April 26, 2024/Children's Health

Grab Your Tweezers: Here’s How to Safely Remove a Tick

Using blunt-tipped tweezers, pull the critter up gently to remove it from your kid’s skin and then bag it to take to a healthcare provider for identification

Tweezers, tick, plastic bag

Pool days, barbecues, ice cream … and ticks? Unfortunately, summer fun goes hand-in-hand with tick season from May to October. And that means parental fears of their kids getting bitten run rampant the closer we get to warm-weather months.


Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

“This can be very emotional for parents,” says pediatric infectious disease specialist Frank Esper, MD. “It’s scary when they find a tick burrowing in, and there’s a lot of concern about the diseases ticks can transmit.”

So, what can you do to prevent tick bites? And what should you do if your child has been bitten? Dr. Esper shares some easy-to-follow guidelines.

Where to look for ticks

Once your child comes in from outside, examine their skin from head to toe, including those hard-to-reach places like in and around their ears, between their thighs and legs, and along their hairline.

When a tick latches on, it hooks its mouthparts under the skin for better grip and holds on until it feeds itself full of blood and falls off. The tick, itself, won’t burrow below the skin, so it should be noticeable, about the size of a small poppy seed or apple seed.

Where to check for ticks on a child

Step-by-step: How to remove a tick

If you find a tick that needs removing, avoid using petroleum jelly or burning it off with a lighter. These tick-removal methods are less effective. Using a lighter increases your or your child’s risk of getting burned, and petroleum jelly allows the tick to stay attached to your skin for even longer.

Instead, grab a pair of blunt-tipped tweezers and follow these steps:

  1. Grasp the tick with the tweezers as close to the skin as possible.
  2. Give it a gentle, steady pull upward. Don’t abruptly jerk or twist because part of the tick (usually, the head or its barbs) may still remain in the skin. If this happens, that part of the tick will likely come out on its own eventually.
  3. Bag your tick to take to a physician for identification. If it’s a species of tick that can carry Lyme disease, you live in a hyper-endemic region (like Alaska, Texas or Hawaii), the tick was estimated to be attached for longer than 36 hours and it’s within three days of removing the tick, your pediatrician may give your child a one-time dose of doxycycline. This antibiotic helps prevent Lyme disease from developing.
  4. Clean the area with disinfectant or soap and water.

Tick risks

Dr. Esper says the odds that your child has contracted a tick-borne illness are low, even if you live in a tick disease hotspot.

“If you or your child has been bitten by a tick, and it’s been less than 36 hours, the likelihood of it transmitting Lyme disease is less than 3%,” he explains. “For transmission, the tick has to have been feeding on you for two days or more. Even then, we calculate the risk to be 25%. So, that’s still a 75% chance you’re not going to get the infection.”

Other known illnesses that can be transmitted through tick bites include:


Tick prevention

So, how can you ensure you reduce the risk of dealing with ticks in the first place? Dr. Esper suggests the following tips to help prevent ticks from setting up shop in your yard and around your house.

Wear tick repellant

Put insect repellents containing DEET, picaridin, oil of lemon eucalyptus (OLE) or permethrin (at least 0.5%) on your skin AND clothing. Ticks are just hanging out, waiting for their dinner. Repellents disguise your body heat and odor, stopping ticks from picking you as their next meal train. Bonus: Permethrin-based repellents can withstand about a month’s worth of machine washings.

Keep an eye on your pets

Check your pets for ticks, especially if they spend a lot of time outdoors or in woodland areas. Ticks can catch a ride on their hairy backs and make it indoors without being spotted. Plus, dog ticks (or wood ticks) are often twice the size of deer ticks and come with their own set of illnesses that can be transmitted to humans if bitten.

Maintain your weeds and take care of your yard

“Most tick exposures happen not during hiking but in people’s yards,” clarifies Dr. Esper. “Well-manicured grass acts as a buffer zone against them. They don’t like open areas.” But take caution around your yard’s edges — or better yet, put in mulch or gravel to prevent ticks from traveling to your grass.

When to seek medical attention

Despite your vigilance, you may not know if your child has been bitten by a tick. While tick disease symptoms can appear at any time, Dr. Esper recommends seeing a doctor if you notice any of these signs:

  • Rash associated with a tick-related illness (for example, a bullseye rash with Lyme disease).
  • Body aches.
  • Fever.
  • Joint pain.
  • Shakes or chills.

“Less than 50% of children show generalized signs of illness like chills, headache, fatigue, muscle and joint aches. However, most will show the rash,” explains Dr. Esper.

“The rash often appears within seven days as an expanding, red, circular rash similar to the appearance of a ‘target’ at the site of the tick bite. So, if you remove a tick, monitor that area for the development of the rash. If you see a rash, take a picture and discuss with your pediatrician or healthcare provider about the next steps.”


Learn more about our editorial process.

Related Articles

Fish and mango soft taco
May 24, 2024/Recipes
Recipe Adventure: 7 Easy Summer Meals That Won’t Make You Sweat

From grilled peaches to grilled chicken pesto pizza, these easy summer recipes are sure to delight all summer long

Lifeguard looking at water with binoculars while two kids fly kites on the beach
May 23, 2024/Primary Care
12 Summer Health Risks To Watch Out For

From bug bites and blisters to sunstroke and swimming safety, here’s how to stay well this season

Bullseye-like rash on leg from lyme disease infection
May 23, 2024/Infectious Disease
What It’s Like Living With Lyme Disease

Symptoms can feel like long COVID or the flu, with body aches or even nerve damage

Jellyfish sting on wrist and thigh
May 20, 2024/Primary Care
Should You Pee on a Jellyfish Sting?

This persistent myth isn’t true and can actually cause more pain than relief

Split screen: poisonous plant/venomous insect
April 24, 2024/Primary Care
What It Means To Be Poisonous vs. Venomous

Poisons are inhaled, ingested or absorbed by your skin, while venoms are delivered by bites and stings

Person overheated lying on chair on the beach; heart rythym next to him
December 4, 2023/Heart Health
How the Heat Can Affect Your Heart

Sizzling temperatures force your heart to work much harder

person in the sun, with sun burn
July 24, 2023/Skin Care & Beauty
Are Sunburns and Sun Poisoning the Same? Not Quite

A sunburn will leave you itchy and red, while sun poisoning can feel like an allergic reaction

Children swimming and snorkling in a public swimming pool.
‘Urine’ for Some Bad News: Peeing in a Pool Isn’t a Good Idea

Despite unhealthy side effects, 40% of adult Americans still pee in pools

Trending Topics

Person in yellow tshirt and blue jeans relaxing on green couch in living room reading texts on their phone.
Here’s How Many Calories You Naturally Burn in a Day

Your metabolism may torch 1,300 to 2,000 calories daily with no activity

woman snacking on raisins and nuts
52 Foods High In Iron

Pump up your iron intake with foods like tuna, tofu and turkey