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.
If I go to an infested apartment, then when I leave I check my shoes very carefully for bugs that may have crawled onto them. I also keep a change of clothes in my garage and put them on before entering my house. Once inside, I immediately put the clothes I wore to the infested apartment in the dryer, which is located in a room just off the garage.
Bedbugs are highly resistant to many sprays. There are, however, certain sprays that may be able to kill bedbugs. Check with a professional exterminator about advice using sprays to try and remove the bedbugs yourself. Dead bedbugs usually won't move, may be arched back, or red in color. Ultimately, you may be better off replacing your mattress and bedding and fumigating your home to kill the bedbugs.
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.
We took a road trip with our kids, stayed in a nice hotel and guess what? Bed bug bites on all of us. I usually carry a product with us as it works on insect bites so we decided to try it… thank goodness it worked and got rid of the pain and itching quickly… i ordered it from a website but soon found out that I could do the same thing with baking soda and water as mentioned on this site. Before you buy, consider the alternatives! Thanks and good luck to everyone!
Hi! I was just curious, I am staying at my parents (which Ive never had an issue before) and have 21 bites on my bicep/forearm/in the bend of my arm which I noticed yesterday. They dont itch and are already losing the redness. This morning I woke up and have no new bites. My husband and son do not have bites either (they both are very sensitive to insect bites too). We checked the bed before bed last night and there were no signs of bed bugs. Is it possible that its still bed bugs???
Hello there Trish from Reno we found bed bugs oh my gosh, I am am the only one who has been getting bit last yr on my feet this yr on my hands. My husband saturated our mattress with rubbing alcohol baseboards and I am washing everything tomorrow should we spray our entire you’re house too even our cloth furniture? What else should we do. Thanks you for this site. Sleepless in Reno…

In infestations with persistent, repeated exposures, bed bug bites may appear in crops. Also, since bed bug bites usually take three to six weeks to heal, as long as the infestation is still present, new bites may accumulate even as the older ones start to resolve. Thus, people may have various bite reactions in various stages of evolution at the same time.
Unlike cockroaches and flies that feed on filth, there is often no relationship between bed bugs and cleanliness. Since the bugs feed solely on blood, pristine dwellings can be as vulnerable to infestation as are places of squalor. That said, poverty and privation can lead to increased risk of bed bug problems, as can the inability to hire a professional exterminator.    
Mix 3 oz per gallon or 0.75 oz per quart and spray with a low pressure sprayer into the areas where the bed bugs are hiding. Typical areas include bed frames, headboards, under beds, baseboards, moldings, behind pictures,etc. Remember to apply in the joints and crevices of furniture. If the crack and crevice is too small, use an aerosol with a crack and crevice tip (recommendations are below.)
If possible get your treatment from a local outlet like Home Depot, a hardware store or an agricultural/farm supply store. If you can afford it get one of those steam mops like Shark has. It comes with a unit designed for hand steam treatments of the bed and the hot steam will kill the bugs. You will also need it if you have to treat carpeting. Professionals use a combination of treatments and you will too in order to be successful. Good luck!
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.
Its important to note that bed bugs can easily be transferred from other locations (such as hotels, friends, etc.) into your bedroom, something your definitely want to avoid! Its important to always check your skin, clothing and bags for any signs of bed bugs (and their bites) before entering your bedroom after sleeping away from the home. If you have been bitten a couple times, there is usually no urgent need for medical care. In fact, there are a number of effective home remedies that you can use to treat these insect bites. However, sometimes medical assistance is required. When is this the case and how can you identify when professional help is needed?

Although treating bedbug bites isn't difficult, actually getting rid of the bedbugs is another story. A professional exterminator can help. You will need to discard infested mattresses, box springs, and pillows. You can heat treat or cold treat items such as clothing by laundering or freezing. However, the room itself will need to be treated to eliminate bedbugs that can live in cracks in walls, floors, and furniture.


As bed bugs grow they molt, shedding their skin five times before reaching maturity. A blood meal is needed between each successive molt. Adult females also must feed in order to lay eggs. Under favorable conditions (70-80°F), the bugs can mature fully in as little as a month, producing multiple generations per year. Cooler temperatures or limited access to blood prolong the development time. 

If, after everything is thoroughly taken apart and cleaned, you still have an infestation, other measures may need to be taken. If you have an infestation of bats, you may also have a serious infestation of “bat bugs” which are very similar to the common variety. Often, the infestation is not as strong as those caused by their cousins as they are more apt to wander and relocate.

If you know that you have the bugs. Get sealing covers the kind that encloses completely, one for the mattress and one for the box spring. That will trap those critters inside and they will eventually die in there. Next you will need to decide of what combination of treatments you wish to use. Its a job that you will have to keep up with for some time. Do your research online first.
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
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.
An OTC antiseptic medication can be used for skin irritation that may then develop into an infection. As a precaution, do not use creams on broken or infected skin. If you have already been scratching, do not use these products on any raw or weeping areas. If you see signs of a skin infection, such as redness, don't use these creams in that area, and call your doctor.
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.

Avoiding repeated bites can be difficult, since it usually requires eradicating bed bugs from a home or workplace; eradication frequently requires a combination of pesticide and non-pesticide approaches.[3] Pesticides that have historically been found to be effective include pyrethroids, dichlorvos and malathion.[4] Resistance to pesticides has increased significantly over time and there are concerns of negative health effects from their usage.[3] Mechanical approaches such as vacuuming up the insects and heat-treating or wrapping mattresses have been recommended.[3]
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.

Bed bug eradication is challenging and it’s prudent to hire a professional when resources allow. However treatment can be expensive, often costing hundreds or thousands of dollars. Those who cannot afford this often must cope with the problem themselves. A useful step that anyone can take to combat bed bugs is to install bed encasements. Covering the mattress and box spring can help eliminate a substantial portion of the bed bug population -- especially if discovered early while most of the bugs are still confined to the bed area. Extra care should be taken when installing budget encasements since these can tear easily, especially on metal bed frames. Ideally both the mattress and box spring should be encased. If only one encasement is possible it’s often best to cover the box spring which is harder to subsequently inspect.


I am freaking out. I woke up with one bump on my hand yesterday and tonight at about 2am i woke up with my hand itching again…there is a swollen lump about an inch away from yesterdays bump and then there are two swollen itchy lumps right by my wrist…there is also a swollen itchy lump on my chin… I am freaking out because i work in people’s homes so i always have this fear of bringing something home and recently a client hadn’t some bites on her back that looked similar to this. They went down as I rubbed alcohol. Ive had bites at a friends house similar to this n there are lots of spiders where she lives. It doesnt look like bed bigs but maybe some kind of house spider maybe getting to me at night(im in philadelphia). But again swelling and extremely itchy. I dont see bed big signs on my bed or anything can i email u a pic of my hand and face? I am itching so badly amd i cannot turn the lights back out and fall to sleep im paranoid. I cant stand any bugs.

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.   
My husband works for a garbage company (this is how we think the invasion started) and at the moment they are localized to our bedroom and our bathroom. However, the first place we found them was in our headboard & footboard. It is wood with an intricate carving. We checked the mattress and box spring and didn’t find a thing. But they LOVE that wood.
I’ve cleaned the entire area…this time sprayed it all down with a bedbug killing spray (Raid). Everything, nooks, crannies, corners, the vent. I’ve also re-inspected my spare mattress. No sign of anything. I’ve gone as far as going into both. the inside of my boxspring has been saturated with the raid spray as is the “down” side of the mattress. I slashed into the side of the mattress and sprayed inside there too. I am going to be mopping with bleach in the morning and afterward I will do my spray down again.
I’ve encountered mosquito bites, flea bites and spider bites, but never had I encountered bed bug bites, that is until I travelled to San Francisco, CA. I made the trip at least four times a year; however, this time was different—opting to stay in a nearby hotel instead of with family or friends. I remember lying in bed. The room was hot and stuffy, causing me to toss and turn throughout the night. When morning came, I was exhausted but began my usual morning routine eager to get on the road. After a quick rinse, I dragged myself over to the mirror; that’s when I noticed them—little red bumps across my chest. Quickly, I scurried over to the bed—pulling off sheets, flipping pillows, inspecting the mattress and the box spring—nothing! Ugh, how could this have happened? It was a top-rated hotel. Were these bed bug bites, or was it another blood-sucking insect?
My fiance and I have been dealing with bed bugs for 3 years. In the beginning I was the one being bitten. Just recently my fiance has been covered in bites. His lip is swollen this morning. We don’t know what to do anymore. This entire process is expensive and hard for us to afford. we’ve been treated by 3 exterminators. None have worked. I’m very upset because all of our belongings are damaged because of this! The Land Lord keeps bring exterminators and nothing’s working. we follow all the directions. I’ve checked my cat he seems to be fine, but I don’t know anymore. we’re miserable. I think we are stuck for life.

Very helpful article, plus everyone’s comments. I wish you all the best of luck with bedbug problems. We went to a cabin near Yosemite before Christmas and I saw bugs on the bed. Luckily we didn’t sleep there and left right away. However I’m afraid some came home with us. About 3 weeks after our trip, I got a rash on my neck, but it’s not very itchy. Haven’t seen any bugs at home, but am worried. Will try the tips in the article–any suggestions how to heat a bedroom to 120 degrees?
I’m 19 years old; I Been staying at my aunts house for a while now and I just knows she has bed bugs; I always thought it was maybe a mosquito bite; but realized they aren’t put yet my arms stomach and back keeps getting bit I have ugly marks on my arms from this scratching I’ve Ben doing; it’s hidious… My question is how do I tell my aunt u have bed bugs without her being offended?
Likewise, if I get bitten by a bed bug, I usually get a rather bad rash which is extremely sensitive to touch while they are hardly visible on my husband. If your bites become very itchy, you need to resist the urge to scratch the affected area as this can make the problem worse and cause further inflammation, infection or even bleeding. According to the Center for Disease Control, bed bug bites can even cause insomnia due to the fear of being bitten. This can result in a lack of energy and dramatically increased anxiety levels.
you probably ALREADY HAVE THEM..you cant let people that you know have an infestation of blood sucking parasites in your HOUSE..im sure you already have them but a hot dryer does kill them yes but thats not going to protect you these are very easily spread they fall off their bodies or hair right into your house & if you have children with bedbugs in your home you most likely already have them..sometimes people have no idea they even have them the bites dont affect some people..other people after about 3 week get an allergy & thats why the bites swell like hives..they became allergic & that can be a dangerous allergic reaction

Help!! I have had a long and exhausting experience with these nasty bugs. My mother in law had stayed at my house for a few nights and a few weeks later after returning home she discovered she had a severe infestation of bed bugs.. so of course I took precautions at my home thinking she gave them to me. I threw my mattress away then taped off my entire bed with very sticky tape. No signs or bites at all . Then a few weeks later my son started to sleep in his bed again and sure enough he woke up with 3 bites in the shape of a triangle that were swollen and itchy. I searched his bed and found a casing shell and 3 blood stains under his box spring .I called a exterminator he came out and said we had a mild infestation and there was no signs in my bed but he found one live bug in my son’s bed. He treated the bedrooms and living room. Then my son and i were getting these little bumps on our body that looked nothing like the triangle bites and didn’t itch so the exterminator came again and treated but found no evidence of bed bugs and this cycle happened four times! So he has treated my apartment 4 times and found no signs of bed bugs and even had a dog come out to sniff around .. this was all over the course of about 5 months . The exterminator insists that we do not have bed bugs anymore but my son is still getting these bumps on him, some are reds dots and some are skin colored but no complaining of itching . I’m very overwhelmed and exhausted and havery no idea what to think. I think the tape on my bed prevented them from getting back into my bed after I threw my mattress out but again the exterminator said tape does not work. Are they hiding somewhere else like in the walls to where the exterminator think the problem is gone ?

WE have been dealing with these pests for over a month now! WE are covered with welts and itch continuously. I tried bathing in shaving cream and get some relief. the shaving cream has a disinfectant in it that purifies the skins and relieves itching for several hours. I still find a stray bed bug every now and then but we have almost got the problem solved.
Dismantling bed frames in infested areas typically exposes bed bug hiding sites. Having access to these areas during cleaning is important. Stand up the box spring and shine a flashlight through the gauze fabric and look for bed bugs. If the fabric is torn (possible hiding place), remove fabric to prepare for spraying. If the mattress and or box springs are infested, you may want to consider Encasements by Mattress Safe. Once covered with these encasements, bed bugs can not enter or exit. There is no need to treat the mattress or box spring when using these encasements. Keep them on for a year.
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.
To reduce the effects of swelling and rashes, you could take an over-the-counter antihistamine, which is usually in the form of an oral pill. Be sure to check the product label for possible side effects, though: some may cause drowsiness, dizziness, irritability, and vision changes, ringing in the ears, and other disrupting symptoms. You’ll want to be careful about taking these pills if you’re going to be driving or operating heavy machinery, and you definitely want to talk to your doctor first if you’re pregnant or have high blood pressure.
These things are the real vampires!!!! Just got bit over my eye, which now is all swollen and hurting, and 3 bites on my upper arm, caught the 2 little bugs on the wall next to my bed. Make sure that your bed is away from the walls. I use tea tree oil it helps to calm the itching down, I have a bad reaction to them. Not sure where the keep coming from and always in twos. Ahhhhhh!!!!!!! Can’t sleep
Avoidance is the best means of preventing bedbug infestation.8 While traveling, sleeping quarters and bedding should be closely inspected for signs of bedbugs. Suitcases should be placed on metal racks away from walls and furniture. Frequent travelers might consider obtaining a portable heating unit for luggage and clothing (e.g., Packtite) as an additional precaution. Items at yard sales and secondhand stores should also be carefully examined before purchase.8  All potentially infested items should be sorted and sealed in plastic bags and removed only when ready to be disinfested (see Table 36 for instructions regarding effective care of infested items). Wearing long-sleeved nightclothes can minimize exposed skin, and although insect repellants have not been shown to be reliably effective, oil of lemon eucalyptus or diethyltoluamide (DEET) might help deter bites.44,45
The decline of bed bug populations in the 20th century is often credited to potent pesticides that had not previously been widely available.[44] Other contributing factors that are less frequently mentioned in news reports are increased public awareness and slum clearance programs that combined pesticide use with steam disinfection, relocation of slum dwellers to new housing, and in some cases also follow-up inspections for several months after relocated tenants moved into their new housing.[66]
First, make sure that the suspected bugs are bedbugs, because other insects or arthropods such as a carpet beetle, scabies mite, a bat bug, louse, or other bugs may be mistaken for bedbugs. If there is confirmation of a bedbug infestation, several measures can be taken to help control or eradicate the infestation, using both nonchemical and chemical (insecticides) methods. It can take several weeks to months to achieve complete eradication of a bedbug infestation, and it may take several treatment cycles to completely eliminate them. In many cases, it will be necessary to hire a pest control service in order to implement a comprehensive extermination strategy.

2. Active Guard Liners: Active Guard Mattress Liners may be placed on beds and are effective as both preventative and active bed bug treatments. They kill bed bugs and dust mites within 72 hours and will prevent bed bugs from infesting mattresses. ActiveGuard Liners act like a fitted sheet; it comes in single, full, queen, and king sizes that fit up to 17" in depth.


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.
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