The diagnosis of a bedbug bite can sometimes be difficult, as bedbug bites may appear similar to the bites of other insects. A health care professional will ask detailed questions and perform a physical exam, focusing on the skin. Other organ systems will also be examined to assess for any signs of an allergic reaction or for signs of infection. No blood tests or imaging studies will be necessary. If someone is able to bring in a specimen of the insect that may have bitten them, this can be helpful in making the diagnosis.
Around the time I started getting bites, I noticed more and more neighbors throwing out mattresses, furniture… I got suspicious. We live in apartments. I react differently to different kinds of bites so I can always tell the difference between mosquitoes and ants and such. I didn’t know what those bites were until I caught one of the little hellions crawling across the sheets.

It’s also possible that you won’t see a reaction the first time a bedbug bites since it sometimes can take the body a while to react. (6) Some people will have an immediate reaction, while for others it could take two weeks to emerge. Your body will likely become more sensitive to bedbug bites over time, and if you get bitten repeatedly, it could be only a matter of seconds before your body shows a response.
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 have flat oval bodies, six legs, are reddish-brown in color and are similar in size to a dog tick - many have described the adults as resembling a flat apple seed. Adult bed bugs are approximately 1/4 inch long, while nymphs (juveniles) may be as small 1/16 of an inch. With feeding, they enlarge or engorge with blood. The adults turn from a brownish to reddish color, while the translucent nymphs may become bright red during the feeding process. 
Just recently had my first experience w/ bedbug bites in Nicaragua. Hundred plus bites in one night and over a period of three days they became so inflamed, there were tiny blisters on each bite. These suckers snacked on me like I was an all you can eat buffet. I itched 4 days straight and finally went to a pharmacy there, which prescribed me acne creme. Worked, I guess, at least psychologically. But the bites kept festering more and more.
Within 20 of exposure I started coming down with bumps. They started to.on my forearms but now have spread to legs. My company sent a exterminator to my home to check to make sure I didn’t spread them to my home, my home declared bug free:). They sent me to employee health where I was put on strong antibiotic and cortisone like cream to put on wounds. They are red, cluster like itchy. Frustrating thing is I keep getting more. I am so itchy I can’t sleep. Could it be something different then bugs that I was exposed to? Just frustrated with continual bites
Did you or someone else in your home recently come home from a trip? Bugs can stow away in clothing and in the recesses of your luggage. A good preventative measure is to check lodging you are staying in immediately after arrival. As mentioned before, signs are evident, even during the daytime, include the blood-colored excrement they leave behind.
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.
When staying in a hotel, I check the bed before I bring the suitcase into the sleeping part of the room so that if I have to ask the manager for another room, then I haven't exposed my suitcase to the bugs. When settling in, I put my suitcase up on the suitcase stand or the desktop so that any bugs are less likely to crawl into it. An extreme measure would be putting the suitcase in the tub. If it's a porcelain tub, bed bugs would have a hard time crawling up it. It's also unlikely that they would randomly crawl up a tub, because it's not near the bed. But if I don't see bed bugs in the room when I inspect it, I just put my suitcase on the stand because I know the probability is really low that a bug is going to crawl up the stand and into my suitcase. I keep my clothes in the suitcase or hang them in the closet—I don't leave them on the floor because wandering bed bugs might crawl into them.
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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