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If all other options have been exhausted, you may need to seek a professional PMP (Pest Management Professional). There are pesticides that are approved for professionals to use during a infestation. These pesticides, however, are not always effective, and typically not as effective as steam cleaning, excessive heat, or excessive cold. The exterminator may opt to treat the area with carbon dioxide.

I don’t think my infestation is very extreme RIGHT NOW. i know for a fact they aren’t in or on the mattresses so that only leaves the crevices along the sides of the carpet. i got on my hands and knees to look but i still didn’t see anything. I KNOW THEY’RE THERE, WE HAVE THE BITE MARKS TO PROVE IT!!!!!! the little blood suckers are excellent at hiding.
But the bites will look different from person to person, and some people won’t develop any reaction whatsoever. “The same bedbug could bite two different people and one could have no reaction at all and the other can have an extreme reaction with a swollen arm or itchy rash,” says Eric Braun, a board-certified entomologist and business manager for the national pest control company Rentokil Steritech, who is based in Redding, Pennsylvania. Some people end up developing a rash that looks like eczema. (5)
Items that cannot be placed in a washer or dryer can sometimes be de-infested by wrapping them in plastic and placing them outdoors in a hot, sunny location for at least a day (for example, on pavement or in a closed vehicle parked in the sun). Packing items loosely in garbage bags and elevating objects off the ground helps the heat permeate further, and will make it harder for bugs to find a cool place to hide. Monitoring with a thermometer is prudent to ensure that a temperature of at least 120°F is achieved wherever the bugs may be. 
Recently I went to Dubai, I stayed at my husband’s rental furnished flat. The next morning I was covered with bites. Immediately I knew its big bites but don’t know it’s bed bugs until I google search online a few days. I was so allergic to the bites & can’t stop scratching them. At last I went to a local pharmacy and got this ‘Fenistil Gel’ AKA Dimetindene maleate. it works really well. My bites stop itching, swelling reduced. Some bites I need to applied the gel 1-2 times a day then it stopped bothering me. The only problem now is the marks never go away. :(

Some friends brought me a gift, bed bugs. After some research I discovered cedar oil. I have been using it as a repellent. I spray around my mattress at night and it seems to keep the bugs at bay. It is harmless to me and my pets and I can even use it on them to repel fleas. Has anyone else tried it? It works on the same principle as a cedar chest is used to keep bugs away from your valuable clothing or bedding items. It does have a cedar odor which I find mildly enjoyable.
The size of bed bug bites varies with a number of different factors. Bed bugs inject an anti-coagulant along with their saliva when they pierce the skin to take a blood meal. This anti-coagulant is mostly responsible for how a person reacts to the bite and determines the size of the bug’s bite. Since people will have various sensitivities to the bed bug’s bite, the size of the bite will vary, as well. Another factor that influences the size of a bed bug reaction is the number of times a person is bitten. Bite reactions of people bitten many times are also variable, and their response may be either more or less intense as the number of bites increases.
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