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 don’t get to see our kids; I can’t protect them from the little monsters; my own body is being eaten alive; the constant itching and scratching is embarrassing, as is the fact that I have bites and scars in visible places, and that my blood no longer clots properly, so if I get a paper cut, I’ll be bleeding a good half hour; we’ve sprayed, washed, dried and the bites keep coming; I’ve used prescription strength cortisode cream, Benadryl (which makes me tired and stupid at work), Zyrtec, Aveeno shower soap and even used my DOGS anti-itch shampoo. And I an still itching till they bleed, scarring, and finding new ones every day. I just…a part of me has totally lost hope that there will EVER be an escape and I’m so depressed I just want to go to sleep and not wake up
I can definitely understand. This is has been going on with us for almost a year. My hands and arms look like I have leprocy or something. Horrible blisters, rash, scabs, and bunches of “bumps” especially in my right hand. I wind up with painful blood blisters some times. I am living on benedryl and calamine lotion. I hate going out because of what I look like. I have taken to using cover up and foundation on my hands to make the mess less noticable. i have a long-sleeved summer weight sweater that I wear whenever I do have to go out.

One thing I’ve noticed is my cat is unaffected by all this. I’m assuming I’m the tastier option of the two but I’m not discounting the fact she may be spreading eggs around my apartment. she has been carefully inspected from tip to tail with a nit brush and she has no bites, isn’t scratching and seems to be just as snug as a bug in a rug. To be precautionary I am going to begin dusting her with flea powder in the morning when i go buy some.


Some pest control firms utilize specialized heating equipment to de-infest furnishings, rooms, and entire dwellings. The procedure involves heating up the infested item or area to temperatures lethal to bed bugs. Portable heaters and fans are used to gradually heat the air to about 120 - 130°F while monitoring with strategically placed sensors. By carefully controlling the temperature, bugs and eggs are killed wherever they may be without damaging household items. 
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.

The safest and most effective approach to getting rid of bed bugs is heat treatment, in which a trained professional heats the home's rooms one by one to a temperature of 50 degrees Celsius and sustains the heat for four hours. Heat does not penetrate well into wall voids, though, so desiccant dusts are often applied to those areas. No single technique can eliminate bed bugs—combinations of approaches are essential to getting the job done.
Bed bugs usually bite people at night while they are sleeping. Hungry bed bugs may also feed during the daytime, especially if this is when the occupant normally sleeps. They feed by piercing the skin with an elongated beak through which they withdraw blood. Engorgement of the bed bug takes roughly three to 10 minutes, but because the bite is painless, the person seldom realizes they are being bitten. Bed bugs normally do not reside on people like head or body lice do; instead, immediately after feeding, bed bugs crawl to a secluded location to digest their meal. Symptoms after being bitten by bed bugs vary from person to person. Many develop an itchy red welt within a day or so of the bite. Others have little or no reaction. Sometimes the reaction is delayed days or even weeks after the actual bite occurs, which can make it difficult to determine where or when bites actually occurred. Studies conducted in bed bug-infested apartments suggest about 30 percent of people do not react even when bitten repeatedly over time, and there is still higher incidence of non-reactivity among the elderly. Unlike flea bites, which occur mainly around the lower legs and ankles, bed bugs feed on any skin exposed while sleeping (face, neck, shoulders, back, arms, legs, etc.). The welts and itching are often wrongly attributed to other causes, such as mosquitoes. For these reasons, infestations may go a long time unnoticed, and can become quite large before being detected. 
Many news reports in recent years have focused on the discovery of bedbugs and their health effects (even in upscale five-star hotels), and a number of lawsuits have been filed by guests of fashionable hotels who awoke to find hundreds of bedbug bites covering their skin. Searching on travel-review web sites regularly reveals information and even photos confirming the presence of bedbugs in numerous hotels.
Español: tratar las picaduras de chinches, Deutsch: Bettwanzenbisse behandeln, Português: Tratar Picadas de Percevejos, Italiano: Trattare le Punture delle Cimici da Letto, Français: traiter des piqures de punaises de lit, Русский: лечить укусы клопов, 中文: 应对床虱叮咬, Nederlands: Bedwantsbeten behandelen, Čeština: Jak léčit štípance od štěnic, Bahasa Indonesia: Mengobati Gigitan Kutu Ranjang, Tiếng Việt: Trị Vết cắn Bọ rệp, 日本語: トコジラミの刺し跡を治療する, العربية: معالجة لدغات البقّ المنزلي, 한국어: 빈대에 물린 상처를 치료하는 법, ไทย: รักษารอยตัวเรือดกัด

Very helpful article, plus everyone’s comments. I wish you all the best of luck with bedbug problems. We went to a cabin near Yosemite before Christmas and I saw bugs on the bed. Luckily we didn’t sleep there and left right away. However I’m afraid some came home with us. About 3 weeks after our trip, I got a rash on my neck, but it’s not very itchy. Haven’t seen any bugs at home, but am worried. Will try the tips in the article–any suggestions how to heat a bedroom to 120 degrees?
However, always remember that these simply treat the problem and do not get down to the root cause. You will still need to take steps to get rid of them! Here are a couple home remedies to get rid of bed bugs that have been extremely helpful to the community. I encourage you to take a look at that article if you are serious about removing them properly.
I’ve cleaned the entire area…this time sprayed it all down with a bedbug killing spray (Raid). Everything, nooks, crannies, corners, the vent. I’ve also re-inspected my spare mattress. No sign of anything. I’ve gone as far as going into both. the inside of my boxspring has been saturated with the raid spray as is the “down” side of the mattress. I slashed into the side of the mattress and sprayed inside there too. I am going to be mopping with bleach in the morning and afterward I will do my spray down again.
If, after everything is thoroughly taken apart and cleaned, you still have an infestation, other measures may need to be taken. If you have an infestation of bats, you may also have a serious infestation of “bat bugs” which are very similar to the common variety. Often, the infestation is not as strong as those caused by their cousins as they are more apt to wander and relocate.
you probably ALREADY HAVE THEM..you cant let people that you know have an infestation of blood sucking parasites in your HOUSE..im sure you already have them but a hot dryer does kill them yes but thats not going to protect you these are very easily spread they fall off their bodies or hair right into your house & if you have children with bedbugs in your home you most likely already have them..sometimes people have no idea they even have them the bites dont affect some people..other people after about 3 week get an allergy & thats why the bites swell like hives..they became allergic & that can be a dangerous allergic reaction
Bed bugs often hide in seams, folds and crevices of mattresses, box springs, bed frames and headboards. A thorough inspection requires dismantling the bed so that upper and lower seams and surfaces can be examined. Things to look for are the bugs themselves, shed skins of the nymphs (immature bed bugs), and the blackish fecal spots. The dark spots of dried bed bug excrement are often present along mattress seams or wherever the bugs have resided. Box springs afford many places for bed bugs to hide, especially along the upper seams and underneath, where the bottom edge of the box rests on the frame. If an underlying dust cover is present, it may have to be removed to gain access for inspection and possible treatment. Successful treatment of mattresses and box springs can be difficult, however, and infested ones may need to be discarded or encased in a protective cover. 
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?”
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.
I found something that works. Diatomaceous earth or perma guard. Buy a big bag. About a good 5 pounds and put it around the whole house yard in your bed in every crack the carpet. I mean all over and give it a couple days. They will be gone. I live in an apt I ha e a cat n dog. It isn’t harmful to pets or humans its 100% safe to use around kids and best of all no bed bugs no ants no roaches. I paid about $10 on ebay. Good luck and I’m telling u this worked for me.

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 bugs are extremely sensitive to heat in every stage of their life. Thermal death point of a common bed bug is just 111°F to 113°F. Many times even temperatures that are lower than this, 97°F to 99° F can kill multitudes. If the temperature is raised to 140° F for about an hour or to 120°F for several hours most infestations will be eradicated.
After I noticed the first bites on the center of my back, I moved to the living room, thinking that would be fine. But obviously not because I have three more to the collection. I don’t know if I can fix the bedbug problem or not, but I only have a little under a month until I move out. I just wanna make the pain go away. Not to mention they look awful.
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.

I know when you get infested with these, the bedding and mattresses all have to go. We are just barely scraping by as it is, and we have a bed for each kid no matter how often they come to see us – including ours, that’s SEVEN mattresses and bedding sets. Our landlord is not returning our calls, and although I know that he is responsible for not treating the problem which (per neighbor reports) the previous tenants had, too. But the lawyer wants $500 to even send a LETTER, let alone go to court. And I keep thinking that even if we go to court and win, the courts will make him treat the apartment…not replace the furniture that’s effected because of it. So…we sleep on floors, with newspapers?
No. Bed bugs are also pests in poultry operations, and they're known to parasitize bats. Some labs that study bed bugs rear them on guinea pigs and mice. The bugs might feed on cats and dogs. Fur is probably a barrier to them, but they could feed at any place on the body without fur. Bed bugs are not specific to humans, but they are adapted to parasitizing us.
I’ve cleaned the entire area…this time sprayed it all down with a bedbug killing spray (Raid). Everything, nooks, crannies, corners, the vent. I’ve also re-inspected my spare mattress. No sign of anything. I’ve gone as far as going into both. the inside of my boxspring has been saturated with the raid spray as is the “down” side of the mattress. I slashed into the side of the mattress and sprayed inside there too. I am going to be mopping with bleach in the morning and afterward I will do my spray down again.
Bed bugs often hide in seams, folds and crevices of mattresses, box springs, bed frames and headboards. A thorough inspection requires dismantling the bed so that upper and lower seams and surfaces can be examined. Things to look for are the bugs themselves, shed skins of the nymphs (immature bed bugs), and the blackish fecal spots. The dark spots of dried bed bug excrement are often present along mattress seams or wherever the bugs have resided. Box springs afford many places for bed bugs to hide, especially along the upper seams and underneath, where the bottom edge of the box rests on the frame. If an underlying dust cover is present, it may have to be removed to gain access for inspection and possible treatment. Successful treatment of mattresses and box springs can be difficult, however, and infested ones may need to be discarded or encased in a protective cover. 

Some firms want beds stripped and furniture moved before they arrive, while other firms prefer to inspect first and perform these tasks themselves. Clutter and belongings on floors (especially beneath beds) must be removed since they impede treatment and afford additional places for bugs to hide. Bedding and garments normally will need to be laundered and/or hot dried (120°F minimum) since they cannot be treated with insecticides. An effective and efficient alternative to laundering is to simply place bedding, clothing, toys, shoes, backpacks, etc., in a clothes dryer set at medium-to-high heat for 10 to 20 minutes. This can be done in lieu of washing and will kill all bed bug life stages. 
Jump up ^ Kambu, Kabangu; Di Phanzu, N.; Coune, Claude; Wauters, Jean-Noël; Angenot, Luc (1982). "Contribution à l'étude des propriétés insecticides et chimiques d'Eucalyptus saligna du Zaïre (Contribution to the study of insecticide and chemical properties of Eucalyptus saligna from Zaire ( Congo))". Plantes Médicinales et Phytothérapie. 16 (1): 34–38. hdl:2268/14438.

My husband works for a garbage company (this is how we think the invasion started) and at the moment they are localized to our bedroom and our bathroom. However, the first place we found them was in our headboard & footboard. It is wood with an intricate carving. We checked the mattress and box spring and didn’t find a thing. But they LOVE that wood.
thank you natasha! i’ve reached out to both locations i’ve traveled to and they confirmed their pest control vendors have found nothing. and i had a visual/dog inspection from a reputable pest control company to check my entire house and they’ve found nothing as well. so hopefully this is just a one off and / or mosquito bites that just like biting in a line…can’t help but still be paranoid and sleep bundled up with socks
Prior to World War II, infestations of bedbugs were common; however, after the widespread introduction of the use of the insecticide DDT in the mid-20th century, bedbug infestations became much less common. The recent resurgence in infestations of bedbugs worldwide is thought to be related to several different factors, including the increase in international travel, dense urban living conditions, insecticide resistance, and new, ineffective pest control measures.
Scabies is very common in shelters. Permethrin. Cream applied head to toe then wages off in the shower the next morning should clear it up. Also ALL bedding must be washed in hot borax and ammonia water the best day. All surfaces must be wipe down with 50% water and 50% rubbing alcohol. Thorough vacuuming of the bedroom washing curtains and miniblinda. All clothes must be washed in hot water. Good luck
I am apparently allergic to these things. My bites swell to huge sizes and I get red marks running up my arms and it itches like crazy, almost like a burning itch. However, doing some research I found an effective way to stop the itch. Its not for everyone, but for someone like me who can’t even touch the shells (my fingers have gotten swollen searching for the damn things), this works for me. Again, not for everyone:
Bed bugs are small, brownish, flattened insects that feed solely on the blood of animals. Although the common bed bug (Cimex lectularius) prefers feeding on humans, it will also bite other warm-blooded animals, including dogs, cats, birds and rodents. It has done so since ancient times; bed bugs are mentioned in medieval European texts and classical Greek writings back to the time of Aristotle.
I have been suffering from these stupid bed bugs but i want to know if the baking soda mixture thing only cures the itchiness or make the spots disappear because i try as much as possible not to scratch it because it makes it expand. I am looking for something to make my skin color be maintained not to be having unwanted spots all over. I’m on the heating business to cure the bugs though. Thanks for the hints.
We helped a girl who we ran into who was being beaten by her B/F. She and her daughter stayed one night, and we got them to a safe place. Now we have bed bugs. I threw away our bed. (Our guest had used one of our blankets.) Thank God my landlord is going to get an exterminator! It’s at least $300 for them to come in. And yes, the itch is unbearable.
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.
Excessively scratching the itchy, bitten areas also may increase the chance of a secondary skin infection. Antiseptic creams or lotions can be used to ward off infection and antihistamines can be used to treat the itching. And an infestation can take a psychological toll on those affected: People whose homes have been infested with bedbugs may have trouble sleeping for fear of being bitten in the night. There are also public health, social and economic consequences; office buildings and schools often have to close if they are dealing with a bedbug infestation.
Bedbugs lurk in cracks and crevices and they've been living on human blood for centuries. Though they aren't known to transmit disease or pose any serious medical risk, the stubborn parasites can leave itchy and unsightly bites. However, bedbugs don't always leave marks. The best way to tell if you have a bedbug infestation is to see the live, apple-seed-size critters for yourself. Unfortunately, once bedbugs take up residence in homes and businesses, they can be difficult to exterminate without professional help.
I can definitely understand. This is has been going on with us for almost a year. My hands and arms look like I have leprocy or something. Horrible blisters, rash, scabs, and bunches of “bumps” especially in my right hand. I wind up with painful blood blisters some times. I am living on benedryl and calamine lotion. I hate going out because of what I look like. I have taken to using cover up and foundation on my hands to make the mess less noticable. i have a long-sleeved summer weight sweater that I wear whenever I do have to go out.
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.
During the day, bedbugs tend to hide away in furniture, floors, beds, and in wood or paper trash. They typically feed on human or animal blood at night, and most bites occur just before dawn. After taking their meal, which can last as little as three minutes, they drop off the host and crawl to a hiding place. Bedbugs can live for up to 10 months and can go without feeding for weeks.
I am apparently allergic to these things. My bites swell to huge sizes and I get red marks running up my arms and it itches like crazy, almost like a burning itch. However, doing some research I found an effective way to stop the itch. Its not for everyone, but for someone like me who can’t even touch the shells (my fingers have gotten swollen searching for the damn things), this works for me. Again, not for everyone:
Bed bugs will also succumb to cold temperatures below 32°F, but the freezing temperatures must be maintained for a longer period (e.g., one to two weeks). Consequently, heating tends to be a better option throughout much of the country. Efforts to rid entire dwellings of bed bugs by raising or lowering the thermostat will be unsuccessful, although pest control firms are able to achieve lethal temperatures with supplemental heaters (see the subsequent section entitled "Heat Treatments" for more details). 
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.
Is there anything, and I do mean ANYTHING, that I can use when I go to bed at night that will revoke these little critters. Does anyone know of any strong smelling cream or spray I can use on myself so that when I lie down they will not come near me. I don’t really wanna keep complaining to the staff since I just been here two days but I’m so COVERED by these bed bug bites and constantly itching that I cry.
Some of the dusts that are available to consumers, such as diatomaceous earth, can help in this regard. Pest controllers will put dusts in wall voids and other places where pesticide won't reach. What happens is the bugs will wander through the dust and pick up particles and be more vulnerable to desiccation after that exposure. But dusts will not solve the problem if deployed incorrectly, and if they are applied at too high a level they can cause breathing difficulties in some people.
Bedbug bite reactions are self-limited and typically resolve within one to two weeks without intervention.15 There is no evidence that any treatment alters the natural history of bedbug dermatitis.8 If pruritus is present, nonprescription topical antipruritic preparations containing the active ingredient doxepin, or intermediate potency corticosteroids may be beneficial. Mupirocin (Bactroban) and/or systemic antibiotics should be considered in the treatment of superinfected bites.8
Very helpful article, plus everyone’s comments. I wish you all the best of luck with bedbug problems. We went to a cabin near Yosemite before Christmas and I saw bugs on the bed. Luckily we didn’t sleep there and left right away. However I’m afraid some came home with us. About 3 weeks after our trip, I got a rash on my neck, but it’s not very itchy. Haven’t seen any bugs at home, but am worried. Will try the tips in the article–any suggestions how to heat a bedroom to 120 degrees?
Just because you can't see bed bugs, does not mean that they are not still there. Bed bugs are rarely seen in the day, out in the open or on the surface of beds or chairs. They have been described as champions of hide-and-seek. So, it is not uncommon to miss the bed bugs altogether. Bed bugs love to hide in the cracks and crevices associated with mattresses, cushions, bed frames and other structures, which is why it is very important to look for telltale symptoms of bed bugs and signs of an infestation, such as shed skins and specks of blood or feces on linens, furniture, mattresses and other areas where the bugs might be hiding.
With practice and a flashlight, nonprofessionals can become proficient in finding and destroying bed bugs. The process is made easier by reducing clutter, especially in bedrooms and sleeping areas. Bugs that are spotted can be removed with a vacuum (see previous discussion), or killed with over-the-counter insecticides labeled for such use. Most bed bug sprays intended for householders have little remaining effect after the spray has dried. Therefore it’s important to initially contact as many of the insects as possible with the spray droplets. Insecticide labels should be read carefully as some bed bug products should not be used on mattresses and seating areas. Some insecticides applied as powders or dusts (e.g., diatomaceous earth) will kill bed bugs although boric acid powder will not. However powders can be messy and difficult to apply, especially by nonprofessionals. Total release foggers (otherwise known as ‘bug bombs’) are ineffective against bed bugs and potentially dangerous when used incorrectly (see University of Kentucky entomology fact sheet Limitations of Home Insect Foggers).
I have a situation were I have been infested in my room,I have been beaten and I have red spots all over my body, is itching at night and affected my sleeping time, I spoke to the landlord to get a treatment but they dont seem to care much, should I move to a diferent place? What do I need to do in order not to be follow into the new place? Any recomendation out there?
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) .
One bed bug will usually take more than one bite. Once a bed bug inserts its mouthparts and finds a suitable blood vessel, it will begin feeding. However, finding the right blood vessel may take more than one injection into the skin. In addition, bed bugs are very sensitive to movement by the host they are feeding on. Therefore, if a sleeping person moves, a feeding bed bug will probably withdraw its mouthparts and begin its search for a blood meal on another part of the body. It’s important to remember that the number of bites a person receives is not indicative of the number of bed bugs that feed on that person.
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