Sinharaja leech first aid kit what should I bring and what to do when one attaches
4 Answers from travellers
Real talk from someone who walks the Sinharaja paths weekly. Bring: leech socks (ankle-to-knee tight cotton/synthetic over your trekking socks - by far the best prevention), a small bottle of soap-water or salt-water spray, an alcohol gel or sanitizer, a small bottle of Dettol or povidone-iodine, gauze and a few plasters, and an anti-itch cream like hydrocortisone. When one attaches: do NOT yank it off with fingers - it leaves the mouth-parts behind which can infect. Slide a fingernail or the edge of a credit card under the mouth-end, flick it off, then immediately spray soap-water or salt to make any nearby leeches drop. Apply antiseptic (Dettol/iodine) to the wound and a plaster. LEECH BITES DO NOT TRANSMIT DISEASE in Sri Lanka, but the wounds bleed disproportionately because leech saliva contains a strong anticoagulant (hirudin); a small bite can bleed 30 minutes to a few hours. This is normal. Infection risk comes from dirty fingers or scratching - keep clean and apply antiseptic. Wounds are sore but heal cleanly in 5-7 days.
I had 14 leech bites in one Sinharaja day. Slightly itchy for 3 days, then forgot about them. No big deal in retrospect, just bring patience and a plaster supply.
Things that DO NOT work despite what the internet says: salt poured DIRECTLY on a leech (it does drop but leaves mouth-parts in your skin), lighter/cigarette burns (same problem plus burn risk), DEET (does not deter terrestrial leeches well). Leech socks plus a salt-water spray is the real combo.
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