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.)
General housecleaning measures, (e.g. vacuuming floors and surfaces), seldom reach where bed bugs hide. For this reason, repetitive vacuuming by occupants may not be worth the effort, especially compared to other important preparatory activities. Targeted vacuuming of bed bugs and infested harborages, however, can help remove some of the bugs before other treatment measures are undertaken. Bed bugs and especially the eggs can be difficult to dislodge. Optimum results will be achieved by moving and scraping the end of the suction wand along infested areas such as seams and fabric folds of beds and sofas, and the perimeter edge of wall-to-wall carpet. Bed bugs can survive the high speed trip down a vacuum, so it’s important to carefully dispose of the vacuum contents in a sealed trash bag afterwards. 
The next sign is that the bites will occur nightly while sleeping and the rashes will increase daily. These rashes will usually be located on the legs, arms, neck, face and back, which are the most common areas. The reason these places are the most common sites is because these areas are usually exposed during the night. Exposed areas of the host are what they prefer.
Bedbug bites typically are stealthy and not felt by the host. This is because they inject a numbing substance into the skin along with an anticoagulant agent to prevent blood from clotting at the feeding site. Itchy, red bites on the skin may be the first sign you've been bitten. Bites are most common on the arms and shoulders, and the bites often occur in straight rows, as pictured here.

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. 
The first question I would ask that person is, what makes you think you have bed bugs? A skin reaction alone does not necessarily indicate the presence of bed bugs. Other bugs, allergies and irritants in the environment can produce similar skin reactions. And it's hard to confidently identify a bed bug bite because reactions vary from person to person. My next question would be, have you seen an insect in an area where you sleep and, if so, was it the correct size and shape to be a bed bug? Carpet beetles in an immature stage are commonly mistaken for bed bugs. The carpet beetle actually doesn't look anything like a bed bug, but it is the right size. And it's another common insect to have indoors around the bed. If you find an insect that you think is a bed bug, save it in a pill bottle or another container so its key characteristics won't get crushed and a professional can identify it.
The symptoms of a bedbug bite are usually mild when present, and often individuals will not experience any symptoms at all. Bedbug bites can occur on any exposed part of the body, with the face, neck, arms, and hands being areas commonly affected. The signs and symptoms can appear from minutes to days after the initial bite. Affected individuals will usually complain of localized itching and reddish-colored skin lesions, which may look like a flat welt or a raised bump. Sometimes, the lesions can be found in clusters or in a linear pattern. Typically, these skin lesions will go away after one to two weeks.
Bed bugs can result in a number of health effects including skin rashes, psychological effects and allergic symptoms.[5] Bed bug bites may lead to skin changes ranging from non visible to prominent blisters.[1] Symptoms may take between minutes to days to appear.[2] Itchiness is common, while some may feel tired or have a fever.[2] Typically uncovered areas of the body are affected.[2] Classically three bites occur in a row.[2] Bed bugs bites are not known to transmit any infectious disease.[5][7]
Bed bug bites can leave you with painful inflammation and since they love to hide in beds, you may be bitten a number of times before you wake up in the morning! If you have a severe allergic reaction, its recommended that you seek professional medical assistance as soon as possible. Besides medical creams and pills, things like tea tree oil, baking soda and even lemon juice can also give you relief at minimal cost. I highly recommend that you try these first as they work really well.
Hello! Almost overnight I have had a series of small bumps appear on my chest. These bumps look like pimples and they don’t itch at all. I had bed bugs well over a year ago and once they were treated I never saw anything except these bumps recently. My sister thinks I’m just being paranoid because we’ve both checked the bed and saw no signs. And because my chest is always covered, but my arms and legs that are are exposed never have places. I realize that I’m probably being paranoid, but I just wanted an outside opinion.
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. 
Ticks are known transmitters of disease to humans and animals. Tick-borne diseases include Lyme disease, Rocky Mountain spotted fever, Q fever, tularemia, babesiosis, and Southern tick-associated rash illness. Infected ticks spread disease once they've bitten a host, allowing the pathogens in their saliva and mouth get into the host's skin and blood. Tick bites are typically painless, but the site of the bite may later itch, burn, turn red, and feel painful. Individuals allergic to tick bites may develop a rash, swelling, shortness of breath, numbness, or paralysis. Tick bite treatment involves cleaning and applying antibiotic cream.
Some firms want beds stripped and furniture moved before they arrive, while other firms prefer to inspect first and perform these tasks themselves. Clutter and belongings on floors (especially beneath beds) must be removed since they impede treatment and afford additional places for bugs to hide. Bedding and garments normally will need to be laundered and/or hot dried (120°F minimum) since they cannot be treated with insecticides. An effective and efficient alternative to laundering is to simply place bedding, clothing, toys, shoes, backpacks, etc., in a clothes dryer set at medium-to-high heat for 10 to 20 minutes. This can be done in lieu of washing and will kill all bed bug life stages. 
Cracks and crevices of bed frames should also be examined, especially if the frame is wood. (Bed bugs have an affinity for wood and fabric more so than metal or plastic.) Wooden support slats, if present, should be removed and examined since bed bugs often congregate where the ends rest on the frame. Screw holes, knots and other recesses are also common hiding places. Headboards secured to walls should be removed and inspected. In hotels, the area behind the headboard is often the first place that bed bugs become established. Bed bugs also frequently hide within items stored under beds. 

Hi there! Honestly, if you have checked properly (like really well) and you don’t see any signs of bed bugs, it might be another insect. Unfortunately, there are so many little insects that could be biting you (such as fleas, etc.) but maybe start with giving all your laundry a good hot wash. Once that is done, see if you continue getting the bites and then we can investigate. Good luck, if you appreciated my help, please share my blog with your friends and family.


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?

Hi so I am 32 years old and never heard of bedbugs intill 2 years ago I thought if u where dirty u can get it IM a clean freak and i got them I just moved into a new place and was only there for 2 months and I am also diabetic i got real sick and was in and out of the hospital and the drs just keap saying I need to clean my house and said they can’t do anything for the bedbugs bite and made it seem that it was my fault I was like I just moved in and don’t have anything in my place yet come to find out the apartments where all in feasted with bedbugs even my dog got sick the drs put me on so many different meds I was drug up with 2 kid’s to take care of i got bit from head to toe my ho body looked like i had something I was getting bit everyday with it leveing me with swollen skin that looked red as a Apple that was on fire that I would have to jump into a cold shower and just see steam come off my body i would cry all day cause if i wasn’t in pain i was feeling things crowing all over me and my head and face but couldn’t see anything but only see little bites or some that looked like blisters that had white yellow ish puss dripping or some that popped into black hos or some that would dry up and have colors like tan brown mixed with red look like a critical and i would scratch and it felt like sharp and pain coming off my skin so I moved and have been staying in a motel for 2 1/2 months to find out they have bed bugs and now me abd my husband and 2 kid’s have been getting bit to find out for me getting bit so much I got a real bad infection called prurigo nodularis


Insecticides might also have their work cut out for them: Entomologists have known that the common bedbug has built up resistance to some typical insecticides such as those containing certain pyrethroid chemicals like deltamethrin, according to Entomology Today. Deltamethrin apparently paralyzes an insect's nervous system, according to Cornell University.
Spectre 2 SC has a low odor and is not dectectable by the bed bugs. Adjust the spray pattern to a mist by turning the nozzle. A low fine mist is best for most spraying, but you may need to use a stream to get into some cracks and crevices. If you can't get into the cracks and crevices use one of the aerosols described below with it's crack and crevice tips to reach into these areas.

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.


Bed bugs can result in a number of health effects including skin rashes, psychological effects and allergic symptoms.[5] Bed bug bites may lead to skin changes ranging from non visible to prominent blisters.[1] Symptoms may take between minutes to days to appear.[2] Itchiness is common, while some may feel tired or have a fever.[2] Typically uncovered areas of the body are affected.[2] Classically three bites occur in a row.[2] Bed bugs bites are not known to transmit any infectious disease.[5][7]

Scabies is very common in shelters. Permethrin. Cream applied head to toe then wages off in the shower the next morning should clear it up. Also ALL bedding must be washed in hot borax and ammonia water the best day. All surfaces must be wipe down with 50% water and 50% rubbing alcohol. Thorough vacuuming of the bedroom washing curtains and miniblinda. All clothes must be washed in hot water. Good luck


Hi Samantha! I highly recommend spending about 15min to investigate your bed (especially on the corners and don’t forget to look under the sheets, etc). If there are no signs of bed bugs, then I suggest that you don’t worry about it. Additionally, I have had itchy bites after a nights sleep and it turned out to be a once off occurrence, so just take action if it keeps happening. Hope that helps, sorry for the delayed response.
Bring in only what is needed, and avoid sitting or placing coats and other items on beds, floors and sofas where the bugs commonly reside. Essential items can be placed on a tabletop or other hard surface, preferably away from bedrooms and sleeping areas. Better to sit on a hard (non-upholstered) chair than on sofas and recliners. Also try to avoid leaning or brushing against beds and upholstered furniture. If such items are carried out of infested dwellings (e.g., by sanitation workers or firefighters), it’s best to wrap them in plastic or at least not hold them against your body during transport. Emergency Medical (EMS) personnel may need to take additional precautions, such as removing a patient’s bed bug-infested shoes or clothing, or installing plastic sheeting before transporting them in the emergency vehicle.    
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.)

They also have the ability to travel beyond the bedroom, so all adjoining rooms should be checked for infestation. Any area that offers a layer of protection, e.g. dark, isolated areas, should be checked. They do leave excrement droppings behind, so even if they are not seen, you can often see where they have been. The best method to find them is to check only at night, and with a red light.


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. 
In the case of beds, a more economical option is to encase both the mattress and box spring in a protective cover like those used for allergy relief. Encasements specifically designed to help protect against bed bugs are available through retail or pest control firms. Higher quality ones tend to be more durable and comfortable to sleep on. Once the encasement is installed and zipped shut, any bugs which happen to be inside are entombed and eventually will die. Encasements also help protect newly purchased beds, and make it easier to spot and destroy any bugs residing on the outer surface during subsequent examination. Encasements will not, however, keep bed bugs from crawling onto a bed and biting a sleeping person.
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.
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.
My bites from two weeks ago are still rough. I have used the window cleaner, cortisone and then for the open areas , antibiotic ointment. I slept in my bed last night with no problem. I will spray again and again and again in the event of new generations. They don’t sell Phantom in my area. That is supposed to kill 95% of the eggs. Wish I could find some. These little bastards are something else. Good Luck to all.
Within 20 of exposure I started coming down with bumps. They started to.on my forearms but now have spread to legs. My company sent a exterminator to my home to check to make sure I didn’t spread them to my home, my home declared bug free:). They sent me to employee health where I was put on strong antibiotic and cortisone like cream to put on wounds. They are red, cluster like itchy. Frustrating thing is I keep getting more. I am so itchy I can’t sleep. Could it be something different then bugs that I was exposed to? Just frustrated with continual bites
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!
Hello! Almost overnight I have had a series of small bumps appear on my chest. These bumps look like pimples and they don’t itch at all. I had bed bugs well over a year ago and once they were treated I never saw anything except these bumps recently. My sister thinks I’m just being paranoid because we’ve both checked the bed and saw no signs. And because my chest is always covered, but my arms and legs that are are exposed never have places. I realize that I’m probably being paranoid, but I just wanted an outside opinion.
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.
Since bed bugs can be found throughout the world, many people have suffered from their bites. Since you are reading this, you have also most likely been a victim but don’t worry, you are not alone. Their primary diet is blood, which makes humans their meal of choice, definitely not good news for us! Based on personal experience, they can leave a rather nasty, red mark which can itch like mad. No wonder people say “Goodnight and don’t let the bed bugs bite!” What do these bites look like (and what to do if you are bitten) and what are some ways that you can get rid of them?
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]

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.
Hi there! My name is Natasha and I would like to thank you for reading this guide. If you have any concerns or would like to ask a question about this article, I encourage you to leave a comment below and I will provide a reliable answer within about 24 hours. Remember, all this information is provided at absolutely no cost and if you have enjoyed what you have read, please show your appreciation by sharing this post on your favorite social network below. I look forward to helping you!
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
×