Medical treatment is usually not needed for bedbug bites. If required, medical treatment is aimed at relieving the symptoms (like itching) caused by bedbug bites. In the rare cases of a systemic allergic reaction or a secondary skin infection, evaluation by a health care professional may be necessary. Individuals may also want to seek medical care if they are unsure of what is causing their skin lesions.

Bedbugs are most often found in hotels, hostels, shelters, and apartment complexes where lots of people come and go. Because bedbugs hide in small crevices, they can hitch a ride into your home on luggage, pets, furniture, clothing, boxes, and other objects. Bedbugs are found worldwide, but are most common in developing countries. Once rare in North America, they may be on the rise due, in part, to increases in international travel.
Cutaneous reactions to bedbug bites can vary widely and are easily confused with other conditions (Table 1).15–19 A typical lesion is a 2- to 20-mm, pruritic, erythematous maculopapule with a central hemorrhagic crust or vesicle.5,8 Macules, papules, wheals (Figure 3), vesicles, bullae, and nodules have all been reported,20 as have asymptomatic lesions with a barely visible punctum as the only evidence of a bite.8 Bites vary in number and are preferentially distributed in unclothed areas (e.g., face, neck, extremities). Unlike many other arthropod and insect bites, bedbug bites are rarely located in the popliteal fossae or axillae.21 Lesions can be noticeable immediately when waking up or several days later, with the reaction often progressing from delayed to immediate with subsequent exposures22–26  (Table 2). The classic bedbug rash is referred to as “breakfast, lunch, and dinner” because it commonly presents as several bites in a row or cluster 20 (Figure 4).

We suggest if you are wanting to use any type of pesticide that you should hire a professional. Bed bugs often hide in places where pesticides can’t reach and pesticides can be very harmful if not used properly. If you are still wanting to treat bed bugs yourself we suggest using food or animal grade Diatomaceous Earth instead. Diatomaceous Earth is non-toxic and will dry out the bed bugs. Also here is a link to our 8-step approach to getting rid of the bed bugs. Please let us know if you have any other questions.
Bed bug bites do not typically require treatment. It is best to clean the bite site(s) with soap and water and avoid scratching so as to prevent secondary infection. Progressive swelling, warmth, tenderness and sometimes (albeit rarely) fever may be signs of secondary infection, which should be managed with antibiotics as appropriate. Much more common are complaints of itching. For how to treat bed bug bites that cause severe itching, topical steroid creams or oral antihistamines may offer relief from itching and thus decrease the risk of infecting the bite site.

I have been getting a “bites” here and there the last couple weeks. Mostly on legs and a couple on my hip. They don’t itch and sort of look like pimples. I am stressed about bedbugs due to a scare a while back (turned out to be carpet beetles) and think it may be from stress. Anywho there is no evidence (cast,spots, ect) yet but could it be bedbugs if it is new infestation.
Bites on dogs and cats will look much like bites on people, and the pet owner may actually suspect a mosquito or flea bit the pet. As with people, bed bugs do not stay on pets, but return to a protected harborage site after feeding. In addition to bites, the presence of the bug’s feces, cast skins and the animal’s irritation at night are also indicators of bed bugs biting pets. Therefore, one of the best things to do is inspect the pet’s bedding and frequently groom the animal while being vigilant for the telltale signs of bed bug presence.
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