Bed bugs have five immature nymph life stages and a final sexually mature adult stage.[13] They shed their skins through ecdysis at each stage, discarding their outer exoskeleton.[14] Newly hatched nymphs are translucent, lighter in color, and become browner as they moult and reach maturity. Bed bugs may be mistaken for other insects, such as booklice, small cockroaches, or carpet beetles; however, when warm and active, their movements are more ant-like, and like most other true bugs, they emit a characteristic disagreeable odor when crushed.

The likelihood of bed bugs increases if the affected individual has been traveling, or if they have acquired used beds or furnishings before symptoms started to appear. Bed bugs also are suspect if you wake up with itchy welts you did not have when you went to sleep. It’s important to recognize, however, that not all bite-like reactions are due to bed bugs. Confirmation requires finding and identifying the bed bugs, shed skins, fecal spots, etc., which often requires the help of a professional. (Other possible sources of irritation that may be mistaken for bed bugs are discussed in University of Kentucky entomology fact sheet ENT-58, Invisible Itches: Insect and Non-Insect Causes). 

In comparison to other insect bites, bed bug bite marks are usually in groups of three or more when they appear on the skin. This is sometimes called the “breakfast, lunch and supper bites”. As you can see in the picture below, the bites are rather close to each other. Their bites often look like little red bumps, pimples or even blisters and welts. Some people can also mistake them for flea bites. If one of these insects bite you, you usually won’t even feel it as it uses a form of anesthetic which dulls the pain. Bed bugs also are known to leave bite marks in a straight line, also in close proximity to each other. A single bed bug can bite you a number of times during the night. However, if you have a bed bug infestation, there are usually a large number of these little pests and this can result in a multitude of bite marks. Please also remember that some people may not have a negative reaction to these bites. In fact, sometimes they are mistaken for spider bites, even by medical professionals so make sure you let your doctor know if you feel it could be a bite from bedbugs. Lastly, you will be happy to learn that bed bugs do not fly so you won’t be attacked from the air.
Run hot water as hot as you can take it. When its hot enough for you, run the hot water over your bites. Yes it does burn a little, but you’ll feel relief from the hot water drawing the “itch” out. Do this for about 10-15 seconds and then immediately switch to very cold water and run that over it. The shock to your skin from going from hot to cold immediately relieves the itch and it lasts for hours. I can take it pretty hot, so I almost give myself burns, but its worth it.
Bed bug eradication is challenging and it’s prudent to hire a professional when resources allow. However treatment can be expensive, often costing hundreds or thousands of dollars. Those who cannot afford this often must cope with the problem themselves. A useful step that anyone can take to combat bed bugs is to install bed encasements. Covering the mattress and box spring can help eliminate a substantial portion of the bed bug population -- especially if discovered early while most of the bugs are still confined to the bed area. Extra care should be taken when installing budget encasements since these can tear easily, especially on metal bed frames. Ideally both the mattress and box spring should be encased. If only one encasement is possible it’s often best to cover the box spring which is harder to subsequently inspect.
i kno what most of yall ppl saying ….i recently stood over a friends house and my bestfriends brother bed was infested but i never knew it was so we bunked together. I stayed over ther for 3 days. The friday i came home stayed in for the weekend and bam monday morning woke up outta my sleep with the most painful itching ever! it got bad within hours
Unlike cockroaches and flies that feed on filth, there is often no relationship between bed bugs and cleanliness. Since the bugs feed solely on blood, pristine dwellings can be as vulnerable to infestation as are places of squalor. That said, poverty and privation can lead to increased risk of bed bug problems, as can the inability to hire a professional exterminator.    
As if you needed something else to worry about, bedbugs, those pests from the old bedtime rhyme are making a comeback. More of a nuisance than a health hazard, they’re showing up to suck blood from people in hotels, college dorms, and hospitals. Take an informative look at bedbugs: what they are, where they lurk, and how to spot them before they get you.
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