Adult bed bugs are about 3/16” long and reddish-brown, with oval-shaped, flattened bodies. They are sometimes mistaken for ticks, cockroaches, carpet beetles or other household insects. The immature bed bugs (nymphs) resemble the adults, but are smaller and lighter in color. Bed bugs do not fly, and they don’t jump like fleas do ― but they can crawl rapidly over floors, walls, ceilings and other surfaces. Adult females lay their eggs in secluded places, depositing 1, 2 or more eggs per day, potentially hundreds during their lifetime. The eggs are tiny (about the size of a dust spec), whitish and hard to see without magnification, especially on light-colored surfaces. When first laid, the eggs are sticky, causing them to adhere to surfaces. At room temperatures, bed bug eggs hatch in about a week. Newly emerged nymphs are straw-colored and no bigger than a pinhead.

Once an infestation is confirmed, an integrated pest management strategy should be employed. Promoted by the Environmental Protection Agency (EPA) and the Centers for Disease Control and Prevention, an integrated pest management strategy is a multi-faceted, comprehensive strategy that relies on knowledge of bedbug biology and habits, and the most up-to-date pest control methods.3 An integrated pest management strategy minimizes economic, environmental, and health hazards, and is most effective for small bedbug populations.
Firstly, its important to remember that, despite their daily diet of blood, bed bugs will not transfer blood based diseases (such as AIDS, etc.). However, in very rare cases, these bites have been known to cause Anaphylaxis, which is an adverse allergic reaction that covers the entire body in a rash. After being bitten by a bed bug, be alert for any of these potential complications:

Bed bugs occur in all regions of the globe.[7] Rates of infestations are relatively common, following an increase since the 1990s.[3][4][6] The exact causes of this increase is unclear; with proposals including greater travel, more frequent exchange of second-hand furnishings, a greater focus on control of other pests, and increasing resistance to pesticides.[4] Bed bugs have been known human parasites for thousands of years.[2]
Check the mattress throughly, paying close attention to seams and tufts along the edges. Flip the mattress over and inspect the bottom carefully as well. Pay particular attention to any rips in the fabric. View the fabric on the bottom of the box spring and shine a flash light to verify that bed bugs have not penetrated the interior of the box spring.
All of the stages of bed bugs are visible, at least if you don't need reading glasses and you have a sufficient amount of light. So if you're looking closely enough, you can even see bugs in the nymphal first instar stage. A fecal spot, for its part, can be as large as a bed bug itself in terms of the area it covers. The spots are basically digested blood, so most are dark in color. On a white mattress, they stand out pretty well.
When traveling, inspect the bedding prior to exposing yourself or your belongings. Seal your dirty clothes in plastic bags. You may even consider encasing your luggage in a plastic bag while you are in a hotel room. Launder your clothing as soon as you get home. You can treat your suitcase by vacuuming, using a clothes steamer, or handwashing it with hot water and soap. You might also consider encasing luggage in a plastic bag between trips.
However, always remember that these simply treat the problem and do not get down to the root cause. You will still need to take steps to get rid of them! Here are a couple home remedies to get rid of bed bugs that have been extremely helpful to the community. I encourage you to take a look at that article if you are serious about removing them properly.
3. Centers for Disease Control and Prevention; National Center for Environmental Health; Environmental Protection Agency. Joint Statement on Bed Bug Control in the United States from the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Environmental Protection Agency (EPA). Atlanta, Ga.: National Center for Environmental Health; 2010.
Bed bugs can exist singly, but tend to congregate once established. Although strictly parasitic, they spend only a tiny fraction of their lifecycles physically attached to hosts. Once a bed bug finishes feeding, it relocates to a place close to a known host, commonly in or near beds or couches in clusters of adults, juveniles, and eggs—which entomologists call harborage areas or simply harborages to which the insect returns after future feedings by following chemical trails. These places can vary greatly in format, including luggage, inside of vehicles, within furniture, among bedside clutter—even inside electrical sockets and nearby laptop computers. Bed bugs may also nest near animals that have nested within a dwelling, such as bats, birds,[22] or rodents. They are also capable of surviving on domestic cats and dogs, though humans are the preferred host of C. lectularius.[25]
Bedbugs reproduce by a gruesome strategy appropriately named "traumatic insemination," in which the male stabs the female's abdomen and injects sperm into the wound. During their life cycle, females can lay more than 200 eggs, which hatch and go through five immature "nymph" stages before reaching their adult form, molting after each phase. [Infographic: Bedbugs: The Life of a Mini-Monster]
While the former methods are helpful, insecticides are widely used by most pest control companies. A variety of EPA-registered materials are available formulated as liquids, dusts and aerosols. Baits used to control ants and cockroaches are ineffective in this case since bed bugs must bite and feed on blood. Professional-use insecticides such as Temprid®, Transport® and Phantom® tend to be more effective than bed bug sprays sold by retailers. Bleach, alcohol, cigarette lighters, etc. should NOT be used to control bed bugs. Besides being ineffective, such actions can result in fires and other dangerous outcomes.   
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. 
The first thing is you have to be able to recognize and distinguish a bed bug from any other insect. Everything starts to look like a bed bug if you start to worry about them. An adult bed bug is about the size and shape of an apple seed. If it has not fed recently it will be flattened and brown. If it has fed it will be round in circumference and reddish. Immature bed bugs have a similar appearance to adults, with the smallest being the size of the head of a pin. You can then learn to look for their fecal spots, which can be easier to detect than the bugs themselves. Check your hotel rooms when you travel. And think twice before bringing home used furniture. If you are purchasing used furniture, ask the furniture store how they deal with bed bugs. If they have no plan whatsoever, that's probably not a good sign. If you purchase used clothing, put it through a clothes dryer on a medium to high setting for a cycle as soon as you bring it home. And before you move into an apartment, ask the landlord whether there has been a bed bug infestation, or whether the building has ever been treated for bed bugs.
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).
Bedbugs are small oval-shaped non-flying insects that belong to the insect family Cimicidae, which includes three species that bite people. Adult bedbugs reach 5 mm-7 mm in length, while nymphs (juveniles) are as small as 1.5 mm. Bedbugs have flat bodies and may sometimes be mistaken for ticks or small cockroaches. Bedbugs feed by sucking blood from humans or animals. Cimex lectularius is the scientific name for bedbugs.
Mechanical approaches, such as vacuuming up the insects and heat-treating or wrapping mattresses, are effective.[3][6] An hour at a temperature of 45 °C (113 °F) or over, or two hours at less than −17 °C (1 °F) kills them.[6] This may include a domestic clothes drier for fabric or a commercial steamer. Bed bugs and their eggs will die on contact when exposed to surface temperatures above 180 degrees and a steamer can reach well above 230 degrees.[31][15] A study found 100% mortality rates for bed bugs exposed to temperatures greater than 50 °C (122 °F) for more than 2 minutes. The study recommended maintaining temperatures of above 48 °C for more than 20 min to effectively kill all life stages of bed bugs, and because in practice treatment times of 6 to 8 hours are used to account for cracks and indoor clutter.[32] This method is expensive and has caused fires.[6][15] Starving them is not effective as they can survive without eating for 100 to 300 days, depending on temperature.[6] One expert recommends not trying to get rid of bed bugs exclusively on one's own.[29]
recently i have gotten an infestation of bed bugs.. i noticed it not long after i got an exterminator to come spray for ants and other outside bugs.. after he sprayed i noticed an increase of spiders(especially black widows) and a lot more bugs coming inside.. i have a fairly new home(5yrs old) and i shouldn’t have this problem… make sure you get a real professional company to come and do the work. ask what they are spraying/laying down, and what they are treating for and research it to be sure.. i think my house was baited rather than treated
I was at a friend’s house in the afternoon for 3.5 hrs and woke up at 3 am with severe itching, and pain, on my back. My entire back was covered in bites/rashes, clear lines and clusters. I had no idea what it was and went to the doc. Someone suggested shingles. Doc said definitely bug bites. I talked to my friend and they admitted to having seen bed bugs on the couch “recently.” Freaking out I flipped over my entire bedroom, found nothing. Washed the clothes I wore in hot water and high heat drier. I am hoping that the feeding occured during those few hours and no buggs travelled with me. All I had was me, no stuff. Can they “migrate” on people?

I have done all of this to my home, bed bug dusted and bed bug pesticide sprayed, My cat had been attacked by them I have given her 2 bathes since with Dawn soap. she’s been rubbed down with coconut oil when I had not known of the neighbors upstairs infestation and after the first Dawn bath was periodically rubbed with baking soda. I have bought her a flea color but not for this just cause I am truly a depressed person and full of anxiety both.The place has been vacuumed most thoroughly and floors washed , clothing laundered/dried . I am just asking for further instruction and the best advice to continue any treatment needed to my cat and home. Lastly , I am just overwhelmed by pretty much everything that i am breaking down to tears and unable to sleep properly.. Please HELP
Bedbugs are found all over the world. Bed bug infestations were common in the U.S. before World War II and became rare after widespread use of the insecticide DDT for pest control began in the 1940s and 1950s. They remained prevalent in other areas of the world and, in recent years, have been increasingly observed again in the U.S. Increases in immigration and travel from the developing world as well as restrictions on the use of stronger pesticides may be factors that have led to the relatively recent increase in bedbug infestations. While bedbug infestations are often reported to be found when sanitation conditions are poor or when birds or mammals (particularly bats) are nesting on or near a home, bedbugs can also live and thrive in clean environments. Crowded living quarters also facilitate the spread of bedbug infestations.
Some pest control firms utilize specialized heating equipment to de-infest furnishings, rooms, and entire dwellings. The procedure involves heating up the infested item or area to temperatures lethal to bed bugs. Portable heaters and fans are used to gradually heat the air to about 120 - 130°F while monitoring with strategically placed sensors. By carefully controlling the temperature, bugs and eggs are killed wherever they may be without damaging household items. 
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.

Hi can you respond to me privately? I inspected my bed mattress and linens for any signs of bed beg fecal matter and any grown bed bugs or spots of feces. I have not found any traces blood-type residue or brownish type feces in the mattress. Is it normal to find an occasional bites from something other than bed bugs? Sometimes after shaving, I will have red pimples where I have shaved.
I moved into my apt in April and started getting bitten in June , my apt have been professionally treated 3 separate times. I have a 3 year old and I’m so worried for her she doesn’t seem to get bitten or if she is she doesn’t have the bad reaction that I do which is good. I have 18 bites in the past week the worst I’ve ever had. I can’t find the little blood suckers but I found a bed bug spray at home depot. I’m going to treat my house wash and dry all my clothes in hot temps , then caulk every crack and crevice in this apt. I plan to do this every week until my lease is up and I can move out this apt 7 more months.
The safest and most effective approach to getting rid of bed bugs is heat treatment, in which a trained professional heats the home's rooms one by one to a temperature of 50 degrees Celsius and sustains the heat for four hours. Heat does not penetrate well into wall voids, though, so desiccant dusts are often applied to those areas. No single technique can eliminate bed bugs—combinations of approaches are essential to getting the job done.

Call your city or town health inpespector. In most major cities it is the landlords obligation to hire a an exterminator. In the case of bed bugs I believe there is more of an urgency and most city inspectors will come out within days, now that bb’s have reached epidemic levels not only in the U.S., but in many countries around the world. In some U.S.cities there are “lanlord/tenant agreements”, which are locally legal and binding contracts that state what the obligation of a landlord and tenant is, and most contain a clause which says that repairs, maintenance, etc.,which are landlords obligations, and what recourse a tenant has when the landlord refuses to repair or maintain his rental properties. In some cases, the tenant may pay for the repairs and deduct from the rent after following various steps first, such as, notifying the landlord via certified letter, prior to the tenant paying for said repairs. Please READ your lease and call your city or town’s health department or building inspectors first,as these ordinances may vary. You can always file a case in local claims court without an attorney,after paying for the repairs,if all else fails, and moving is not an option. I am not a lawyer, and this is not legal advice. I hope this helps. Bed bugs are a public health hazard. And not taken lightly by many local elected, or appointed officials. I hope this helps.
The Internet abounds with so-called miracle cures for bed bugs. But bed bugs are hard to get rid of, so anything that advertises an immediate solution is not accurate—it's snake oil. These "cures" have included (as reported by pest control operators who come in afterward to tackle bed bugs correctly) using bleach, ammonia and even DIY heat treatment, which carries fire risk.
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.

Thank you all for the advice I’m seeing on here. Hydrocortisone was doing nothing for these bites. I have a high tolerance for pain but these bites really made me want to cry. I tried the Veeno Oatmeal bath, Witch Hazel and the Aloe Vera and this is when I began to get relief. These bites were very uncomfortable. I still itch a little but the swelling has gone down tremendously. I keep the Aloe Vera and witch hazel handy for the itching.
Bedbugs are a species of insect known as cimex lectularius (literallycimex is Latin for bug and lactularius is Latin for bed). There is a second common species of bedbugs known as cimex hemiptera. These are known as the tropical bedbugs, staying within 30 degrees of the equator. There are published reports, many without supporting evidence, that each of the common bedbug species has chemically different saliva. Some researchers, however, have found no difference in the reactions caused by each species.

The likelihood of bed bugs increases if the affected individual has been traveling, or if they have acquired used beds or furnishings before symptoms started to appear. Bed bugs also are suspect if you wake up with itchy welts you did not have when you went to sleep. It’s important to recognize, however, that not all bite-like reactions are due to bed bugs. Confirmation requires finding and identifying the bed bugs, shed skins, fecal spots, etc., which often requires the help of a professional. (Other possible sources of irritation that may be mistaken for bed bugs are discussed in University of Kentucky entomology fact sheet ENT-58, Invisible Itches: Insect and Non-Insect Causes). 


With practice and a flashlight, nonprofessionals can become proficient in finding and destroying bed bugs. The process is made easier by reducing clutter, especially in bedrooms and sleeping areas. Bugs that are spotted can be removed with a vacuum (see previous discussion), or killed with over-the-counter insecticides labeled for such use. Most bed bug sprays intended for householders have little remaining effect after the spray has dried. Therefore it’s important to initially contact as many of the insects as possible with the spray droplets. Insecticide labels should be read carefully as some bed bug products should not be used on mattresses and seating areas. Some insecticides applied as powders or dusts (e.g., diatomaceous earth) will kill bed bugs although boric acid powder will not. However powders can be messy and difficult to apply, especially by nonprofessionals. Total release foggers (otherwise known as ‘bug bombs’) are ineffective against bed bugs and potentially dangerous when used incorrectly (see University of Kentucky entomology fact sheet Limitations of Home Insect Foggers).

It often seems that bed bugs arise from nowhere. The bugs are efficient hitchhikers and are usually transported into dwellings on luggage, clothing, beds, furniture, and other items. This is a particular risk for hotels and apartments, where turnover of occupants is constant. Bed bugs are small and agile, escaping detection after crawling into suitcases, backpacks and belongings. Acquiring secondhand beds, couches and furniture is another way that the bugs are transported into buildings. Bed bugs also can be carried in on one’s clothing, shoes or wheelchair. Once bed bugs are introduced, they can crawl from room to room or floor to floor. They can also be transported throughout buildings on people and their belongings. 


I was in europe and have always been healthy and felt fine the 2 months while there, on my drive back home I started itching my arm and didn’t think much of it. During the next few days to weeks the itching turned into welts that itched like crazy and got bigger and harder within hours. The redness would then extend out apx. the size of a 50 cent piece that would form a small scab in the middle as it would heal. Then it would heal , but the next few welts would appear in different places. They would start off as itchy flat red circles that would quickly become firm and red. I sometimes would also feel stings all over . I’ve had this problem now for over a month. One dr. told me I had mites, another said I had bed bugs. I have small scars all over my body now. I used the all over cream 4 nights ago that is supposed to kill mites. The itching is still there but not quite as bad today and yesterday. I’ m going for a third opinion tomorrow. I never knew that itching can keep me from working or actually doing anything else except for keeping calamine lotion beside me and rubbing it on me every 10 minutes. Good luck to all of you that are dealing with the same nightmare.
However, another thing which has helped me with the intense itching is a regular hair brush! I was scratching so much that I grabbed the hair brush and used that to cover more territory! I have found that even if I “brush” intensely, it will not bleed and slowly the itching will subside. I have also heard of a quirky aid in “bug direction”…..used dryer sheets will discourage bugs from the area….what I saw was the sheets tucked in between the mattress and box spring by each bedpost.

Dusts last longer than aerosols, but the crack and crevice tips on the Phantom and Bedlam areosols enable you to get into the smallest cracks. It is a good idea to use a combination of sprays and dusts. Temprid SC may be used on the tufts and seams of mattresses. It works well as a residual insecticide sprayed in other recommended treatment areas such as night stands, chests, dressers, couches and chairs.
According to textile experts (Drycleaning & Laundry Institute, Laurel, MD), most garments designated as ‘dry-clean only’ (e.g., cotton, wool, silk, linen, rayon, nylon) will not be harmed provided they are dry before being placed in a clothes dryer at a moderate temperature setting. Dry cleaning procedures also kill bed bugs, but there is a risk of infesting the establishment when buggy items are tagged and sorted. 
We had bed bugs two years ago and I was hyper allergic. I’ve been paranoid every since. This morning I woke up with five marks on my stomach and am now terrified. When I got bit before it was my hands arms or face but it was my stomach… I wear guys shirts so my stomach was definitely fully covered. There have been zero signs for two years and suddenly five marks on my stomach. Is this some sort of rash or did they suddenly come out of nowhere within a night?
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)
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