How to remove a leech



Leeches are common in the rainforests of Madagascar, mainland Africa, and Southeast Asia. Unlike aquatic leeches found in other parts of the world, rainforest leeches live in leaf litter and vegetation. They detect their prey—including you and other warm-blooded animals—by sensing odor and vibrations. In areas with a high leech population, standing still for just a few minutes may attract them, as they drop from vegetation and inch toward you like tiny worms on a mission.

Terrestrial leeches are generally small, though some species can grow quite large in certain regions. When feeding, a leech can consume up to ten times its body weight in blood, sustaining itself for months on a single meal.

The best protection against leeches is to wear long clothing, tuck pant legs into socks, and apply insect repellent to fabrics. However, leeches are remarkably persistent, and if you spend enough time trekking through the rainforest, you will likely encounter them. While leech bites may seem unsettling, they pose little risk—they do not transmit diseases and rarely cause significant blood loss. In fact, leech bites are painless because leeches release an anesthetic when they attach to the skin. However, the anticoagulant they inject causes the wound to bleed freely after the leech has detached.

Removing a leech

If you are bitten by a leech and prefer to remove it before it has finished feeding (leeches naturally detach on their own), you can follow these steps:

  1. Locate the anterior (oral) sucker, which is at the smaller end of the leech.
  2. Place your finger near the leech’s oral sucker, adjacent to where it is attached.
  3. Using your fingernail, gently slide your finger toward the wound and push the sucker sideways to dislodge it.
  4. Once the oral sucker is detached, quickly remove the posterior (rear) sucker at the thicker end of the leech. Flicking the leech or using your fingernail can help. The leech may attempt to reattach, so act quickly.
  5. Clean the wound immediately—small cuts in tropical environments can become infected. While leech bites are not poisonous, they may itch as they heal.
Important Note: Avoid removing a leech by burning it, applying mosquito repellent, salt, shampoo, or forcefully pulling it off. These methods can cause the leech to regurgitate into the wound, increasing the risk of infection far worse than the bite itself.

Leeches in orifices

If a leech enters an orifice—such as your nose, ear, or mouth—you have a slightly more serious issue, as the leech will expand as it fills with blood. If the leech is in your mouth, gargling with strong alcohol (such as liquor) or hydrogen peroxide may help dislodge it. In more severe cases, puncturing the leech with a sharp object may be necessary.

Leeches may be an unpleasant aspect of rainforest exploration, but they are an important part of the ecosystem. They serve as food for many amphibians, birds, and fish while playing a role in nutrient recycling in forest soils. While they may be unwelcome visitors on your skin, they are fascinating creatures adapted to an ancient and efficient way of feeding.