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.
Bed bug incidents in schools are best handled by knowledgeable pest control firms. Widespread insecticide treatment of classrooms, hallways, buses, etc. is unnecessary, ineffective and imprudent. Effort instead should be spent checking chairs, desks, lockers, coat rooms, etc. in the vicinity of where the bugs were found, and treatment should be focused on those specific areas. Canine inspections can also be useful in finding small numbers of bed bugs in schools and other establishments where there are no beds.      

When people are bitten, they often do not notice at first. It’s a possibility that one reason could be that these blood sucking insects feed late in the night, before the breaking of dawn. Humans are often in a deep REM sleep during that time. Upon arising, individuals can find bite marks; however it can take up to ten days for adverse or allergic reactions to develop.

While you are sleeping, bed bugs will bite using their mouthparts, commonly referred to as beaks. As they bite, they release an anticoagulant in their saliva preventing your blood from clotting. This allows them to receive a steady two- to three-minute blood meal—what they need in order to survive and reproduce. Bed bugs will not bite in defense, they will only bite for the sole purpose of feeding.
Just an FYI – We steamed ALL of our leather reclining living rm furniture to get rid of bedbugs. In short only the single glider/recliner was saved. The large sofa and loveseat were “sacrificed” to the firepit “gods”!!! HA Ha ha!!! Really wasn’t funny AT ALL!!! Watching quite a bit of $$$ that was hard earned just goin’ up in flames. Hate them damned bugs!!! What their purpose I wonder???!!!
Hello! I am not sure if we have bed bugs or not. It seems like I am the only one getting bit. We co-sleep with our children and neither of them have signs of any kind of bites. I wake up with bite marks underneath my breasts and sometimes behind my knees. The bites itch for only a few minutes and disappear a few minutes after. We have looked through our mattress and have found no signs of anything. No blood smears nor any fecal matter. Could my bites be caused by something else.
Prior to the mid-20th century, bed bugs were very common. According to a report by the UK Ministry of Health, in 1933, all the houses in many areas had some degree of bed bug infestation.[65] The increase in bed bug populations in the early 20th century has been attributed to the advent of electric heating, which allowed bed bugs to thrive year-round instead of only in warm weather.[66]

The bites themselves don't usually pose any major health risk since bedbugs are not known to spread diseases, but an allergic reaction to the bites may require medical attention, CDC officials say. There have also been some strange cases linked to bedbug infestations. Researchers reported in the Canadian Medical Association Journal in 2009 that they treated a 60-year-old man for anemia caused by blood loss from bedbug bites. Another study published in 1991 in the Journal of the Egyptian Society of Parasitology found that people with asthma might be more susceptible to allergic reactions from bedbug bites.


Bed bug incidents in schools are best handled by knowledgeable pest control firms. Widespread insecticide treatment of classrooms, hallways, buses, etc. is unnecessary, ineffective and imprudent. Effort instead should be spent checking chairs, desks, lockers, coat rooms, etc. in the vicinity of where the bugs were found, and treatment should be focused on those specific areas. Canine inspections can also be useful in finding small numbers of bed bugs in schools and other establishments where there are no beds.      
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).
Visit your doctor. You can also see a doctor for diagnosis if you do not find signs of bedbugs in your bed and cannot identify the source of the bites or rash. However, there is a very good chance that your physician will not be able to firmly diagnose that you have been bitten by a bedbug because the symptoms look so similar to those that result from other insect bites and skin conditions. Nevertheless, you may feel comforted by going to see your doctor, who can confirm for you that bedbugs pose little physical threat to humans.
Bedbugs have resurged worldwide and these blood-sucking insects (both the Cimex lectularius and Cimex hemipterus) are a problem in many homes and hotels. Fortunately, bedbugs aren't known to spread contagious diseases. However, it is difficult to eradicate an infestation and you will want to take steps to prevent bringing bedbugs home. Learn how to identify and treat these pests.

Bed bugs have five immature nymph life stages and a final sexually mature adult stage.[13] They shed their skins through ecdysis at each stage, discarding their outer exoskeleton.[14] Newly hatched nymphs are translucent, lighter in color, and become browner as they moult and reach maturity. Bed bugs may be mistaken for other insects, such as booklice, small cockroaches, or carpet beetles; however, when warm and active, their movements are more ant-like, and like most other true bugs, they emit a characteristic disagreeable odor when crushed.
All my life i’ve been allergic to basically everything i thought it was a normal allergic reaction…when i went to the doctors she told me it looks like a random bug bite not a bed bug bite but i didn’t believe her she sent me home with some cream and steroids for the swolleness…but why i think most doctors lie to u idk because i google’d the cream she gave me it was for scabies {so that means i got bit by a begbug and didn’t even know} not even a doctor knows half of the times what are things…thank god i read up and treated my self for bedbugs!
It is important to remember that they have a very flat body that allows it to hide almost anywhere. During the initial onset of the infestation, they are only visible around the tufts and seams of the mattress. As the infestation grows, these bugs spread out and inhabit larger and larger areas. Generally they prefer rough surfaces like wood or paper for their harborages.
I was at work and felt something crawling on my hip I brushed my hand and I thought it was a ant turned out to be a bed bug I was so freaked out I went to bathroom shook all my clothes out but now I feel so itchy I called my husband threw out my clothes washed my hair and stripped down in the back yard before coming in my house I was so freaked out I’m very nervous about returning back to work because of bed bugs I couldn’t sleep last night I was so itchy don’t know if its me r I got bite would I know that fast?
Maybe before you go fear mongering, you should at least Google whatever your about to say that makes you look bad? First read above. Second to answer your question how did you say it….. oh yes ……. Is the blood cleaned by the bed bug when sucked up from infected people? Well the answer is yes and no. HIV can’t live very long at all once the blood has been exposed to air much less been digested by something(ick).

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.


Insect and spider bites and how to deal with them Insect and spider bites can occur almost unnoticed, or they can be painful. Either way, home treatment is usually enough for most symptoms. However, some bites can spread serious disease, such as Lyme disease and malaria. Find out how to protect against bites and what to do if someone has a severe reaction to a bite. Read now
Data Sources: A PubMed search was completed in Clinical Queries using the key terms bedbug, rash, bites, and infestation. The search included meta-analyses, randomized controlled trials, clinical trials, case reports, and reviews. We also searched the online databases of the Environmental Protection Agency, Centers for Disease Control and Prevention, and Jefferson Clinical Images. Lastly, we used Essential Evidence Plus. Search dates: February through June 2011.

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]
Bed bugs are a growing problem in schools and daycares. Typically they are introduced by students or staff living with an infestation at home. Pinpointing where the bugs exist can be challenging in such environments since there are no beds or sleeping areas for the insects to congregate. (Similar challenges occur when bed bugs are found in offices, libraries and retail stores.) Usually only small numbers of bed bugs are spotted, often on a student’s clothing, backpack, chair or desk. While this does not necessarily confirm that the child’s residence also has bed bugs, the parents should be notified that the home should be inspected, preferably by a professional. Teachers, nurses, and staff should be educated about the bugs and what they look like. Bed bugs should also be considered if a student frequently has reddened itchy welts --but keep in mind such reactions can be for reasons other than bed bugs. 

Bed bugs have five immature nymph life stages and a final sexually mature adult stage.[13] They shed their skins through ecdysis at each stage, discarding their outer exoskeleton.[14] Newly hatched nymphs are translucent, lighter in color, and become browner as they moult and reach maturity. Bed bugs may be mistaken for other insects, such as booklice, small cockroaches, or carpet beetles; however, when warm and active, their movements are more ant-like, and like most other true bugs, they emit a characteristic disagreeable odor when crushed.
Most people will find bed bug bites to be small and very itchy. These bites are often mistaken for something else such as eczema. It can be hard to diagnose bed bug bites due to this, especially if someone inflames their skin further by scratching the area. There are some signs that point more strongly to bed bugs over other types of bugs. The number one thing to look out for is a line of bites going straight up your body: bed bugs commonly bite in this pattern as they bite you at the crease where your body meets the bed sheets. It’s very rare to find a single bite like you would with spiders or mosquitoes, and much more common to find clusters and lines. It’s also rare for bugs to bite your face. They most frequently bite your lower body, but anywhere can be bitten.
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.

No typically they do not like hair and actually prefer a host without hair (shaved legs etc). I would imagine this is one reason why we have hair on our bodies. However; this doesn’t mean that 1 or 2 wont get lost and end up in your hair. But typically they will not make that their place of rest or feeding. One thing I would like to advise is that for what I could imagine was quite some time these went unnoticed in my residence and have never caused me to itch, I would awake for work with my face being EXTREMELY PALE and a neck rash that I always assumed was from shaving also if goes unnoticed they must have been a factor in my bout of extreme depression / listlessness over the past few years. The cause…. According to the exterminator was the used furniture I got a too good to be true deal on at a garage sale for my first apartment, which he was even “nice” enough to deliver. He’s lucky he’s moved since than, lord knows what I would have done. But I will never forget his face.
Thank God I don’t have to replace any of my furniture yet or I wouldn’t know what I would do, because my income is limited also…if the landlords were more cooperative in dealing with this the problem of bed bugs wouldn’t be a problem….I read something about bed frame posts to put on each foot of the bed and it keeps the bugs from entering your bed…also to use at least 5lbs. of Diatomaceous earth or perma guard, it’s a safe powder substance you spread all over your house, on rugs, cracks foundations etc. and this seems to kill them you leave it down for a few days..the cost is minimal as low as $10.00- $15.00. Well worth the investment, you can purchase it online, EBay or your local feed and supply store.
Barriers: You can purchase bedbug-proof encasement covers for mattresses, box springs, and pillows. Also get bedbug interceptors to place under each leg of the bed or furniture items. These also allow you to see if there are any remaining bedbugs as they get trapped in the double rings of the interceptor disks. Ensure the bed is at least 6 inches from the wall and the bedding doesn't touch the floor.
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.
DIY approaches come with risk. It's not uncommon for someone to use a pest-control bomb or fogger that is available over the counter. These don't work well against bed bugs, according to research from Ohio State University. They can also expose people to toxic chemicals. Neither are over-the-counter aerosol insecticides effective against bed bugs. Most of these products have either pyrethrin or a pyrethroid as a main ingredient and those compounds have the same mode of action as DDT, which bed bugs have become resistant to. If you spray the bug directly you might kill it, but that is not going to get rid of the infestation. The problem is finding all the bed bugs. Some just can't be reached with insecticide. It's difficult for nonprofessionals to do anything more than kill what they can see, but that's just the tip of the iceberg in terms of what's there.
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.

The diagnosis of a bedbug bite can sometimes be difficult, as bedbug bites may appear similar to the bites of other insects. A health care professional will ask detailed questions and perform a physical exam, focusing on the skin. Other organ systems will also be examined to assess for any signs of an allergic reaction or for signs of infection. No blood tests or imaging studies will be necessary. If someone is able to bring in a specimen of the insect that may have bitten them, this can be helpful in making the diagnosis.
Bed bugs infestations can be treated by pesticides (make sure it specifically treats for bed bugs) or call a professional. Clean laundry and bedding by washing in hot water and drying with high heat. Steam cleaning can be effective, but be sure to check for bugs in a week or two. Concentrate in the areas they like to hide such as the seams. Bed bugs are sensitive to heat, so putting your mattress in a tight plastic bag and leaving it in the heat for several days can kill adults and the eggs. Vacuum your mattress and the areas around it. Be sure to immediately empty the vacuum cleaner and throw it out. If your mattress is infested, you may also consider getting a new mattress, but be sure to take care of the rest of your home so that your new mattress doesn’t get infested.
use advantage plus on your cat or frontline plus its cheaper..you cannot get rid of fleas with a flea collar & they are actually very toxic & dangerous to your cat & your child..i had almost killed my cats using over the counter flea treatments when my whole house was infested because of a neighbor and we had bought the over the counter flea dips & my cats were shaking & having seizures & the over the counter variety of advantage or frontline i think it was called zodiac they sold it to me telling me its cheaper than a vet bill for the prescription & just as effective..my cat almost died..thats when we took it to the vet because it was deathly ill from that posion..stick to the prescription brands you can even buy them on ebay or online shipped from overseas w/o a prescription thats how i used to buy them..now my new cat never goes outside & our dog & cats never catch fleas here but i sure remember what a living hell that was & how i almost killed my cats & my KIDS with the toxic posions they sell you in stores & these flea bombs..i had been using them weekly so now ihope i didnt give us all cancer or something those chemicals are neurotoxins to humans and animals.its well worth the $10 the frontline or advantage plus costs..the fleas die within a day or so & that kills the eggs and keeps them from hatching & the plus also protects against mosquitoes & ticks that may carry diseases.
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:
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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!
Barriers: You can purchase bedbug-proof encasement covers for mattresses, box springs, and pillows. Also get bedbug interceptors to place under each leg of the bed or furniture items. These also allow you to see if there are any remaining bedbugs as they get trapped in the double rings of the interceptor disks. Ensure the bed is at least 6 inches from the wall and the bedding doesn't touch the floor.
The bites do not usually require medical treatment. Secondary bacterial infection of the skin may develop in areas that become irritated due to prolonged scratching. Topical antibiotic creams or ointments may relieve symptoms of a secondary infection. Antiseptic lotions may also be beneficial. If you've had an allergic reaction to the bedbug bites, your doctor may recommend oral antihistamine medications or corticosteroids.

No money whatsoever to do anything about it. I’m out of work and can’t even pay my rent. If we mention the infestation to the landlord he’ll toss us out because he’s in the process of selling the building. I’m going to try and go to an urgent care place to see if I can at least get something to stop the itching. This is driving me crazy with all the itching.


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.
Maybe before you go fear mongering, you should at least Google whatever your about to say that makes you look bad? First read above. Second to answer your question how did you say it….. oh yes ……. Is the blood cleaned by the bed bug when sucked up from infected people? Well the answer is yes and no. HIV can’t live very long at all once the blood has been exposed to air much less been digested by something(ick).

A few decades ago, bedbugs were somewhat of a novelty in developed countries. But since the early 2000s, infestations have become more common in places like the United States, Canada, the United Kingdom and Europe, according to the U.S. Centers for Disease Control and Prevention (CDC). A 2013 study in the journal Nature Scientific Reports suggested that bedbugs have evolved ways to resist insecticides.
Medicated shampoos–both over-the-counter and prescription–can help get rid of them, as can combing and re-combing your hair carefully and disposing of the critters. If you do get head lice, don’t share anything that goes on your head (including hats, brushes, headphones, or hair accessories), and make sure you clean bedding and clothing that could have been infested in hot water.
I have been divorced from my ex for 4 yrs now but remain friends with him and see him often. I recently learned that my ex in laws have a heavy bed bug infestation. My ex lives 3 houses away but is at his mothers every day as they are elderly. He has been dealing with the bugs and my ex’s petulance about the bugs. They have doctors appointments coming up and I wonder if they should tell the doctor about this. My ex has tried to get them to bathe more, treat the bites, wash the clothes but they act as if it is a big imposition to them. I have not asked him over since I found out about them and am reluctant to do so. Am I wrong in thinking that the ex in laws can spread them to others at the doctors office and is it possible for my ex to bring them here?
I’ve been getting bites as well and I am extremely allergic. It is super itchy and now I have scars that will never go away. I am the ONLY one in my family getting bitten so no one understands my pain. I have 2 hours of sleep max at night because of both paranoia and getting bitten. I am up to the point that I cry almost every night from the pain. I’ve tried a lot of solutions, the one that is currently working for me is Vaseline. I apply several thick layers of the jelly and it stops the pain and itching. It also helped a lot with the swelling. I noticed it sped up the healing process a lot more than over-the-counter drugs that I’ve tried. I hope this helps!
you have to get the heat treatment on your house & wash & dry EVERYTHING you own in a very hot dryer some there maybe some help to pay for it if you own your home w a no interest loan or if you rent you better tell your landlord he needs to treat his whole property & i bet he wont be happy its very expensive my moms apt bldg gets a dog checking every unit & its $850 for her tiny one bedroom..i just read a house can be $1500 to $2000 theres a hair treatment too its a very hot comb that costs about $150 a person..you cant be going to peoples homes anywhere you go youre spreading the joy
Scrub infested surfaces with a stiff brush to dislodge eggs. Vacuum the room extensively. Use a vacuum hose attachment to thoroughly vacuum cracks and crevices on furniture and along baseboards on the walls. Vacuum along baseboards, furniture, bed stands, rails, headboards, foot boards, bed seams, tufts, buttons, edges of the bedding, as well as the edges of the carpets (particularly along the tack strips). A good vacuum cleaning job may remove particles from cracks and crevices to encourage greater insecticide penetration. Bed bugs cling tightly to surfaces, so it is best to vacuum by scraping the end of the vacuum attachment over the infested areas to pull out the bed bugs. Caution: It is not good to use a bristle attachment, because you may transfer bed bugs to other areas since they cling to the brush. Dispose of vacuum cleaner bags after you are finished in an outdoor trashcan.
Hi, I am at a loss about what to do. I have been getting bitten day and night, but I don’t know if they are bedbugs. Whatever it is, seems to get under my clothes and bite me along the waist, bra line, posterior, and chest. They only itch when I first discover them, afterwards they don’t bother me…. But I am the only person in the house getting bitten! I washed and steamed everything and everyone! What else can I do?!
A variety of low-odor sprays, dusts, and aerosol insecticides help with bed bug control. People must apply these pesticides to all areas where the bugs are observed as well as hiding places or spaces where they may crawl. The pest control company can help you determine if an infested mattress can be disinfected or must be discarded. Since beds cannot readily be treated with insecticides, it's often necessary to discard infested mattresses and beds.
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