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.
We exterminated our old house,called junk to pick up our furniture (it wasnt lower end items either 8 year old $140,000 furnishings it cost) sold the empty home and hope they had no problem.. We did get the empty house exterminated and told the junk collection we had bugs,I bet they kept our old furnishings as it was beautiful stuff …It made us crazy,those damn bugs…One night 12 bites on my neck,forehead and hands !! I still feel like bugs are crawling on me,I think we need psychiatric care…It took about 1 year to get over the feeling of bugs crawling on us…
I think the lice/bedbug/flea killing shampoo and gel I’ve been using accounts for me not getting munched on that terribly…as i stated earlier the worst of it seems to be over and I’m going to keep using gold bonds and neosporin. I had a few other topical anti itch creams lying around and while they’ve helped some…nothing soothes like the golds bond. I feel very lucky that I’m not bitten in anyplace visible. my right bicep was where i was bit the most (besides my feet)…which is also the side i sleep on.
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.
While cleaning up infested areas will be helpful in controlling bedbugs, getting rid of them usually requires chemical treatments. Because treating your bed and bedroom with insecticides can be harmful, it is important to use products that can be used safely in bedrooms. Do not treat mattresses and bedding unless the label specifically says you can use them on bedding.
We took extreme measures and hired a Heat company to come in. They heat your house to approx 150 degrees (internal wall temp of 140 or more). Bed bugs can survive for 7 minutes at 115 degrees. The heat company heats your house to well above that temp and maintains it for 4 hours! It was great!!!! We have not seen a bed bug since…except for dead ones!! I will warn everyone…the treatment is not cheap. We have a 3200 sq foot house that is only 2 years old…the cost was $4000. They base the cost on square footage, age of home, insulation, etc. I freaked when I heard the estimate, but worth the money to be rid of them!!
The significant resurgence of bedbugs in the past decade has been attributed to pesticide resistance, more frequent travel, lack of public awareness, and inadequate pest control programs. Bedbugs are obligate blood parasites (insect family Cimicidae). They can withstand a large range of temperatures but are attracted to warmth and carbon dioxide. They typically feed just before dawn. Cutaneous reactions to bedbug bites can include macules, papules, wheals, vesicles, bullae, and nodules. Bites may be confused with other skin conditions. Bedbug bite reactions are typically self-limited and resolve within one to two weeks without treatment. Bedbug infestation may cause significant psychological distress. The diagnosis of a bedbug infestation is based on history, appearance of bites, and inspection of sleeping quarters. Although there is no evidence that bedbugs transmit disease, systemic reactions may include asthma, angioedema, generalized urticaria, iron deficiency anemia, and, rarely, anaphylaxis. An integrated pest management strategy should be employed to eliminate infestation. Tactics include vacuuming, heat or cold treatment, trapping devices, and pesticides.
I have various skin lesions which might or might not be bed-bug bites–small, raised, sometimes red, sometimes itchy. The problem is I live right next door to a large park and get all kinds of insects in summer, may small enough to get through my window-screen. Also, I have Parkinson’s disease, and the meds I take for it can produce hives and itching as a side-effect. And, my bedding and mattress are all dark colored, so I likely would not see fecal stains or shed bed-bug skins.
Before you run off and buy every cream the pharmacy stocks, you’ll want to confirm that the marks are actually from bed bugs. Even if they match the description – round, red marks that may bump, swell, itch, and/or burn – the marks could be allergic reactions to food or fabric, irritations from a rough material, or bites from another pest like mosquitoes or carpet beetles.
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.
I live in a high rise apt bldg. There have been reports of bed bugs since I moved in two years ago. Recently it was my turn. I see no bugs, but man o man did they have a feast on my legs, and inner thighs. I went for the ammonia trick. The only thing I had was window cleaner. It helped stopped the itch temporarily. Then I’m good for some hours. When the itch comes back, I douse again in Blue window cleaner again. Strange but true.

Check to see if you can identify the rust-colored fecal stains, egg cases, and shed skins (exuviae) in crevices and cracks on or near beds. A sweet, musty odor is sometimes present. You should also look at other areas such as under wallpaper, behind picture frames, in couches and other furniture, in bedsprings and under mattresses, and even in articles of clothing. While fecal stains and skin casts suggest that bedbugs have been present, these do not confirm that the infestation is still active. Observing the bedbugs themselves is definitive confirmation that an area is infested. You may require professional assistance from a pest-control company in determining whether your home has a bed bug problem.

Pay attention to when the bites occur. Consider, for example, if you notice the bites after waking up when previously you hadn't noticed them. However, this can also be difficult to determine because each person's reaction time can vary significantly. Symptoms that result from the bite can manifest at any point from a couple of hours to more than a week after the bite occurred.
Bed bug bites typically appear in groups of three, called the "breakfast, lunch, and dinner" pattern. Each victim's reaction to bed bug bites is unique. Some may have a slight reddening of the skin. Others may have a more severe reaction, causing a raised, itchy rash. A raised rash may obscure the individual bites, making it challenging to identify. Sometimes, bites and lesions can throb and become very painful for days after the bugs bit you.
Once you have a suspicion or a confirmed infestation, do not spread things outside of the bedroom. Don't take linens off the bed and go to sleep somewhere else—that will just move the infestation to other rooms. Ultimately pest control operators will tell you to put everything you can through the washer and dryer, since bed bugs cannot withstand high temperatures. I don't think bed bugs would be able to survive solvent-based dry cleaning, but I don't have any first-hand knowledge that that's true. Unfortunately, dry cleaners and Laundromats can be places where people pick up bed bugs. I think it's a low probability, but it only takes one adult female bed bug that has been mated to get an infestation going.
I am constantly being bitten and it wakes me up from the itch, I bought calamine lotions and anti-itch products the calamine works the best for the itch. I don’t scratch them because they can get really infected…but it keeps me up for hours through out the night which keeps me tired all the time and I have to go to work in the morning with lack of sleep. I had to go to the board of health in my town to get the landlord to have my apartment treated…it’s a long process and it could be expensive with all the lotions I have to buy for the itch.
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.
As mentioned earlier, applying insect repellent at bedtime will probably not deter bed bugs from biting. When working in severely infested dwellings, there may be some benefit to spraying tops and bottoms of shoes with DEET-based repellents. Those working in bed bug-infested environments may also want to hot wash or run clothing, etc. through a dryer upon returning home or to the office.    
 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.
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. 
I spent the night at my boyfriends house 5 nights in a row, knowing that his family owns a couch infested with bed bugs. I find it weird that I’m the only one, out of 7 family members, that gets bit by the bed bugs! Its crazy! I get bit during the day when I sit for a few mins, or even sleep on the bed at night, but it still baffles me that I’m the only one who is suffering from the itch of the bites. My son who I share the bed with does not get bit at all, which is great, but I’m curious, “why only Me?”
To avoid light, bedbugs hide in the seams of mattresses and crevices of bed frames, walls, and furniture during the day.5,7 They are attracted to human hosts by warmth and carbon dioxide; these hosts generally sleep within 3 to 7 feet (1 to 2 meters) of the bedbugs’ hiding places.8,9 Feeding usually takes place just before dawn.10 Bedbug saliva contains several anesthetic, vasodilatory, anticoagulant, and proteolytic compounds that allow the insects to feed undetected for five to 10 minutes. Three of these compounds have been identified as instigators of the subsequent hypersensitivity reactions that may be noticed when the host awakens.11–14
Bed bug bites occur most frequently while you’re asleep. As bed bugs bite they inject their victims with an anesthetic (as well as an anticoagulant), numbing the area and making it very rare for someone to wake up when bitten. Bites normally take a day or two to appear, although depending on your individual reaction they may be more visible sooner.

My husband for 5 yrs had been getting bites on one knee and on his stomach about every other month or so. They are maybe 3 or 4 on stomach area and maybe 6 or 7 on the knee – always same knee and same area on stomach. We wondered about bed bugs so we put DE out, corked all openings and cracks, and sprayed – we have never seen signs of the bed bugs, we put the mattress and box springs in the bed bug proof cover. If it were bed bugs would they not bite some where else and would you not get more of them after all this time? The only bug we have seen are the ones that look like lady bugs sometimes but I understand they do not bite!


The size of bed bug bites varies with a number of different factors. Bed bugs inject an anti-coagulant along with their saliva when they pierce the skin to take a blood meal. This anti-coagulant is mostly responsible for how a person reacts to the bite and determines the size of the bug’s bite. Since people will have various sensitivities to the bed bug’s bite, the size of the bite will vary, as well. Another factor that influences the size of a bed bug reaction is the number of times a person is bitten. Bite reactions of people bitten many times are also variable, and their response may be either more or less intense as the number of bites increases.
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