Data Sources: A PubMed search was completed in Clinical Queries using the key terms bedbug, rash, bites, and infestation. The search included meta-analyses, randomized controlled trials, clinical trials, case reports, and reviews. We also searched the online databases of the Environmental Protection Agency, Centers for Disease Control and Prevention, and Jefferson Clinical Images. Lastly, we used Essential Evidence Plus. Search dates: February through June 2011.
Just wondering if it is unusual for bed bugs to bite where you are clothed? I have 3 bites, in a diagonal line on one side and in a triangle shape on the other side of my pelvic area both which are covered by underwear at night. Then I have a random spot here and there on my legs. We have a plastic mattress cover on our bed but use dark sheets. As best I can tell there is no evidence of bed bugs. What do you think? Thanks!
Aerosols (D-Fense NXT, Crossfire Aerosol, or Bedlam Plus) Usage: Simply attach the plastic tip to the aerosol can. Apply as a crack and crevice or spot treatment where evidence of bed bugs occurs. This includes bed frames, box springs, inside empty dressers, clothes closets, curtain rods, hollow spaces, carpet edges, high and low wall moldings and wallpaper edges.
I’ve found that the locoid lipocream he gave me to be the most effective. He also gave a sample of foaming medication in a small can which didn’t seem to work. The swollen areas were much worse that you would imagine, I experienced flat out pain by nighttime. I treated my arm 3x that day with the lipocream and by morning it was 100x better with significantly reduced redness and swelling.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
To avoid light, bedbugs hide in the seams of mattresses and crevices of bed frames, walls, and furniture during the day.5,7 They are attracted to human hosts by warmth and carbon dioxide; these hosts generally sleep within 3 to 7 feet (1 to 2 meters) of the bedbugs’ hiding places.8,9 Feeding usually takes place just before dawn.10 Bedbug saliva contains several anesthetic, vasodilatory, anticoagulant, and proteolytic compounds that allow the insects to feed undetected for five to 10 minutes. Three of these compounds have been identified as instigators of the subsequent hypersensitivity reactions that may be noticed when the host awakens.11–14
Español: tratar las picaduras de chinches, Deutsch: Bettwanzenbisse behandeln, Português: Tratar Picadas de Percevejos, Italiano: Trattare le Punture delle Cimici da Letto, Français: traiter des piqures de punaises de lit, Русский: лечить укусы клопов, 中文: 应对床虱叮咬, Nederlands: Bedwantsbeten behandelen, Čeština: Jak léčit štípance od štěnic, Bahasa Indonesia: Mengobati Gigitan Kutu Ranjang, Tiếng Việt: Trị Vết cắn Bọ rệp, 日本語: トコジラミの刺し跡を治療する, العربية: معالجة لدغات البقّ المنزلي, 한국어: 빈대에 물린 상처를 치료하는 법, ไทย: รักษารอยตัวเรือดกัด
I have very small red bumps on only one hand. Most of them skin color a few red. They don’t hurt and if I scratch them they itch a little bit mostly I don’t even notice they are there. They aren’t really in a line but I have probably about 6 or so on the top of my hand only. I searched my bed and all around it I find no trace of anything. I did read up and find that some bed bugs affect people differently and don’t show up right away. I have been sleeping on this mattress for over a month now and this just started happening for about 3 weeks. Am I just being paranoid or you think it sounds like bed bugs at all
A deterrence for them that we’ve found, as well as the bleach, is lavender. Blood sucking bugs don’t seem to like it too much. I don’t personally like it because the lotion that we have makes my skin itch, and I’d rather just deal with the bites since my reactions aren’t so bad to them. However, the lavender lotion has been seemingly working, at least a little bit, for my mother and sister. Although this is the case, I wouldn’t recommend it for anyone. It’s okay to use, but it doesn’t seem to be too strong at keeping them away.
Bed bugs are active mainly at night. During the daytime, they prefer to hide close to where people sleep. Their flattened bodies enable them to fit into tiny crevices--especially those associated with mattresses, box springs, bed frames and headboards. Bed bugs do not have nests like ants or bees, but do tend to congregate in habitual hiding places. Characteristically, these areas are marked by dark spotting and staining, which is the dried excrement of the bugs. Also present will be hatched and un-hatched eggs, the tannish shed skins of maturing nymphs, and the bugs themselves. Another possible sign are rusty or reddish smears on bed sheets or mattresses from crushed engorged bed bugs. Although it’s often stated that bed bugs have a telltale “buggy” odor, the smell is seldom evident except in extreme infestations and should not be relied upon for detection.

Our apartment is clean, but apparently this has little to do with it. We were told to put our dry clothes in the clothes dryer for 30 minutes at a high heat and bag them tightly, spray rubbing alchoha l92% to repel them from the bed , couch covers and seat cushions, as well as to dry our bedding, curtains, towels etc., and to remove the light covers from the plugs. They were reasonable (about$400 divided into monthly payments.)They will come twice, a month apart beginning two days from now, We’ve been vacuuming daily, and tightly securing debris. We were told that rubbing alcohol, sprayed in cushions and the bottom of shoes will repel them (92%). I was told that the most common place to pick them up is hospital and doctor’s waiting rooms. I write, and have a lot of boxed papers. I’ve emptied my drawers. I’m also not sure of what to do about my hanging paintings. I have enough problems right now, and just want this to end.
The bites themselves don't usually pose any major health risk since bedbugs are not known to spread diseases, but an allergic reaction to the bites may require medical attention, CDC officials say. There have also been some strange cases linked to bedbug infestations. Researchers reported in the Canadian Medical Association Journal in 2009 that they treated a 60-year-old man for anemia caused by blood loss from bedbug bites. Another study published in 1991 in the Journal of the Egyptian Society of Parasitology found that people with asthma might be more susceptible to allergic reactions from bedbug bites.
The first sign of a bed bug problem is obvious: the bed. After bed bugs feed on humans, they'll leave behind blood stains resembling small rust spots. These will usually be found near the corners and edges of the bed. Bed bugs also shed their skin, or molt, several times as they mature, so you may find their oval brown exoskeletons during your search.
I’m suffering a similar problem. I had a friend who stayed with me on and off for a few months. She just didn’t tell me she had bed bugs right away. I had three kids and one on he way at the time. I bombed everything, threw out lots of things, and washed everything. Its now been a year and they’re back. Only now i have three kids and I have recently become the only income. Im barely holding rent and i don’t know what to do. I’m about ready to burn everything i own. I just can’t take it. I work 40 hrs., go to school, and have a child starting school in a week. Urgggg!!!!!!
About five weeks ago bed bugs were found out work, then two weeks ago they spread, pest control has seen continuously coming to check and yesterday they gave the place the green light. I work with a largely indigent populace, the office I work at was not sprayed, during the night at some point, I will feel painful stings, hours later I have been finding small lumps or even large and hard ones, Could it be bed bugs? There is a particularly painful lump on the back of my thigh, it’s very hard too.
Bring a little flashlight—hotel room lighting is always pretty poor and the dimmer the lighting, the harder it is to see small bed bugs or their fecal spots. I would pull back the bed covers and look all around the head of the bed. Pull back the sheets, too, and look at mattress seams and edges that are exposed. bed bugs love to hide under mattress tags. Look all around the box springs, too. If there's a dust ruffle, pull it up and look under it as much as possible. Look for moving bugs and stationary, hiding bugs.
Quote: Similarly, bed bugs will perish in extremely cold temperatures. If it is possible to keep a room unheated for a prolonged period of time, it may kill the population. All stages of the common bed bug, from nymphs to adults, can survive for up to five days in temperatures of fourteen degrees Fahrenheit. Prolonged exposure, however, to these temperatures, will kill them.
Bed bugs typically feed at night when we are sleeping. Even though these pests commonly feed for 5 minutes, the bite itself is painless and usually goes undetected at the time. In fact, bed bugs inject an anticoagulant (a blood thinner) as they feed, which makes feeding easier for the bed bug and also less detectable to you. Although you may not see the bed bugs, or feel their bites, they know when you are around. Bed bugs are attracted to warmth and carbon dioxide. So, if you are alive, warm, and breathing - then you are broadcasting loudly and clearly to all nearby bed bugs that "dinner is served!"
I use witch hazel with aloe vera (from Thayers). Apply with Q-tip or cotton ball. WORKS VERY WELL for me, especially when applied soon after bite is detected. Found that if it stings a bit when applied, it is likely that bite was recent, and more likely to reduce the itch. If I apply soon after a bite, I feel a little sting from the astringent, and the itch if often eliminated (although not sure how large the bugs are that bit me).
Wash the bites with soap and water. Wash the area with mild soap and water; use a bar of soap and enough water to wet surface of your hands. Work the soap in your hands into thick, soapy lather. Rub the lather over the affected area liberally. Repeat until the entire area is covered. Leave on and do not rinse. Allow the soap lather to dry over the bitten areas. You should experience immediate relief from itching.[5]
Hi all Im sitting here at 3 in the morning itching away got first bite 3 days ago I know the apt upstairs was heat treated 10 days ago I guess they traveled down here. glad I found this site yesterday I went all around with a hand held heat gun all over base boards and any cracks I can find also vacum three times I will do it all again tomorrow stay tuned Jack

Bed bugs are an increasing cause for litigation.[69] Courts have, in some cases, exacted large punitive damage judgments on some hotels.[70][71][72] Many of New York City's Upper East Side home owners have been afflicted, but they tend to be silent publicly in order not to ruin their property values and be seen as suffering a blight typically associated with the lower classes.[73]
I don’t get to see our kids; I can’t protect them from the little monsters; my own body is being eaten alive; the constant itching and scratching is embarrassing, as is the fact that I have bites and scars in visible places, and that my blood no longer clots properly, so if I get a paper cut, I’ll be bleeding a good half hour; we’ve sprayed, washed, dried and the bites keep coming; I’ve used prescription strength cortisode cream, Benadryl (which makes me tired and stupid at work), Zyrtec, Aveeno shower soap and even used my DOGS anti-itch shampoo. And I an still itching till they bleed, scarring, and finding new ones every day. I just…a part of me has totally lost hope that there will EVER be an escape and I’m so depressed I just want to go to sleep and not wake up
We have bedbugs. They are all over the house. In all of the rooms. My daughter feels that it would be safer to sleep outside than in this house. My son has really sensitive skin and the bedbugs love to attack him. One night he just kept twisting and turning because he must have been itching. We have had to get rid of all of our beds and have had to sleep on the floor. The floor is safer than the beds but not by much. The bedbugs seem to be everywhere. On the walls, on the floor, with you, or in your beds. We have tried many things so if anyone has any advice, it would be very much appreciated.

Bed bugs remain a problematic pest across the United States, beyond just bed bug bites. In fact, one out of five Americans has  had a bed bug infestation in their home or knows someone who has encountered bed bugs. Reflecting the increasing problem with bed bugs,  a survey of pest management professionals found that prior to 2000 only 25 percent had encountered bed bug infestations, but in 2013 an amazing 99.6 percent of U.S. based professional pest management companies encountered bed bug infestations. Bed bugs are found in places beyond homes and hotels, such as hospitals, schools, doctors' offices, public transportation, college dorms, day cares, offices and any other places where humans live or gather.
Here’s one for ya…I drive over the road truck. On Friday 8/13 it was miserably hot so I stayed the night in a reputable motel. I now have bed bugs in my truck!!!! I’m getting a new mattress but am going to tell them to wrap it and tape it real well until I get home and bomb my truck. Being such a small space I figure using an insect smoke bomb will work. Well, at least it better!!! I have tons of bites all over my ankles, feet, several on my face, on one arm and on both thighs. Yup, the itching sucks…
In the lab we handle all the bed bugs in a specific room that we steam clean once a week, and we have double-stick tape barriers that they can't walk through (as long as the adhesive remains dust-free). And the bed bugs themselves are enclosed in containers that they can't get out of. We actually feed them inside those containers—we lay a blood reservoir against the cloth "lid" and the bed bugs have to push their mouthparts through the cloth into the reservoir to eat.
Bed bugs occur around the world.[36] Before the 1950s about 30% of houses in the United States had bedbugs.[2] Rates of infestations in developed countries, while decreasing from the 1930s to the 1980s, have increased dramatically since the 1980s.[3][4][36] Before the 1980s they were common in the developing world but rare in the developed world.[4] The increase in the developed world may have been caused by increased international travel, resistance to insecticides, and the use of new pest-control methods that do not affect bed bugs.[37]
My daughter stayed at a friends for 2 nights…. And brought home bedbugs!! She has bites from the top of her head to her feet. The itching must be horrific. Poor child. After 2 days of not being able to stop the itching, as a last resort (on a Sun at 11pm) I told her to use a bathroom spray cleaner that had bleach in it. She only put it on her legs, but the itching stopped there, just not on arms, stomach or in her head. Don’t recommend bleach but she was able to get a couple hours of sleep. I will try several things to try to help her that I have read from previous comments. Thanks everyone….
On Tuesday my arm became worse after spending the night at my friend’s place. At home, when I got out of the shower a bug near my jeans and killed it. I called my doctor to treat my arm and mentioned the bug. He saw me that day and put me on prednisone. Last night I took the antihistamine he prescribed, and it knocked me right out. I fell asleep on my friend’s shaggy carpet for about an hour and a half. As I awoke, I saw another bug run across my shorts.
Bed bugs are challenging to eradicate. Since they can hide in so many places, inspections must be thorough and elimination is not always a certainty. Whenever resources allow, it’s prudent to enlist the services of a professional. Experienced pest controllers know where to look for bed bugs, and have an assortment of tools at their disposal. Nonetheless, owners and occupants can assist the professional in several important ways. Affording access to all living areas is crucial, and excess clutter will need to be removed. Belongings strewn about rooms offer many places for the bugs to hide, and impede inspection and treatment. Since bed bugs can disperse throughout a building, it often will be necessary to inspect adjoining rooms and apartments as well. 

Some of the dusts that are available to consumers, such as diatomaceous earth, can help in this regard. Pest controllers will put dusts in wall voids and other places where pesticide won't reach. What happens is the bugs will wander through the dust and pick up particles and be more vulnerable to desiccation after that exposure. But dusts will not solve the problem if deployed incorrectly, and if they are applied at too high a level they can cause breathing difficulties in some people.

Some patients develop blisters filled with blood or bloody fluid, especially on the arms and legs. These blood blisters are extremely rare and can burst, causing bleeding or oozing of the bloody fluid. Healthcare providers are not sure if the cause of these blisters is related to the bug or the human but have found groups of patients that were all bitten by bugs on the same train exhibiting this sign.

It is important to remember that they have a very flat body that allows it to hide almost anywhere. During the initial onset of the infestation, they are only visible around the tufts and seams of the mattress. As the infestation grows, these bugs spread out and inhabit larger and larger areas. Generally they prefer rough surfaces like wood or paper for their harborages.
If you have bed bug bites, they may or may not look like the ones on the pictures. The bed bug bite pictures are meant as a guidance that should be used to eliminate other common insect bites. Please note that allergic reactions and a few other insect bites can look exactly like bed bug bites, so you shouldn’t make this your only step in identifying the bite. If you aren’t sure, contact your doctor and let him or her look at it. So what do bed bug bites look like? Have a look at the bed bug bite pictures below and see if they look similar to your own bites. If you have been bitten by bed bugs, then you should start bed bug bite treatment as soon as possible.
just got back from two weekends of traveling to two diff locations. noticed a slight rash yesterday on the side of my ribs and a couple smaller itchy spots on one side of my stomach, etc. i don’t think it was from the first weekend of travelling as my bed companion didn’t get anything. the second weekend was at a college campus, but i had wiped the bed down before putting sheets and a sleeping bag over it. got back home sunday and noticed the itch yesterday (tuesday). so now i’m freaking out and assuming the worst scenarios. i’ve washed and dried all my clothes (though i did leave my suitcase out for two days before i even realized the itch), my sheets, and used a handheld steamer on my mattress, clorox / lysol the edge of my bed and the wooden frame, vacuumed all open areas on my wooden floor, etc. not sure if i should go to urgent care or what, but i’ve so far used hydrocortisone (previously already prescribed). can you please help or can i send you photos since you’re more familiar with this? never happened to be at home before all 20 something years so now i’m terrified i brought something back with me!
As mentioned earlier, applying insect repellent at bedtime will probably not deter bed bugs from biting. When working in severely infested dwellings, there may be some benefit to spraying tops and bottoms of shoes with DEET-based repellents. Those working in bed bug-infested environments may also want to hot wash or run clothing, etc. through a dryer upon returning home or to the office.    
A definitive diagnosis of health effects due to bed bugs requires a search for and finding of the insect in the sleeping environment as symptoms are not sufficiently specific.[5] Bed bugs classically form a line of bites colloquially referred to as "breakfast, lunch, and dinner" and rarely feed in the armpit or behind the knee which may help differentiate it from other biting insects.[4] If the number in a house is large a pungent sweet odor may be described.[4] There are specially trained dogs that can detect this smell.[2]
I never had a problem with bed bugs until my neighbor came over. I didn’t even know she had them until this past Thursday (02/09/2017). She had a brand new bedroom suit she got from Arron’s and they were putting it on the truck. Next thing I knew, they were taking it back off and putting it on the porch. We live in apartme ts so we share a porch. Anyways I asked her why they did that, and it was like she was proud of the fact that she had them. Now I have bites on my upper forearm, and I have treated my house. She knew she had them and never said anythjng. Is there something that I can do about her knowing and not saying anything? I have grandchildren that come over on the weekends.

Well I had my house tented for bed bugs. It cost me $2600. My home is about 2000 sq ft. They said it wasn’t necessary to wash anything unlike some of the other treatments. It is more than worth it to me as long as it works. I haven’t stayed in my house for over a week now. I’m still itching, but no new bites. Is that common, to still itch for so long afterwards? I just don’t feel comfy/cozy at home any more. I don’t want to be here. I’m seriously thinking of selling or renting my home and moving out. I’ll keep you posted as to whether it worked or not as soon as I can start staying home again.

No two people react to bites in the same way, although some reactions are similar. Because of the saliva that they leave behind, the first reaction is usually severe itching and irritation. This is often followed by a raised appearance on the contacted area. Some people, however, react by having welts and hives all over the body. Still others will have small, pinkish bumps that are concentrated in one area.
Run hot water as hot as you can take it. When its hot enough for you, run the hot water over your bites. Yes it does burn a little, but you’ll feel relief from the hot water drawing the “itch” out. Do this for about 10-15 seconds and then immediately switch to very cold water and run that over it. The shock to your skin from going from hot to cold immediately relieves the itch and it lasts for hours. I can take it pretty hot, so I almost give myself burns, but its worth it.
Español: tratar las picaduras de chinches, Deutsch: Bettwanzenbisse behandeln, Português: Tratar Picadas de Percevejos, Italiano: Trattare le Punture delle Cimici da Letto, Français: traiter des piqures de punaises de lit, Русский: лечить укусы клопов, 中文: 应对床虱叮咬, Nederlands: Bedwantsbeten behandelen, Čeština: Jak léčit štípance od štěnic, Bahasa Indonesia: Mengobati Gigitan Kutu Ranjang, Tiếng Việt: Trị Vết cắn Bọ rệp, 日本語: トコジラミの刺し跡を治療する, العربية: معالجة لدغات البقّ المنزلي, 한국어: 빈대에 물린 상처를 치료하는 법, ไทย: รักษารอยตัวเรือดกัด
Hi, I’m a little late to the talk but this is honestly very strange to me, i had bed bugs about a year ago and fully got rid of them, as of yesterday, 9/10, i woke up to bites on my right hand, palm and fingers not on the top of my hand, and on my right foot, in between my toes and the soles of my foot. i thought it may be bed bugs because of having 3 days so maybe one of them jumped on my bed and brought one along, but i decided to sleep one more night, i now got bit on me left hand and feet the same as my other bites, only on my toes soles palms and fingers, they’re red bumps that itch and whenever they’re pressed along something they hurt, if they are bed bugs why aren’t they like how i had them last time where i got bit everywhere there wasn’t hair, now I’m only getting bit in those spots, hopefully my info helps! Thanks!
I too feel hopeless about the bed bugs, I clean scrub and now have noticed them on the mattress, walls, picture frames and just the other day on my laptop!! I’ve tried so hard to get rid of these animals and haven’t been able too, my arms and hands feel like I have small pox these things can get really annoying the itching never stops I’ve tried aloe and calamine and it’s just getting worse. I’ve spent sleepless nights looking for them and I haven’t been able to get rid of them
Bedbugs lurk in cracks and crevices and they've been living on human blood for centuries. Though they aren't known to transmit disease or pose any serious medical risk, the stubborn parasites can leave itchy and unsightly bites. However, bedbugs don't always leave marks. The best way to tell if you have a bedbug infestation is to see the live, apple-seed-size critters for yourself. Unfortunately, once bedbugs take up residence in homes and businesses, they can be difficult to exterminate without professional help.
This morning, I stood in front of the mirror for my daily grooming routine when the most gruesome red bumps appeared before me and it’s at the side of my neck! Thankfully it’s Saturday coz I will not spend my time with my co-workers! I researched and stumble upon your website. I wish you could help me The bites are getting itchy and what would you recommend? Natural or modern medicine? Thanks i’ll be waiting for your answer…
Never treat any bedding, mattress, etc. with anything other than the treatments listed: borax, enzyme cleaner, Comet, sodium borate. Other pesticides and exterminating fluids can be harmful to humans. Even so, bedding and mattresses treated with chemicals such as borax or Comet should be left outside to dry naturally in the sun, then wrapped in plastic before next use, so as not to irritate the skin.
Although most furnishings need not be discarded, in some cases this may be necessary. This is especially true of heavily infested beds, sofas and recliners where bugs and eggs often reside in hard-to-reach places. Consequently, pest control firms may recommend such items be discarded, especially when in poor condition. When infested items are discarded, bagging or wrapping them prevents dislodgement of bugs en route to the trash. 
This pair of bed bug bite photos below show the immediate (left) and next day (right) reaction after feeding a colony of bedbugs from a container in the lab. (That's why they are contained in a small circular area).  The hive-like immediate symptoms are replace by dark red rash type reaction the following day with inflammation and less severe redness radiating out to a larger area.  
Spray all baseboards, loose plaster, behind bed frames and headboards, beneath beds and furniture, and bedsprings and bed frames. Do not apply to furniture surfaces or mattresses where people will be laying or sitting unless using a product labeled for that type of treatment. Infested bedding should not be treated, but should be removed, placed in sealed plastic bags, and taken for laundering and drying at high temperature.

I thought I was getting bitten by mosquitoes when out on my balcony. But I get bitten during the night and basically on the arm outside of the covers. This all started after my neighbors in the apartment next door moved out. I have yet to actually see the bugs. The bites tend to be in a line which I read online was typical for bedbugs but not always.

After I noticed the first bites on the center of my back, I moved to the living room, thinking that would be fine. But obviously not because I have three more to the collection. I don’t know if I can fix the bedbug problem or not, but I only have a little under a month until I move out. I just wanna make the pain go away. Not to mention they look awful.
Here’s one for ya…I drive over the road truck. On Friday 8/13 it was miserably hot so I stayed the night in a reputable motel. I now have bed bugs in my truck!!!! I’m getting a new mattress but am going to tell them to wrap it and tape it real well until I get home and bomb my truck. Being such a small space I figure using an insect smoke bomb will work. Well, at least it better!!! I have tons of bites all over my ankles, feet, several on my face, on one arm and on both thighs. Yup, the itching sucks…
Bed bugs are challenging to eradicate. Since they can hide in so many places, inspections must be thorough and elimination is not always a certainty. Whenever resources allow, it’s prudent to enlist the services of a professional. Experienced pest controllers know where to look for bed bugs, and have an assortment of tools at their disposal. Nonetheless, owners and occupants can assist the professional in several important ways. Affording access to all living areas is crucial, and excess clutter will need to be removed. Belongings strewn about rooms offer many places for the bugs to hide, and impede inspection and treatment. Since bed bugs can disperse throughout a building, it often will be necessary to inspect adjoining rooms and apartments as well. 
Bedbug bites may go unnoticed or be mistaken for flea or mosquito bites or other types of rash or skin conditions, since the signs of bedbug bites are difficult to distinguish from other bites or skin conditions. Bedbugs also have glands whose secretions may leave musty odors, and they also may leave dark fecal spots on bed sheets and around places where they hide (in crevices or protected areas around the bed or anywhere in the room).
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