted through the household way (with a kiss). Infection can also occur in public places such as swimming pools, baths, gyms.

In the presence of rashes, self-infection (autoinoculation) is possible and their further spread during shaving, epilation, frequent use of hard washcloths, etc. It is possible to infect newborns with papillomavirus during childbirth, which is the cause of laryngeal papillomatosis in children and the appearance of anogenital warts in infants.

Once in the body, papillomaviruses are concentrated in the basal layer of the epithelium. In an infected cell, papillomavirus exists in two forms: episomal (outside the chromosomes of the cell), which is considered a benign form, and introsomal – integrated into the cell genome – this is a malignant form of the virus.

The incubation period is long: from 15 days to several years.

Papillomavirus infection is characterized by a latent (latent) course. A person can simultaneously become infected with several types of papillomaviruses. Under the influence of various factors (frequent stress, adverse environmental conditions, a decrease in the immune system, the presence of concomitant diseases, etc.), the virus is activated, it multiplies and rashes appear.

Types of papillomaviruses

Conventionally, all known papillomaviruses can be divided into three main groups:

• Non-oncogenic papillomaviruses (HPV 1,2,3,5 types)
• Oncogenic papillomaviruses of low oncogenic risk (mainly HPV 6,11,42,43,44 types)
• Oncogenic papillomaviruses of high oncogenic risk (HPV 16,18,31,33,35,39,45,51,52,56,58,59 and 68 types)

Treatment

Treatment of human papillomavirus infection in our clinic includes the removal of papillomas in order to prevent their self-propagation and the appointment of immunocorrective drugs based on the results of PCR studies.