Treatment is symptomatic.[2] Eliminating bed bugs from the home is often difficult.[2] Part of this is because bed bugs can live for a year between feeding.[2] Repeated treatments of a home may be required.[2] These treatments may include heating the room to 50 °C (122 °F) for more than 90 minutes, frequent vacuuming, washing clothing at high temperatures, and the use of various pesticides.[2]
Bed bug bites are caused primarily by two species of insects: Cimex lectularius (the common bed bug) and Cimex hemipterus.[3] They are about 1 to 7 mm in size.[7] Spread is by the bugs walking between nearby locations or being carried within personal items.[2] Infestation is rarely due to a lack of hygiene but is more common in high density areas.[8][2] Diagnosis involves both finding the bugs and the occurrence of compatible symptoms.[5] Bed bugs spend much of their time in dark locations like mattress seams or cracks in the wall.[2]
About a week ago I woke up with bites on my legs starting at my ankle up to my thigh. They were sparse but could be counted as grouped or lined. I have no bites anywhere else and have not gotten anymore bites since this happened. My husband shares the bed and our two small children (3 years and 17 months) are frequent bed joiners and none of them have any bites. I sleep with pj pants on and under blankets so it wouldn’t be the most exposed skin that I have at night. However I have no recall of being bitten and had pants on during the day. The bites were itchy for about two days and then they are just red. I am wondering if they could be bed bugs. I am having trouble sleeping because of the uncertainty. I have pics I could post.
Zonalon and Prudoxin (doxepin) are topical creams that can be prescribed for relief from itching. The active ingredient in these products is a topical tricyclic antidepressant and seems to work against itching by reducing histamine. Histamines are chemicals your body produces in response to injury or when having an allergic reaction. A prescription-strength cortisone cream may also help. In some cases, a prescription antihistamine will be given. 
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.

Some preparation is still required (e.g. removal of heat-sensitive items such as aerosol cans, indoor plants and medications), but it is seldom necessary to bag, launder and/or hot dry bedding and clothing since these items will be heated along with other furnishings. Another advantage of heat treatment is that infestations can often be eliminated in one day, rather than over multiple days or weeks. Conversely, heat treatment alone has no lasting (residual) effect should bed bugs be reintroduced into the dwelling. Consequently, some companies recommend concurrently applying residual insecticides. To further minimize reintroduction, occupants are advised to take as few belongings as possible with them while the heat treatment is in progress.    

Just because you can't see bed bugs, does not mean that they are not still there. Bed bugs are rarely seen in the day, out in the open or on the surface of beds or chairs. They have been described as champions of hide-and-seek. So, it is not uncommon to miss the bed bugs altogether. Bed bugs love to hide in the cracks and crevices associated with mattresses, cushions, bed frames and other structures, which is why it is very important to look for telltale symptoms of bed bugs and signs of an infestation, such as shed skins and specks of blood or feces on linens, furniture, mattresses and other areas where the bugs might be hiding.
Our place is pretty cluttered so I was freaking out. Luckily we have hardwood floors and not carpet. We tried different things. It gets really hot here, so I loaded up any nearby sheets, pillows, comforters, clothes, etc into trash bags and tied them off so nothing could get out. I put those in the car so the sun could beat heat into them all day. Never thought I’d be so thankful for Texas summers… Still got bites. We bought a mattress cover. Still got bites. We thought, okay, maybe they’re coming from the wall socket from a neighbors or something. We couldn’t close it so we kept the bed away from furniture and walls and put sticky traps on the legs. Caught NO bed bugs but STILL GOT BITES. I was losing my mind.
It’s also possible that you won’t see a reaction the first time a bedbug bites since it sometimes can take the body a while to react. (6) Some people will have an immediate reaction, while for others it could take two weeks to emerge. Your body will likely become more sensitive to bedbug bites over time, and if you get bitten repeatedly, it could be only a matter of seconds before your body shows a response.
I just moved into my new apt with my 1 yr old and 3 yr old sons. the first night we slept on covers on the floor until i got the beds in. that very first morning there we woke up with bite marks on us. i thought maybe they were just mosquito bites or something. after the beds got in we continued to have this problem. poor kids cant play right from the itching. I’m pregnant so when the bites we on my stomach i went crazy especially since i worked so hard not to scratch and cause stretch marks.
The diagnosis of a bedbug infestation should be based on the clinical history and appearance of bites. A thorough inspection of sleeping quarters by the patient, a family member, or a pest control expert may demonstrate the telltale signs of an infestation15 (i.e., specks of blood-tinged insect feces and exoskeleton casts [Figure 5]). With the aid of a magnifying glass, special attention should be given to cracks and crevices of furniture, baseboards, electrical boxes, curtains, carpet, luggage, bed frames and headboards, picture frames, wall hangings, mattress and box spring seams, peeling wall paper, clothes, and linens.37 Live bedbugs can sometimes be caught by turning on a flashlight just before dawn, when bedbugs are most active, larger in appearance, and slower to scatter because of recent feeding.40

I am afraid I have brd bugs on my couch.I’m not really for sure or not.I have been sleeping on it and I have been itching lately in different spots of my body.This morning I have a small bump on my left arm that looks like a pimple but its itchy.I just want to really know how to detect bug bugs so I can see if my couch has brd bugs on it.I’m really worried!


Fumigation using a penetrating gas is another way to de-infest dwellings or furnishings, but the procedure is only offered by certain companies. True fumigation is not the same as setting off a total release fogger or ‘bug bomb.’ (It should be noted that bug bombs are considered ineffective in the treatment of bed bugs, and can be quite dangerous if misused.) The fumigation process is technically complex and requires vacating the building for a period of days. The building is then sealed and injected with a lethal gas, usually sulfuryl fluoride. Because the entire building must be vacated, structural fumigation is logistically more challenging with multi-unit buildings such as apartments, than for single family homes. Bed bug fumigations tend to be more common in southern and western states, where the procedure is also used to control certain types of wood-dwelling termites.  

However, low-level infestations are also much more challenging to find and correctly identify. Other insects, such as carpet beetles, can be easily mistaken for bed bugs. If you misidentify a bed bug infestation, it gives the bugs more time to spread to other areas of the house or hitchhike a ride to someone else's house to start a new infestation. Learn about identifying bed bugs.
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.
Apply as a coarse, low-pressure spray to harborage areas including crevices, baseboards, loose plaster, behind bed frames and headboards, beneath beds and furniture, and to bedsprings and bed frames. After removal of bed linens, apply Transport Mikron to mattress and boxsprings. Apply to tufts, edges, seams and folds (do not spray clothes or bed linens). Your may apply it to furniture, but not to areas where there is direct access to seating or arm placements. Infested bed linens should not be treated, but should be removed, placed in sealed plastic bags, and taken for laundering and drying at high temperatures.
Many chemical pesticides are available, with more than 300 registered by the EPA. Pesticides should be applied to walls, floors, cracks in furniture, and seams and buttons of mattresses.21 The EPA’s Bed Bug Products search tool (Web site: http://cfpub.epa.gov/oppref/bedbug/) allows users to search by product name, company, EPA registration number, location of intended use, and pesticide type. The National Pesticide Information Center (Web site: http://npic.orst.edu/; telephone: 800-858-7378) is another useful resource. Silica gel dusts are a safer alternative to traditional pesticides, because they are less concentrated and less toxic.21 Plastic mattress and pillow encasements can help trap bedbugs and restrict spread.42 Regardless of the integrated pest management strategy used, a follow-up inspection 10 to 21 days after extermination is advised to detect and manage a persistent infestation.42
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.
Reactions to bed bug bites differ from person to person from none to a full-blown allergic reaction. A mild reaction may reveal flat, red bumps at the bite sites. A more severe reaction may include an irritating itch (as in my case), or swelling. Resisting the itch is incredibly difficult, but giving in to it can cause severe irritation to the skin, increasing your risk for an infection. It’s the chemicals in the bed bug’s saliva that trigger such reactions, some lasting more than two weeks.

Hey Ruth! If there are absolutely no signs of bed bugs (upon close inspection), its unlikely that they are the cause for the bite marks. I recommend taking another look for dark brown marks (dried blood) and other signs of their presence. Regardless, if you want to kill any bug on that mattress, just get a handheld steamer and blast it. The heat will kill everything and its completely natural. Hope that helps!
First and foremost I think the wisest course of action to take is to get rid of your bed. the whole shebang…the mattress and box spring and all your linens, blankets, pillows and articles of clothing you use to lay in bed with (robes, pajamas and underwear). It’s just not worth it. Get a temporary air mattress for a few weeks if need be. You will be better off in the long run.
Vanessa: I am so glad I found your website. My family and I just returned from vacation two days ago, and my youngest children are covered with bed bug bites. At first, we did not know what they were. The bites started after the first night of staying there. They got increased in number and became worse over the week. We had no clue. Bed bugs never crossed our minds. I took them to the doctor as soon as we got home and we got the news. BED BUGS!
These bugs are extremely sensitive to heat in every stage of their life. Thermal death point of a common bed bug is just 111°F to 113°F. Many times even temperatures that are lower than this, 97°F to 99° F can kill multitudes. If the temperature is raised to 140° F for about an hour or to 120°F for several hours most infestations will be eradicated.
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.
Not sure how we got it since we never go anywhere. Been dealing with this for almost a year. I have terrible bites, scars, scabs and bumps all up and down both hands and arms. Have a bite on my cheek and some on my neck. Hubby has bumps that you can’t see, but you can feel them. I am going crazy itching. I don’t like leaving the house because of how I look. I use cover up and foundation on my hands to mask how bad my hands look. I wear a long-sleeved, summer weight sweater to hide the mess on my arms. Plus I can pull the sleeves down to help cover some of my hands.
A number of other symptoms may occur from either the bite of the bed bugs or from their exposure. Anaphylaxis from the injection of serum and other nonspecific proteins has been rarely documented.[5][10] Due to each bite taking a tiny amount of blood, chronic or severe infestation may lead to anemia.[5] Bacterial skin infection may occur due to skin break down from scratching.[5][11] Systemic poisoning may occur if the bites are numerous.[12] Exposure to bed bugs may trigger an asthma attack via the effects of airborne allergens although evidence of this association is limited.[5] There is no evidence that bed bugs transmit infectious diseases[5][7] even though they appear physically capable of carrying pathogens and this possibility has been investigated.[5][3] The bite itself may be painful thus resulting in poor sleep and worse work performance.[5]
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?
The problem with this idea of yours the BuggedOut’s Bed Bud AIDS Cure Dialysis Machine is that the blood in a bed bug is dead blood. That is why it is red and since HIV is a virus which is also alive it guess what…. yep you guessed it ^_< Live Blood which has Live white blood cells in it which is where HIV the virus that gives you AIDS lives and when they die………………. get the picture. The second problem and also the reason HIV hasn’t been cured yet is even if we could clean HIV from the blood with Dialysis or some other method like the medicine they prescribe today, is that HIV is able to move between what is called the blood brain barrier where we are unable to do, with medication or any other means and so the HIV virus hides in it and even if your bed bug machine was to work and you cleaned the blood of HIV and then put it back in the person soon as it you did the virus would come running out the brain barrier to greet & infect it………
 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.
i found some thing that works i put a heavy blanket against the couch and then use itching cream called gold bond medicated cream use the maximum kind use it on every part u have been bitten do this for a while u will start to see a change the bites will start to go away slowly until they r all gone also make sure to wash where ever you have been bitten in cold water and use a lot of soap wash them good then use the medicated cream just some tips i have bed bugs and i have been bitten and it sucks it itches bad but i have found that this works!
i just recently stayed at the A-1 Motel and our bed had bed bugs. i really want to get rid of these bites because they itch so bad. i have them all over both my arms, legs, neck, back, and my stomach. i want to get rid of them so i can go out in public without having to be embarrassed over them. i will try the baking soda and water thing and i hope it will work.
Bedbugs do, however, have a unique bite pattern. Although some bites may appear alone, most bites occur in a row of three to five bites (termed "breakfast, lunch, and dinner") or in a cluster of red bumps (a rash called bedbug dermatitis). The bites often appear in a zig-zag formation, but may appear in a straight line if the bugs bite you in the morning.
Your replies to these questions are great! I have a question for you. I’ve recently returned home after spending a week in a hotel and the day after I returned I noticed 4 red dots which could be bites on my waist line. They don’t itch or hurt but I’ve never had anything like this before. I can send you a picture if you tell me how. I’m worried that they may be bed bug bites.
The problem with this idea of yours the BuggedOut’s Bed Bud AIDS Cure Dialysis Machine is that the blood in a bed bug is dead blood. That is why it is red and since HIV is a virus which is also alive it guess what…. yep you guessed it ^_< Live Blood which has Live white blood cells in it which is where HIV the virus that gives you AIDS lives and when they die………………. get the picture. The second problem and also the reason HIV hasn’t been cured yet is even if we could clean HIV from the blood with Dialysis or some other method like the medicine they prescribe today, is that HIV is able to move between what is called the blood brain barrier where we are unable to do, with medication or any other means and so the HIV virus hides in it and even if your bed bug machine was to work and you cleaned the blood of HIV and then put it back in the person soon as it you did the virus would come running out the brain barrier to greet & infect it………
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]
However, low-level infestations are also much more challenging to find and correctly identify. Other insects, such as carpet beetles, can be easily mistaken for bed bugs. If you misidentify a bed bug infestation, it gives the bugs more time to spread to other areas of the house or hitchhike a ride to someone else's house to start a new infestation. Learn about identifying bed bugs.
To treat an allergic reaction, the doctor may prescribe an antihistamine, corticosteroid, or epinephrine injection. If the area is infected, he or she might prescribe an antibiotic or recommend an over-the-counter antiseptic. Finally, if it’s severe itchiness that you’re dealing with, applying corticosteroid or taking an antihistamine in pill or liquid form may be able to help.
×