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
Thank you all for the advice I’m seeing on here. Hydrocortisone was doing nothing for these bites. I have a high tolerance for pain but these bites really made me want to cry. I tried the Veeno Oatmeal bath, Witch Hazel and the Aloe Vera and this is when I began to get relief. These bites were very uncomfortable. I still itch a little but the swelling has gone down tremendously. I keep the Aloe Vera and witch hazel handy for the itching.

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.
Blood spots found on one’s sheets, bites and the presence of bed bug feces and cast skins are some of the indications of a bed bug infestation. Bites are commonly found on the parts of the body that are more likely to be exposed to bed bugs during sleep – the hands, neck, face, shoulders, legs and arms. While not always the case, bed bug bites are often grouped together in a small area and at times may occur in a line or a zigzag pattern. Bites normally look like small, flat or raised areas that may become inflamed, itchy, red or blistered. Bed bug bite reactions don’t always appear immediately after you’re bitten and may take a few days to begin causing symptoms. However, not everyone reacts to bed bug bites in the same manner.
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