Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.


I personally did not know about bedbugs or how to treat bites. I and my family have suffered the trauma of dealing with this problem. I have little knowledge of bedbugs. It has been a very bad experience to my family. I have had to throw away many items that was precious to me. Giving up all the mattress in my home. Sleeping on the floor with jackets, socks, long pants, and long shirts. My son is has asthma. I have a major concern with his health. My family is my major concern.
A number of vital tasks carried out during sleep help maintain good health and enable people to function at their best. Sleep needs vary from individual to individual and change throughout your life. The National Institutes of Health recommend about 7-9 hours of sleep each night for older, school-aged children, teens, and most average adults; 10-12 for preschool-aged children; and 16-18 hours for newborns. There are two stages of sleep; 1) REM sleep (rapid-eye movement), and 2) NREM sleep (non-rapid-eye movement). The side effects of lack of sleep or insomnia include:

Bed bug bites do not typically require treatment. It is best to clean the bite site(s) with soap and water and avoid scratching so as to prevent secondary infection. Progressive swelling, warmth, tenderness and sometimes (albeit rarely) fever may be signs of secondary infection, which should be managed with antibiotics as appropriate. Much more common are complaints of itching. For how to treat bed bug bites that cause severe itching, topical steroid creams or oral antihistamines may offer relief from itching and thus decrease the risk of infecting the bite site.


Thanks so much to the person who mentioned the hot/cold water method! I think when you do it when you first notice the bites, It will keep them from becoming huge, itchy welts! I run hot water over the bites and I feel a sense of relief, as if I’m scratching the bite, without actually scratching it. The area turns pink, and I keep going until the relief sensation has subsided, then I run cold water over the area. Works great and it does last for hours!
As bed bugs grow they molt, shedding their skin five times before reaching maturity. A blood meal is needed between each successive molt. Adult females also must feed in order to lay eggs. Under favorable conditions (70-80°F), the bugs can mature fully in as little as a month, producing multiple generations per year. Cooler temperatures or limited access to blood prolong the development time. 

Bed bugs are obligatory bloodsucking. They have mouth parts that saw through the skin, and inject saliva with anticoagulants and painkillers. Sensitivity of humans varies from extreme allergic reaction to no reaction at all (about 20%). The bite usually produces a swelling with no red spot, but when many bugs feed on a small area, reddish spots may appear after the swelling subsides.[15] Bedbugs prefer exposed skin, preferably the face, neck, and arms of a sleeping person.
Bed bugs remain a problematic pest across the United States, beyond just bed bug bites. In fact, one out of five Americans has  had a bed bug infestation in their home or knows someone who has encountered bed bugs. Reflecting the increasing problem with bed bugs,  a survey of pest management professionals found that prior to 2000 only 25 percent had encountered bed bug infestations, but in 2013 an amazing 99.6 percent of U.S. based professional pest management companies encountered bed bug infestations. Bed bugs are found in places beyond homes and hotels, such as hospitals, schools, doctors' offices, public transportation, college dorms, day cares, offices and any other places where humans live or gather.
Bed bugs hide in seams of mattresses, box springs, bed frames, headboards, dresser tables, inside cracks or crevices, behind wallpaper, or any other clutter or objects around a bed during the day. Bed bugs are transmitted from place to place as people travel. They can be in the seams and folds of luggage, overnight bags, folded clothes, bedding, furniture, or anywhere else they find a place to hide.
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:
Well I had my house tented for bed bugs. It cost me $2600. My home is about 2000 sq ft. They said it wasn’t necessary to wash anything unlike some of the other treatments. It is more than worth it to me as long as it works. I haven’t stayed in my house for over a week now. I’m still itching, but no new bites. Is that common, to still itch for so long afterwards? I just don’t feel comfy/cozy at home any more. I don’t want to be here. I’m seriously thinking of selling or renting my home and moving out. I’ll keep you posted as to whether it worked or not as soon as I can start staying home again.
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.
I recently stayed at a nice resort and ended up with bed bug bites. Since I was on vacation, I had nothing with me for itching except (and don’t laugh) hemorrhoid wipes. I was desperate so I tried one and the itching would stop for a few hours (unless something touched the bites). Now after reading the posts here I see that witch hazel and aloe, both of which are in these wipes, are one of the better treatments for the itching. The wipes were great, they are “wipes to go” which means individually wrapped so I could carry one in my purse and use it throughout the day as needed and then just fold it up and put it back into the wrapper til next time. These can be bought OTC at any pharmacy and I have the store brand, not name brand.
Thanks so much to the person who mentioned the hot/cold water method! I think when you do it when you first notice the bites, It will keep them from becoming huge, itchy welts! I run hot water over the bites and I feel a sense of relief, as if I’m scratching the bite, without actually scratching it. The area turns pink, and I keep going until the relief sensation has subsided, then I run cold water over the area. Works great and it does last for hours!
If you arrive home and discover that you have brought some unwanted guests home with you, immediately notify the hotel of your discovery. Having a possible infestation in hotels and motels can be a public relations nightmare for the owners. Politely ask them to pay for any and all costs incurred to rid your clothing and home of a possible new infestation.
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.
I was at a motel for a week, and had no problems with bed bugs. I then left to go to a shelter, because I had no more money to pay for a motel. The second day I went job searching all day, and started itching really bad on the back of my neck. At first I thought it was from the heat, and from me sweating. I then looked at my neck and noticed red swelling bites on my neck, and I scratched it to make the itch go away. I then noticed as the day progressed that it was spreading fast up the back of my neck. Now I’m getting worried, what is this, and why is it itching and spreading so fat. I asked the shelter workers what they thought it was and they said, I don’t know, but you can take anti-itching cream. I took the cream and put it on my neck, the itching went away, but the bites still were there. The next day I wake up and I have another bite on my upper right arm, and a bite on my right thumb. That night I talked to a resident staying there, and she said you have bed bug bites. I was so disgusted and scared. She then told me that three other people had the same problem I did, with the red bumps on their neck too, and they had left because of it. I want your advice on if I should persue legal action. Thank YoU
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]
To avoid getting bed bugs while traveling, make sure to inspect the mattress and sheets on the hotel beds, especially near the seams, mattress tags, and box spring. If you see any rusty stains, dark spots, or pale yellow patches, this could be a sign of bed bugs. Also, never put your suitcase on the bed itself or you could bring them home after your vacation. Most hotels provide a luggage rack, which is much wiser to use.
A common concern with bed bugs is whether or not they transmit diseases. Although bed bugs can harbor various pathogens, transmission to humans has not been proven and is considered unlikely. Their medical significance is most commonly attributed to itching and inflammation from their bites. Antihistamines and corticosteroids may be prescribed to reduce allergic reactions, and antiseptic or antibiotic ointments to prevent infection. Though not known to carry diseases, bed bugs can substantially reduce quality of life by causing discomfort, sleeplessness, anxiety, and embarrassment. According to some health experts, the added stress from living with bed bugs can have a significant impact on the emotional health and well-being of certain individuals. 
Recently I went to Dubai, I stayed at my husband’s rental furnished flat. The next morning I was covered with bites. Immediately I knew its big bites but don’t know it’s bed bugs until I google search online a few days. I was so allergic to the bites & can’t stop scratching them. At last I went to a local pharmacy and got this ‘Fenistil Gel’ AKA Dimetindene maleate. it works really well. My bites stop itching, swelling reduced. Some bites I need to applied the gel 1-2 times a day then it stopped bothering me. The only problem now is the marks never go away. :(
I was at a friend’s house in the afternoon for 3.5 hrs and woke up at 3 am with severe itching, and pain, on my back. My entire back was covered in bites/rashes, clear lines and clusters. I had no idea what it was and went to the doc. Someone suggested shingles. Doc said definitely bug bites. I talked to my friend and they admitted to having seen bed bugs on the couch “recently.” Freaking out I flipped over my entire bedroom, found nothing. Washed the clothes I wore in hot water and high heat drier. I am hoping that the feeding occured during those few hours and no buggs travelled with me. All I had was me, no stuff. Can they “migrate” on people?

Scabies is a skin infestation of a type of mite known as Sarcoptes scabiei. These are tiny, almost invisible, eight-legged creatures that fall under the same class as spiders and ticks. Scabies mites burrow under the skin to lay eggs and will crawl around on the skin, causing intense itching. Once the eggs hatch, the larvae that emerge will burrow back into the skin, causing even more irritation.
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.
Encasing mattresses is one of many good parts of a solution, but it doesn't get rid of the infestation. There are going to be other bugs away from the mattress, hiding nearby. What mattress covers are good at is entombing the sometimes large number of bed bugs that can live on a mattress. And because the covers tend to be uniform in color and don't have a lot of seams that the bugs can hide in, it's easier to see the insects.
Call your city or town health inpespector. In most major cities it is the landlords obligation to hire a an exterminator. In the case of bed bugs I believe there is more of an urgency and most city inspectors will come out within days, now that bb’s have reached epidemic levels not only in the U.S., but in many countries around the world. In some U.S.cities there are “lanlord/tenant agreements”, which are locally legal and binding contracts that state what the obligation of a landlord and tenant is, and most contain a clause which says that repairs, maintenance, etc.,which are landlords obligations, and what recourse a tenant has when the landlord refuses to repair or maintain his rental properties. In some cases, the tenant may pay for the repairs and deduct from the rent after following various steps first, such as, notifying the landlord via certified letter, prior to the tenant paying for said repairs. Please READ your lease and call your city or town’s health department or building inspectors first,as these ordinances may vary. You can always file a case in local claims court without an attorney,after paying for the repairs,if all else fails, and moving is not an option. I am not a lawyer, and this is not legal advice. I hope this helps. Bed bugs are a public health hazard. And not taken lightly by many local elected, or appointed officials. I hope this helps.
CrossFire Bed Bug Concentrate has two different active ingredients for dual modes of action (both a quick kill and residual activity). Mix 3 oz of CrossFire Insecticide with one gallon of water or 0.75 oz per quart (Remember to use what you mix-within 24 hours.) 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.
Traditional methods of repelling and/or killing bed bugs include the use of plants, fungi, and insects (or their extracts), such as black pepper;[54] black cohosh (Actaea racemosa); Pseudarthria hookeri; Laggera alata (Chinese yángmáo cǎo | 羊毛草);[15] Eucalyptus saligna oil;[55][56] henna (Lawsonia inermis or camphire);[57] "infused oil of Melolontha vulgaris" (presumably cockchafer); fly agaric (Amanita muscaria); tobacco; "heated oil of Terebinthina" (i.e. true turpentine); wild mint (Mentha arvensis); narrow-leaved pepperwort (Lepidium ruderale); Myrica spp. (e.g. bayberry); Robert geranium (Geranium robertianum); bugbane (Cimicifuga spp.); "herb and seeds of Cannabis"; "opulus" berries (possibly maple or European cranberrybush); masked hunter bugs (Reduvius personatus), "and many others".[58]
Bring a little flashlight—hotel room lighting is always pretty poor and the dimmer the lighting, the harder it is to see small bed bugs or their fecal spots. I would pull back the bed covers and look all around the head of the bed. Pull back the sheets, too, and look at mattress seams and edges that are exposed. bed bugs love to hide under mattress tags. Look all around the box springs, too. If there's a dust ruffle, pull it up and look under it as much as possible. Look for moving bugs and stationary, hiding bugs.
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!

So I just moved into my new place everything brand new I noticed 2 bed bugs I had my house exterminated right away and everything is Double baged I still have to do laundry. But anywho I woke up this morning and got bit on my leg again. My bed isn’t againt the wall the legs to my bed have Lil plastic up with powder. My question is if I use DE will it ruin the 1st treatment I just got done in my home or is it okay…
The prognosis for bedbug bites is excellent. The vast majority of people who experience bedbug bites will recover without any long-term problems, and many individuals who are bitten may not exhibit any physical signs at all. However, the recent resurgence in bedbug infestations will require increasing public education and awareness, instituting effective preventive and control measures, and continuing research into the development of more effective, safe insecticides.
Caregivers, firefighters, and other service providers are sometimes required to enter and work in bed bug-infested dwellings. In doing so, there is the potential to transport some bugs home or to the workplace. It should be noted that bed bugs do not fly, nor jump onto people/pets as fleas do. During the day, bed bugs usually remain hidden and immobile, becoming more active at night when seeking a host. Consequently, the chance of picking up bed bugs by merely walking into an infested dwelling during the day is unlikely. The risk may increase while providing care but can be lessened by taking some precautions. 

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.
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.
We kept feeling something crawling on us when we sat on tge couch. Then tiny bites Started appearing. After months of trying various cleaning approaches, we contacted Terminex. Their inspector found two bedbugs in the seams of a chair in the bedroom , but nothing on the sofa. They charged me a thousand dollars and steam cleaned both the bed, chair and sofa. About 10 days later, we started getting bites again. Terminex came and “dusted” the areas thus time. This continued for a a few months and them the “inspector” from Terminex said they could fund no signs of the bugs rhe last few times and he thought misquitoes were probably biting us. It has been months now and the problem has worsened. Now I get horrible welts when bitten and we constantly look for tangible signs: excrement, bugs in tape, anything before we call a different extermination company but life has become unbearable. We can’t have guests over because we fear they’ll become infected. It has been and is a truly awful experience.
All these bed bugs can be dealt with. it is best to use a non chemical treatment to make it safe for your environment . here is one i found, food grade Diatomaceous Earth found at garden centers, follow instructions, and move beds away from the walls, sprinkle in the carpet deeply, on to base boards , ( it works like borax powder for fleas and roaches) .
Bedbugs bite and suck blood from humans. Bedbugs are most active at night and bite any exposed areas of skin while an individual is sleeping. The face, neck, hands, and arms are common sites for bedbug bites. The bite itself is painless and is not noticed. Small, flat, or raised bumps on the skin are the most common sign; redness, swelling, and itching commonly occur. If scratched, the bite areas can become infected. A peculiarity of bedbug bites is the tendency to find several bites lined up in a row. Infectious-disease specialists refer to this series of bites as the "breakfast, lunch, and dinner" sign, signifying the sequential feeding that occurs from site to site. In some people, the bites can take several days to develop. The signs may become apparent up to 14 days after the bite has occurred.
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