Bedbugs are found in temperate and tropical climates worldwide. The insects are most commonly found in living quarters where their host resides. Bedbugs generally hide in the seams and crevices of bed mattresses and box springs, bed frames, headboards, upholstery, old furniture, closets, and in spaces underneath baseboards or behind loose wallpaper. Clutter and disarray also provide additional hiding places for bedbugs. Bedbugs may be transported from one location to another via luggage, furniture, clothing, and used mattresses. Although they are often associated with unsanitary living conditions, bedbug infestations also occur in clean, well-maintained living quarters, including five-star hotels and resorts. Bedbug infestations have been increasingly reported in hotels, dormitories, homes, apartments, nursing homes, cruise ships, shelters, jails, and hospitals. There have been several cases in the U.S. involving litigation because of infestations of bedbugs, and thus bedbugs are considered a public health pest by several agencies.
Its important to note that bed bugs can easily be transferred from other locations (such as hotels, friends, etc.) into your bedroom, something your definitely want to avoid! Its important to always check your skin, clothing and bags for any signs of bed bugs (and their bites) before entering your bedroom after sleeping away from the home. If you have been bitten a couple times, there is usually no urgent need for medical care. In fact, there are a number of effective home remedies that you can use to treat these insect bites. However, sometimes medical assistance is required. When is this the case and how can you identify when professional help is needed?

Help!! I have had a long and exhausting experience with these nasty bugs. My mother in law had stayed at my house for a few nights and a few weeks later after returning home she discovered she had a severe infestation of bed bugs.. so of course I took precautions at my home thinking she gave them to me. I threw my mattress away then taped off my entire bed with very sticky tape. No signs or bites at all . Then a few weeks later my son started to sleep in his bed again and sure enough he woke up with 3 bites in the shape of a triangle that were swollen and itchy. I searched his bed and found a casing shell and 3 blood stains under his box spring .I called a exterminator he came out and said we had a mild infestation and there was no signs in my bed but he found one live bug in my son’s bed. He treated the bedrooms and living room. Then my son and i were getting these little bumps on our body that looked nothing like the triangle bites and didn’t itch so the exterminator came again and treated but found no evidence of bed bugs and this cycle happened four times! So he has treated my apartment 4 times and found no signs of bed bugs and even had a dog come out to sniff around .. this was all over the course of about 5 months . The exterminator insists that we do not have bed bugs anymore but my son is still getting these bumps on him, some are reds dots and some are skin colored but no complaining of itching . I’m very overwhelmed and exhausted and havery no idea what to think. I think the tape on my bed prevented them from getting back into my bed after I threw my mattress out but again the exterminator said tape does not work. Are they hiding somewhere else like in the walls to where the exterminator think the problem is gone ?

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).

Its important to note that bed bugs can easily be transferred from other locations (such as hotels, friends, etc.) into your bedroom, something your definitely want to avoid! Its important to always check your skin, clothing and bags for any signs of bed bugs (and their bites) before entering your bedroom after sleeping away from the home. If you have been bitten a couple times, there is usually no urgent need for medical care. In fact, there are a number of effective home remedies that you can use to treat these insect bites. However, sometimes medical assistance is required. When is this the case and how can you identify when professional help is needed?
They will starve but not die off completely. That’s why you need to sweep, vacuum, and steam the floors daily. If bed bugs don’t feed on you then they can’t lay eggs. Eventually the numbers will diminish. They might even consider relocating. If you share an apt, it would speed up the process if your housemates do the same thing. It may take months to fully get rid of them but at least you won’t be their meal if you follow me bed proofing instructions.
These things are the real vampires!!!! Just got bit over my eye, which now is all swollen and hurting, and 3 bites on my upper arm, caught the 2 little bugs on the wall next to my bed. Make sure that your bed is away from the walls. I use tea tree oil it helps to calm the itching down, I have a bad reaction to them. Not sure where the keep coming from and always in twos. Ahhhhhh!!!!!!! Can’t sleep
The bites are on my arms and my legs (below my knees). I was wondering if someone could give me advice on how I can heal the old bites that I scratched till they bled. They have been healing but its quite slow and some seemed to have scarred. I’m getting tired of people at my high school asking about the bites on my arms and I hate that I can’t wear anything like shorts, skirts and dresses without them being visible.
Heat treatment: Heat of 120 F for two hours will kill bedbugs. Wash items in hot water (120 F or above). This may not be enough, though, so it's recommended that you place items in a clothes dryer on hot heat for at least 30 minutes. In a hot climate, you can bag items in a black plastic bag and leave them in direct sunlight for 24 hours. For travel or home use, there are portable heating units that can be used for clothing and luggage. A garment steamer can also be used on some items, such as luggage.
In most cases, the only way to say for sure whether it was a bedbug that bit you is to search for evidence of bedbugs living in your home. "Once you start to notice the itchy bites, the second giveaway is the presence of small blood spots on your sheets or mattress, usually resembling patches of rust,” Durham says. Those spots are left behind after a bedbug has been smashed.

Heat treatment: Heat of 120 F for two hours will kill bedbugs. Wash items in hot water (120 F or above). This may not be enough, though, so it's recommended that you place items in a clothes dryer on hot heat for at least 30 minutes. In a hot climate, you can bag items in a black plastic bag and leave them in direct sunlight for 24 hours. For travel or home use, there are portable heating units that can be used for clothing and luggage. A garment steamer can also be used on some items, such as luggage.
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.
These bloodsuckers love exposed areas of flesh such as closest to their nest such as the face, forehead, arms and known to attack babies.. Those repeatedly bitten over time are more likely to become sensitive. You may even find the person sleeping next to you does not show any signs of bed bug bites while you do. In fact, the person next to you may not have been bitten at all – a good sign that the infestation is closest to you.
If all other options have been exhausted, you may need to seek a professional PMP (Pest Management Professional). There are pesticides that are approved for professionals to use during a infestation. These pesticides, however, are not always effective, and typically not as effective as steam cleaning, excessive heat, or excessive cold. The exterminator may opt to treat the area with carbon dioxide.
Doctors often misdiagnose those afflicted because it is nearly impossible to tell, if you are experiencing an allergic reaction, what bit you. Often healthcare providers and individuals that have been bitten by a member of the Hemiptera order mistake bites for those of a mosquito. The only way to discern, with complete surety, what your bites are from, is to get a sample of what has bitten you.
This pair of bed bug bite photos below show the immediate (left) and next day (right) reaction after feeding a colony of bedbugs from a container in the lab. (That's why they are contained in a small circular area).  The hive-like immediate symptoms are replace by dark red rash type reaction the following day with inflammation and less severe redness radiating out to a larger area.  
Bedbugs are most often found in hotels, hostels, shelters, and apartment complexes where lots of people come and go. Because bedbugs hide in small crevices, they can hitch a ride into your home on luggage, pets, furniture, clothing, boxes, and other objects. Bedbugs are found worldwide, but are most common in developing countries. Once rare in North America, they may be on the rise due, in part, to increases in international travel.
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