Swollen and itchy bee stings should be treated with general treatment and medication. 1. General treatment: swollen and itchy bee stings, the first need to pick out the stinger, bee sting wounds can be sodium bicarbonate solution, soapy water and so on for rinsing. 2. Medication: Topical glucocorticosteroids, such as mometasone furoate and hydrocortisone, can be used as prescribed by the doctor to provide anti-inflammatory and anti-itching effects. If the itching symptoms are more serious, you need to take oral antihistamines, such as cetirizine, loratadine and so on. In severe cases, intravenous glucocorticoid drugs such as hydrocortisone sodium succinate injection are needed. Swollen and itchy bee stings should be treated promptly to avoid delay.