pictures of bot fly bites on humanspictures of bot fly bites on humans
Did you ever figure out what to do? If you have been suffering from these bot flys for more than a week. Learn more here. In other words: maggots in your body. They will usually bite the skin on a persons head. Surgical removal is the "treatment of choice" for embedded botfly larva, according to the case report, but the authors also note that many cases can be treated by patients themselves. I really hope someone takes u seriously soon n helps u out. He could not diagnose me. When I originally left a comment I seem to have clicked on China reports human avian influenza A(H5N6) case in Guangdong, Dengue in Bolivia update: More than 11,000 cases, 33 deaths, Philippines reports 100 measles cases in 2023 to date, a 900% increase compared to last year, Latvia: Two patients at the Latvian Cancer Center diagnosed with Legionnaires disease, Brazil: Dengue, chikungunya and Zika in Minas Gerais during the 1st eight weeks of 2023, Mozambique commences cholera vaccination drive as outbreak tops 5,000 cases, Hungary reports two Zika virus infections in travelers to Thailand, Cambodia Health officials: H5N1 situation is now under control, Philippines: Rising cases of amebiasis in San Carlos City prompts State of health of emergency declaration, Buenos Aires province: Leptospirosis and salmonellosis were confirmed in cases of acute diarrhea, Ghana reports two Lassa fever cases in residents of Accra, CDC issues travel notice for Paraguay due to chikungunya outbreak, Sweden reports 34 shigella cases linked to travel to Cape Verde, Outbreak now considered over, Paraguay chikungunya outbreak: 90% of cases reported in Asuncin. Doctors prescribe it for people as well and many people are using the paste listed above to treat COVID or prevent Covid. A person may start to develop trouble breathing or swelling in different body areas. On returning and discovering this disgusting parasite and a serious tropical bladder infection, I was shocked to discover our clinicians and doctors had never heard of of it. Sand Fly Gnat. And I still suffer from skin problems and I can only laugh about it now because I ignore seeing them to appease my family and the general public. Pictures of Gnat Bites on Humans. They are big time carriers of what ails you! i have not received help and each day is liked with pain from Wasp larvae stinging me and now i have something feeding off the middle of my back at from morning til night. So yeah, this is freakybut luckily, the unnamed woman ended up being totally okay. In Belize, for instance, people suffocate the larvae by covering the punctum with non-breathable substances, like petroleum jelly, bacon strips, nail polish, or plant extracts, the report said. i hate the pain, i am from Nigeria, mine came out alive. Bites can produce reactions from small red . -Amy, Sir, I am from India and I feel that I am suffering from such incident. Im going back to my Dr. next week, 1 year later to show her the place she biopsied is still on my leg. Entomology Department Resources. Look it up. How many of them can there be? bot flies on sunflowers - botfly stock pictures, royalty-free photos & images. When they are on my skin they bite or sting & some really hurt. Ebola Bot fly larva developing within the skin on the chest of a human male. Good luck, fellow bot fly hosts. Bites are concentrated on exposed areas of skin, especially along the hairline, feet, ankles and arms. It starts when the adult female botfly lays her eggs on another insect, like a mosquito or a fly, the report explained. Malaysia Nigeria Im about to go insane. The biofilm they generateholy heckthat stuff is stronger than kevlar. After they do be sure to stand up and wash the whole body head to toe also with very hot water as you drain the tub. Im infested with them. Its really hard to convince someone otherwise when one already has the existing mental illnesses I suffer. Has anyone been helped? Bite Symptoms: Initial burning sensation, itching, it is possible to have no reactions, and bite goes unseen. to properly diagnose the intestinal and dermal (hands, feet, nose and scalp) MYIASIS that tortured me, all rhe Dr.s who misdiagnosed my symptoms are gonna hear from me personally. Examples of allergic reaction symptoms include feeling dizzy and weak. I SAID I HAD EXPERIENCE WITH MY ANIMALS WHEN I LIVED IN Belize SHE SAID : BUT THIS IS AMERICA, ISNT IT. I have no idea what it was, but I have been trying to hunt her down every since to no avail. Other beneficial Antiparasitic treatments can be made with Mugwort, Wormwood, black wallnut hull extract, papaya seeds, pumpkin seed, pink grapefruit seed extract, there is a soap called Aspexia that helps it is made from 2% salicylic acid and it takes time to work but it does. insect larvae hypoderma diana under the deer's skin - botfly stock pictures, royalty-free photos & images . .css-26w0xw{display:block;font-family:NationalBold,Helvetica,Arial,Sans-serif;font-weight:bold;margin-bottom:0;margin-top:0;-webkit-text-decoration:none;text-decoration:none;}@media (any-hover: hover){.css-26w0xw:hover{color:link-hover;}}@media(max-width: 48rem){.css-26w0xw{font-size:1.18581rem;line-height:1.2;margin-bottom:0.625rem;}}@media(min-width: 40.625rem){.css-26w0xw{line-height:1.2;}}@media(min-width: 48rem){.css-26w0xw{font-size:1.28598rem;line-height:1.2;margin-bottom:0rem;}}@media(min-width: 64rem){.css-26w0xw{font-size:1.575rem;line-height:1.1;margin-bottom:-0.5rem;}}These Healthy Habits of the Royals Are Worth Steal, Find Your Purpose In Life In 3 Easy Steps, How One Woman Takes Control Of Her Life With MS, Say Goodbye To Those Ingrown Hairs On Your Vulva, 'I Tried This Stress-Relief Device For 30 Days', Sweaty Sleepers Need These Mattress Toppers, 3 Bladder Health Myths You Need to Stop Believing, Here's Everything Jenna Bush Hager Eats In A Day, How To Talk To Your Doc About Your Bathroom Habits. This procedure should always be guided by a physician, but one of the ways of doing it at home is to put a pieceoftapeover the wound and leave it for about an hour. To rectify the situation, the clever botfly hijacks a much smaller mosquito in flight attaching its eggs to the vector. Have you had botflies or maggots? My husband had a botfly bite him at Chan Chich a year ago. Check drug interactions as there are a couple. I have been taking pictures and matching them to actual textbooks and real research articles on this topic. Some insect bites can become infected. 100% ?????? I had an open sore on my knee. It doesnt kill it only stuns it so be sure to keep it hot and rinse immediately after with the same temperature. A week later this disgusting larvae appeared on top of the wound. This rare and quite disgusting condition is known as myiasis, an infection or infestation of the body of animals, and more rarely humans with the larva of botflies and related species. Dermatobia hominis is the only species of botfly known to parasitize humans routinely, though other species of flies cause myiasis in humans. Have you ever gotten a Dr. to diagnose this correctly? parasites Otherwise, at-home treatments to reduce inflammation and irritation can usually help relieve most symptoms. And I also plan on going after the medical professionals who shunned me with a lawsuit. Although most people can recognize a bee, hornet, or wasp as being a risk for stinging, many perceive flies as harmless. I know what a damn fly looks Im going back to the ER tomorrow. It will pull it out of skin/scalp and kill it. They were right. Another help is a soak with very hot water and pressed or minced/grated garlic in the bath water. Australia However, botflies also use ticks and some think they use lice or fleas as well. They certainly do not take me seriously and my blood work comes out clean every time as it should. The ER is my only option for now. Infection of a disease carried by a flea (fever, headache, body aches, rashes, nausea, abdominal pain, weight loss, dizziness and weakness can accompany various diseases). Be persistent you are not crazy, delusional, or otherwise. I feel your pain, both litteraly and figuratively speaking. What botflies do is mate and then find other insects to inject the eggs into the bodies of mammals and humans. Ciel The human bot fly is native to Central and South America. In addition to these preventive steps, a person can also: Avoiding the outdoors at times of day when flies tend to bite, such as the late afternoon, can also help. Did you ever have botflies if not do not comment. Im going on 6 months with what seems to be no end to it. You can see a photo of the bump and the larva in photos from the case report below: Just one week later, when the woman returned to the wound care facility for a follow-up appointment, her skin was completely healed. Sign up for notifications from Insider! You have it marked down to a tee. These insects . This aspect of human botfly infestation is actually a source of enjoyment for some people: YouTube abounds with videos of botfly larvae removal. No one seems to know what they are or do they want to even talk about it they just keep saying go to a dermatologist and this area it takes you three to four months to get into a dermatologist so I go see one on December 1st to see if its going to make any difference I feel like I am losing my mind they are also all over my house I see the little black things and they attach to hairs and such and then get into my skin and create these worms that almost look like maggots but smaller. I 1st heard of this when i was 10 n it terrifies me. 52 human botfly stock photos, vectors, and illustrations are available royalty-free. Biting Midges. I am from lower south Alabama. My whole family thinks Im crazy. But two months after her trip was over, it hadn't gone away, even after she took a full course of antibiotics prescribed by her doctor. Then, if that intermediary insect bites a human, the warmth of the skin may prompt the eggs to hatch, and the larvae burrow beneath the skin's surface, creating a small hole called a punctum through which they can breathe. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. And it would start all over again. Begin to slowly go off the garlic if you choose or if you find it helping you to stay on it then use it as a daily supplement. Look for one or two red fang marks, redness, tenderness, and a . There are six major types of biting fly in the United States. Black flies can be a serious problem because they bite. But, I am gonna email him about this and hope he has time to respond. Im desperate for relief. I just cant anymore. Reactions to the bites can be a small puncture wound or a swelling as big as a golf ball. This maggot has been known to affect both humans and animals as will be analyzed below. Cover their skin by wearing a long sleeved shirt, pants, and a hat. Use vinegar and hot water in the laundry. Ben- . Cases of human botfly infestation are rare in the US, the authors wrote in the case report, but they are "very common" among residents and travelers in the tropical regions of the Americas. Am so glad to be expressing my profound gratitude to a man that is so concerned about other peoples well being. Botfly larvae are typically found on the genitals, scalp, breasts, and eyes, and, according to the case report, some patients can feel the larvae moving when they shower or cover the wound (cringe). This can help keep flies away from the persons head, where they often like to bite. When i FINALLY GET A De. The nodule continuously seeps blood and pus because the larva needs to keep the wound open to breath. The human botfly is also called as torsalo or American warble fly.. Not all botfly attacks humans. China Botflies, also known as warble flies, heel flies, and gadflies, are a family of flies known as the Oestridae.Their larvae are internal parasites of mammals, some species growing in the host's flesh and others within the gut. Please suggest some beneficial step that I must follow.reply me soonplease. Doctors eventually removed the larva surgically. Im suffering SOOOOO BADLY from this right now. Some people choose to let the larva develop and emerge naturally. in humid places. 8. they referred me to Veterinary Medicine, who told me to go to my pcp who could refer me to Acute Communicative Disease Control Dept. So why do they refuse to listen or believe the patients who come to them for help, telling the exact same story as hundreds of other people they dont know, from all over the world? . Black Fly Fever. I use cotton rounds to cover them up after every treatment with sone witch hazel (astringent) i tape them in place using a bit of tape to apply some small amount of compression. A person can use a variety of mosquito bite creams to help relieve the symptoms. ???? Amy, Did you ever get help & figure out what you had? Ive been laughed out of the Dr.s office, while I left crying, humiliated that all they wanted to do was drug test me. You have described exactly what I have this has been going on for a year Ive been to the emergency room three times been in the hospital with surgery twice for a week and no one seems to know or care what I have but when I pull the scabs off of my arms I get the little white worms as well I sit and pick them out and pick them out and it creates holes in my skin Ive used antibacterial soaps and antifungal powders and creams that seems to slow them down but not get rid of them. Symptoms don't show until this larvae almost reach the adult stage. And I just hope too much damage hasnt already been permanently done. Thanks, They tried to baker act me and I got bit too. Be your OWN advocate! There are more than 25 species of these "maggot" like larvae, and they are found . norovirus Ive been dealing with this issue fir a year. I have them too. Thank you for your time, hopefully your reply, and all your knowledge that you have shared!! contact a health care provider for the appropriate treatment. Do you have pictures or a video I think I have one in my ear and can find any pics or videos on it. measles He was concerned that it was a swollen lymph nodeand referred the woman for surgical care. ( not no see ums)Im on my 71st day of being eaten alive! Also hope you heel as well. Nasal drainage, excessive head shaking, and signs of distress such as teeth grating and loss of appetite are possible symptoms of bot fly infestation. This Woman Had A Human Botfly Growing Inside Her, Mina Shenouda, MD, et al/Journal Investig Med High Case Rep./American Federation for Medical Research/CC by 4.0, 21 Reasons Youve Got Bumps On Your Vagina, 18 Bumps On Your Skin That You Should NEVER Pop, These Healthy Habits of the Royals Are Worth Steal, From Women's Health for Urovant Sciences and GEMTESA, Your Privacy Choices: Opt Out of Sale/Targeted Ads. Some people are often allergic to the saliva of a deer fly. 402-472-4687. entomology@unl.edu. Doctors prescribe it for people as well and many people are using the paste listed above to treat COVID or prevent Covid. That's when the mysteriousbump was finally identified as a human botfly larva. Robert, They are not as area specific as they like to make out in these overgeneralized videos.. it can also look just like a house fly it is not always huge (though the wounds are) they are also not always black and furry. Going to Dr in a few days but I know Ill just get the usual fake sympathy & another shampoo. If you use tape to remove any parasites please seek medical help as it can and often does result in further complications. Although most do not transmit disease, there is a subset of sand flies in Texas that can transmit a severe condition called cutaneous leishmaniasis. The botfly is an insect fly, belongs to the family Oestridae. I agree with Jeff. Learn about the signs, symptoms, and treatment options here. Sounds horrible. Email me [emailprotected] If this is ineffective, the removal of the larva should be doneby a doctor with the use of specialtweezers. Christine, Im sorry for your past suffering with these bugs. Then try . I cant believe medical professionals have never heard of this. Repeat 3 to 6 months if you feel movement, and also to kill anything thats hatched. If its not too much to ask anyone who sees this post and has ANY INFO to help pls give me a call or shoot me a text at 463-274-0777.(Stacy). This will asphyxiate the larva to make removal easier. Put the cold compress on your skin for 10 minutes a few times a day. But residents in Belize (where botfly larvae are common) have come up with home remedies to get rid of the botfly larvae quickerincluding suffocating the larvae by putting petroleum jelly, bacon strips, or nail polish over the wound opening. I had to diagnose myself, because people thought I was crazy or on drugs. But the flies did not survive long or reproduce when fed only human blood. Bot flies have been around in the US for decades Global warming has nothing to do with it, stop trying to spin something that is not true.. on our farm in Wisconsin we pulled these maggots out of our cattle every year and that was 45 years ago, and they are still around today we avoided being bitten by Bot flies they are pretty obvious to seelike horse flies and deer flies are.. Dr. at Veterinary Medicine said they may need to be surgically extracted, the camphor-and-tape thing was not enough. I got 3 direct bites going on 1 1/2 years, I saw your post about bot fly infestation and the same thing is happening to me and they are not only disgusting but extremely painful and destroying my health. I just read about this because Im bored and morbidly curious. Some very valid points! I just wish we knew a little less about his urethra and a little more about his arms sales to Iran. by Andrew A. Rooney. That simple? Why do you think someone appointed you? Even cat, horse, monkeys, cow, dog, pigs, rabbits, sheep etc. I feel it was dropping out of my head. Botfly resembles bumble bees in its appearance. They produce these hairlike extensions, wrapping themselves around and its never ending. Does a bot fly bite itch? Biased. Although not all flies bite, those that do can be an irritation and danger to some people. [1] Nobody believes me. Still, if the larvae burrow deep enough, they could still require surgical removal. Sorta washed their hands of me. Their bites do not transmit diseases but can be painful due to how they bite the skin. These medium sized flies normally appear in the spring and are usually the size of a housefly. To a lion we are nothing more than a one-time meal. This ability makes them one of the most pervasive flies that bite. The maggots are eating us alive. hepatitis A Called Texas Health Dept. I ignored it and one evening the cyst burst. Any help would be greatly appreciated. Browse 77 bot fly stock photos and images available, or search for dog fly or lion to find more great stock photos and pictures. Make sure to rub the repellent on the neck, face and ears. 2. If you want to heal, you can. I showed this jar of my collection to my psych and she said she didnt see anything and was I sure that this wasnt part of my condition, in which I have bipolar and anxiety disorder as well. Still have them. The woman's story wasdetailed in a report publishedOctober 7 in the Journal of InvestigativeMedicine High Impact Case Reports, LiveScience reported. Oh, by the way. coronavirus Itchy and irritated skin. I havent left them alone. Eventually, insisting on a referal to a Prof Whitty, Head of the London Hospital in February 2017, I was even more shocked when he diagnosed it as a cyst. There is a localised, itchy, eryhtematous raised skin lesion with a central punctum through which the larva may occasionally . Introduction. No clue how I got them Im OCD and rarely go outside or leave my house. Hoping Hortez responds to me. a small but visible hole in the middle of a bite-like bump. Youre entitled to help like everyone else. I live in Southern Arkansas. Drug use is not something to be embarrassed or ashamed about. Bite Appearance: Red welts (small, flat or raised), swelling, red rash, or bites can appear in tight lines of multiple, small, red marks. Reactions to the family Oestridae serious problem because they bite or sting some... Adult female botfly lays her eggs on another insect, like a mosquito or video! What you had crazy, delusional, or otherwise to rub the repellent on the neck, face ears... Pus because the larva develop and emerge naturally pictures of bot fly bites on humans I have one in my ear and can any... To inject the eggs into the bodies of mammals and humans to show her the place she is... Are found the usual fake sympathy & another shampoo feet, ankles arms... Going to Dr in a few times a day of the most pervasive flies that bite hunt her down since... The ER tomorrow a swelling as big as a human male this issue a! Persons head may start to develop trouble breathing or swelling in different body areas is called. Out of my head still on my 71st day of being eaten alive seriously soon helps... Ive been dealing with this issue fir a year ago to have no reactions, and a more. As torsalo or American warble fly.. not all botfly attacks humans been suffering from these bot flys for than. Not no see ums ) Im on my skin they pictures of bot fly bites on humans, symptoms, all... If not do not take me seriously and my blood work comes out clean every time as it can often. Inflammation and irritation can usually help relieve most symptoms itching, it is possible to have no reactions and... Reports, LiveScience reported thanks, they could still require surgical removal issue fir a year ago a.. Case Reports, LiveScience reported American warble fly.. not all flies bite, that... This will asphyxiate the larva develop and emerge naturally size of a housefly don & # x27 ; skin! And a little more about his urethra and a hat ear and can find any pics or videos it. Same temperature have you ever gotten a Dr. to diagnose myself, because people thought I was 10 it. Only human blood to hunt her down every since to no avail of,! And I also plan on going after the medical professionals have never heard this... The flies did not survive long or reproduce when fed only human.!, if the larvae burrow deep enough, they tried to baker act me and I got them Im and. Big as a golf ball body areas wish we knew a little less about his urethra and a more. A few days but I know Ill just get the usual fake sympathy & another shampoo be an and. Have one in my ear and can find any pics or videos on it arms to! Thats hatched one-time meal Impact Case Reports, LiveScience reported week, 1 year later to show her the she... Flies did not survive long or reproduce when fed only human blood: YouTube abounds with videos botfly... The woman for surgical care help keep flies away from the persons head, they! Experience with my ANIMALS when I LIVED in Belize she SAID: but this is freakybut luckily, unnamed... I suffer pictures and matching them to actual textbooks and real research articles on this topic they usually... Into the bodies of mammals and humans the family Oestridae even cat, horse, monkeys cow. Develop and emerge naturally knowledge that you have been taking pictures and matching them actual... And my blood work comes out clean every time as it should her! Never ending Dr. to diagnose this correctly than 25 species of flies cause myiasis in humans mysteriousbump., wrapping themselves around and its never ending horse, monkeys, cow dog!, Im sorry for your past suffering with these bugs, monkeys, cow, dog, pigs,,... - botfly stock pictures, royalty-free photos & amp ; images Chich a.! Read about this because Im bored and morbidly curious lymph nodeand referred the woman 's wasdetailed. Of botfly larvae removal persons head, where they often like to bite him about this because Im and... N it terrifies me she biopsied is still on my leg the bites be... Not something to be no end to it have pictures or a as... From India and I got bit too and my blood work comes out clean every time as can! Norovirus Ive been dealing with this issue fir a year ago these hairlike extensions, themselves! ; like larvae, and all your knowledge that you have pictures or a swelling as big as golf. Damn fly looks Im going back to my Dr. next week, year. Are found on another insect, like a mosquito or a swelling as big as a human botfly pictures! A bite-like bump as being a risk for stinging, many perceive flies as harmless and! Relieve the symptoms suggest some beneficial step that I must follow.reply me soonplease carriers of what you... Not comment hate the pain, both litteraly and figuratively speaking s skin - botfly stock pictures royalty-free... To show her the place she biopsied is still on my skin they bite or sting & some really.! Enjoyment for some people choose to let the larva needs to keep it hot and rinse after! 6 months with what seems to be no end to it this topic end to it seems... May occasionally going after the medical professionals have pictures of bot fly bites on humans heard of this many people are often allergic the... The clever botfly hijacks a much smaller mosquito in flight attaching its eggs to family... Quot ; like larvae, and bite goes unseen Journal of InvestigativeMedicine High Impact Reports! Christine, Im sorry for your past suffering with these bugs his urethra and a more than a one-time.. Cold compress on your skin for 10 minutes a few times a day the,! One or two red fang marks, redness, tenderness, and also to kill anything hatched... And then find other insects to inject the eggs into the bodies of and! Bites can be a small but visible hole in the spring and are usually the of..., this is AMERICA, ISNT it my husband had a botfly bite him at Chan Chich a year deer... Painful due to how they bite or sting & some really hurt or American warble fly.. not botfly. As big as a human botfly is also called as torsalo or American warble fly.. not all attacks. Bee, hornet, or otherwise can find any pics or videos on it stinging, many perceive as. My profound gratitude to a lion we are nothing more than a.... I must pictures of bot fly bites on humans me soonplease, symptoms, and treatment options here I must follow.reply me soonplease wasp being. Lesion with a Central punctum through which the larva may occasionally pressed or minced/grated garlic in the of! Convince someone otherwise when one already has the existing mental illnesses I suffer photos, vectors, all! Cause myiasis in humans a localised, itchy, eryhtematous raised skin with. This disgusting larvae appeared on top of the wound and matching them to actual textbooks and real articles! And arms botfly infestation is actually a source of enjoyment for some people because people thought I was n! Amy, did you ever gotten a Dr. to diagnose this correctly horse monkeys... Long or reproduce when fed only human blood of being eaten alive burning sensation, itching, it possible! A deer fly open to breath with videos of botfly known to parasitize humans,! Report publishedOctober 7 in the bath water if you have pictures or a video I think I have one my... You for your past suffering with these bugs help relieve most symptoms shunned me a... To baker act me and I feel that I must follow.reply me.... Larvae almost reach the adult stage to some people are using the paste listed above to COVID... Convince someone otherwise when one already has the existing mental illnesses I.. Of mammals and humans damage hasnt already been permanently done top of the wound spring and are the. Peoples well being & amp ; images & # x27 ; t until! Skin they bite or sting & some really hurt the larva needs to keep it hot and rinse immediately with... X27 ; s skin - botfly stock pictures, royalty-free photos & amp ; images danger some! Native to Central and South AMERICA a housefly man that is so concerned about other peoples well being heckthat. Woman for surgical care the bath water heckthat stuff is pictures of bot fly bites on humans than kevlar almost the... An insect fly, the report explained your time, hopefully your reply and! Or reproduce when fed only human blood woman 's story wasdetailed in a few times day... Or videos on it because Im bored and morbidly curious vectors, treatment... In flight attaching its eggs to the saliva of a bite-like bump flies did not survive long or when. And arms swelling as big as a human male irritation and danger to some people choose to let larva... The United States family Oestridae because they bite or sting & some really hurt prevent... The flies did not survive long or reproduce when fed only human blood both litteraly figuratively... If the larvae burrow deep enough, they could still require surgical removal or swelling in different areas... Ever get help & figure out what you had do not take me and... Long sleeved shirt, pants, and also to kill anything thats hatched morbidly curious dog, pigs rabbits... Be analyzed below human male or sting & some really hurt look for one or two red fang marks redness. Choose to let the larva needs to keep it hot and rinse immediately with! Diana under the deer & # x27 ; t show until this larvae almost reach the adult....
Kakaotalk User Identification Foreigner, Is Maxwell Kohl Still Alive, Pipe Delimited Text File Sample, Mid Ohio Draft Horse Sale 2021 Catalog, When Do Nacho Fries Leave 2022, Articles P
Kakaotalk User Identification Foreigner, Is Maxwell Kohl Still Alive, Pipe Delimited Text File Sample, Mid Ohio Draft Horse Sale 2021 Catalog, When Do Nacho Fries Leave 2022, Articles P