Fumigation using a penetrating gas is another way to de-infest dwellings or furnishings, but the procedure is only offered by certain companies. True fumigation is not the same as setting off a total release fogger or ‘bug bomb.’ (It should be noted that bug bombs are considered ineffective in the treatment of bed bugs, and can be quite dangerous if misused.) The fumigation process is technically complex and requires vacating the building for a period of days. The building is then sealed and injected with a lethal gas, usually sulfuryl fluoride. Because the entire building must be vacated, structural fumigation is logistically more challenging with multi-unit buildings such as apartments, than for single family homes. Bed bug fumigations tend to be more common in southern and western states, where the procedure is also used to control certain types of wood-dwelling termites.  
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.
However, another thing which has helped me with the intense itching is a regular hair brush! I was scratching so much that I grabbed the hair brush and used that to cover more territory! I have found that even if I “brush” intensely, it will not bleed and slowly the itching will subside. I have also heard of a quirky aid in “bug direction”…..used dryer sheets will discourage bugs from the area….what I saw was the sheets tucked in between the mattress and box spring by each bedpost.
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.
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.
Bed bugs can exist singly, but tend to congregate once established. Although strictly parasitic, they spend only a tiny fraction of their lifecycles physically attached to hosts. Once a bed bug finishes feeding, it relocates to a place close to a known host, commonly in or near beds or couches in clusters of adults, juveniles, and eggs—which entomologists call harborage areas or simply harborages to which the insect returns after future feedings by following chemical trails. These places can vary greatly in format, including luggage, inside of vehicles, within furniture, among bedside clutter—even inside electrical sockets and nearby laptop computers. Bed bugs may also nest near animals that have nested within a dwelling, such as bats, birds,[22] or rodents. They are also capable of surviving on domestic cats and dogs, though humans are the preferred host of C. lectularius.[25]
My husband for 5 yrs had been getting bites on one knee and on his stomach about every other month or so. They are maybe 3 or 4 on stomach area and maybe 6 or 7 on the knee – always same knee and same area on stomach. We wondered about bed bugs so we put DE out, corked all openings and cracks, and sprayed – we have never seen signs of the bed bugs, we put the mattress and box springs in the bed bug proof cover. If it were bed bugs would they not bite some where else and would you not get more of them after all this time? The only bug we have seen are the ones that look like lady bugs sometimes but I understand they do not bite!

The exact causes of this resurgence remain unclear; it is variously ascribed to greater foreign travel, increased immigration from the developing world to the developed world, more frequent exchange of second-hand furnishings among homes, a greater focus on control of other pests, resulting in neglect of bed bug countermeasures, and increasing resistance to pesticides.[4][38] Declines in household cockroach populations that have resulted from the use of insecticides effective against this major bed bug predator have aided the bed bugs' resurgence, as have bans on DDT and other potent pesticides.[39][medical citation needed]

Bedbugs are highly resistant to many sprays. There are, however, certain sprays that may be able to kill bedbugs. Check with a professional exterminator about advice using sprays to try and remove the bedbugs yourself. Dead bedbugs usually won't move, may be arched back, or red in color. Ultimately, you may be better off replacing your mattress and bedding and fumigating your home to kill the bedbugs.
Unlike those of other insects, bed bug bites may sometimes appear in tight lines of multiple, small, red marks where multiple bed bugs have fed along an exposed area. Bed bug bites can cause itchiness. Initially, a victim may detect a slight burning sensation. The burning area then develops red bumps, known as papules or wheals (rash). In extreme cases, bites may swell dramatically or turn into blister-like skin inflammations.
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