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.


So I just moved into my new place everything brand new I noticed 2 bed bugs I had my house exterminated right away and everything is Double baged I still have to do laundry. But anywho I woke up this morning and got bit on my leg again. My bed isn’t againt the wall the legs to my bed have Lil plastic up with powder. My question is if I use DE will it ruin the 1st treatment I just got done in my home or is it okay…
To prevent bringing bed bugs to one's own home, travelers are advised to take precautions after visiting an infested site: generally, these include checking shoes on leaving the site, changing clothes in a garage before returning to their home, and putting the used clothes in a clothes dryer outside the house. When visiting a new lodging, it is advised to check the bed before taking suitcases into the sleeping area and putting the suitcase on a raised stand to make bedbugs less able to crawl in. "An extreme measure would be putting the suitcase in the tub." Clothes should be hung up or left in the suitcase, and never left on the floor. [29] The founder of a company dedicated to bedbug extermination said that 5% of hotel rooms he books into were infested. He advised people never to sit down on public transport; check office chairs, plane seats and hotel mattresses, and monitor and vacuum home beds once a month.[30]

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.


Bed bugs are a growing problem in schools and daycares. Typically they are introduced by students or staff living with an infestation at home. Pinpointing where the bugs exist can be challenging in such environments since there are no beds or sleeping areas for the insects to congregate. (Similar challenges occur when bed bugs are found in offices, libraries and retail stores.) Usually only small numbers of bed bugs are spotted, often on a student’s clothing, backpack, chair or desk. While this does not necessarily confirm that the child’s residence also has bed bugs, the parents should be notified that the home should be inspected, preferably by a professional. Teachers, nurses, and staff should be educated about the bugs and what they look like. Bed bugs should also be considered if a student frequently has reddened itchy welts --but keep in mind such reactions can be for reasons other than bed bugs. 
Hey Jessica! Sounds like bed bug bites to me but don’t stress, although bed bugs are known to travel with you from other locations its not a guarantee that they always do. I recommend giving all your clothing a hot wash when you get back home (and your travel bags) and to inspect your bed for signs of their presence. As a precautionary measure, you can put DE under your sheets for a day or two and that will kill any pests that are hiding there. Good luck
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. 
The diagnosis of a bedbug infestation should be based on the clinical history and appearance of bites. A thorough inspection of sleeping quarters by the patient, a family member, or a pest control expert may demonstrate the telltale signs of an infestation15 (i.e., specks of blood-tinged insect feces and exoskeleton casts [Figure 5]). With the aid of a magnifying glass, special attention should be given to cracks and crevices of furniture, baseboards, electrical boxes, curtains, carpet, luggage, bed frames and headboards, picture frames, wall hangings, mattress and box spring seams, peeling wall paper, clothes, and linens.37 Live bedbugs can sometimes be caught by turning on a flashlight just before dawn, when bedbugs are most active, larger in appearance, and slower to scatter because of recent feeding.40
Now we are shut ins lol and dont allow guests to our home lol..We moved 1 hour away from town and have property now and 1 hour min away from most people we know..We go and visit them..When we return home from shopping/visits etc,we go into the 1st room and change,put our clothing in the laundry machine and check for bugs then put clean home clothing on !!!

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.
General housecleaning measures, (e.g. vacuuming floors and surfaces), seldom reach where bed bugs hide. For this reason, repetitive vacuuming by occupants may not be worth the effort, especially compared to other important preparatory activities. Targeted vacuuming of bed bugs and infested harborages, however, can help remove some of the bugs before other treatment measures are undertaken. Bed bugs and especially the eggs can be difficult to dislodge. Optimum results will be achieved by moving and scraping the end of the suction wand along infested areas such as seams and fabric folds of beds and sofas, and the perimeter edge of wall-to-wall carpet. Bed bugs can survive the high speed trip down a vacuum, so it’s important to carefully dispose of the vacuum contents in a sealed trash bag afterwards. 

Hi Samantha! I highly recommend spending about 15min to investigate your bed (especially on the corners and don’t forget to look under the sheets, etc). If there are no signs of bed bugs, then I suggest that you don’t worry about it. Additionally, I have had itchy bites after a nights sleep and it turned out to be a once off occurrence, so just take action if it keeps happening. Hope that helps, sorry for the delayed response.


Bed bug bites can look a lot like other insect bites. Some clues that can suggest the presence of bed bugs include finding red, itchy bites upon awakening - especially if the bites line up in a row on the skin. Bed bugs typically bite at night on exposed areas of skin, so the bites are most commonly found on the face, neck, hands and arms. Although some people develop a bite reaction immediately, others may take two to three days before a reaction becomes noticeable, and not all people have obvious bed bug bite symptoms. A bed bug bite can appear as a tiny puncture wound without a surrounding reaction, and can easily be missed. In fact, 30 percent of individuals living in bed bug-infested dwellings report a lack of bites or skin reactions. This appears to be more common amongst the elderly. On the other hand, other people have exuberant reactions, with large, red, raised and itchy welts. This is especially true if one becomes sensitized to bed bug bites, so that with repeated bites there is an increased risk of an exaggerated reaction to bed bug bites.
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.
Bed bugs are active in summer and winter and are not considered "seasonal" in the same sense that mosquitoes, ticks and stinging insects are. Still, many consider bed bugs to be a greater problem in the warmer months, however it is not the bed bugs that are more active in the summer months - the humans are. In warmer weather we typically travel more, often sleeping in hotels and motels, using various modes of transportation, and thereby increasing our risk of exposure to bed bugs. The bed bugs themselves are year-round pests.
So wear a face mask and just… bleach the crap out of your bed frame. Cover the mattress, repeatedly super heat your bedding and such, and bleach bleach bleach. MAKE SURE TO CHECK YOUR MATTRESS COVER. I did kill a few trying to hide in the zipper area. I picked out the crawlies with gloves and killed them, then repeatedly did a bleach scrub in case of any eggs. I do recommend the sticky traps a lot because if you keep your bed away from any walls or furniture, then the sticky traps will let you know if the bed bugs are coming from elsewhere.
It is important to remember that they have a very flat body that allows it to hide almost anywhere. During the initial onset of the infestation, they are only visible around the tufts and seams of the mattress. As the infestation grows, these bugs spread out and inhabit larger and larger areas. Generally they prefer rough surfaces like wood or paper for their harborages.
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

To reduce the effects of swelling and rashes, you could take an over-the-counter antihistamine, which is usually in the form of an oral pill. Be sure to check the product label for possible side effects, though: some may cause drowsiness, dizziness, irritability, and vision changes, ringing in the ears, and other disrupting symptoms. You’ll want to be careful about taking these pills if you’re going to be driving or operating heavy machinery, and you definitely want to talk to your doctor first if you’re pregnant or have high blood pressure.

Objects or insects in the ear can be placed in the ear by patients themselves, or an insect crawling in the ear. Ear wax can also cause ear problems if Q-tips are overused to clean the ears. Symptoms of an object in the ear are inflammation and sensitivity, redness, or discharge of pus or blood. When to seek medical care for an object or insect in the ear is included in the article information.

I was at a friend’s house in the afternoon for 3.5 hrs and woke up at 3 am with severe itching, and pain, on my back. My entire back was covered in bites/rashes, clear lines and clusters. I had no idea what it was and went to the doc. Someone suggested shingles. Doc said definitely bug bites. I talked to my friend and they admitted to having seen bed bugs on the couch “recently.” Freaking out I flipped over my entire bedroom, found nothing. Washed the clothes I wore in hot water and high heat drier. I am hoping that the feeding occured during those few hours and no buggs travelled with me. All I had was me, no stuff. Can they “migrate” on people?


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.

The bites do not usually require medical treatment. Secondary bacterial infection of the skin may develop in areas that become irritated due to prolonged scratching. Topical antibiotic creams or ointments may relieve symptoms of a secondary infection. Antiseptic lotions may also be beneficial. If you've had an allergic reaction to the bedbug bites, your doctor may recommend oral antihistamine medications or corticosteroids.


Bed bugs do not transmit MRSA. Although there have been reports of persons developing methicillin resistant Staphylococcus aureus (MRSA) infections, such as boils or abscesses associated with bed bug bites, it turns out the bed bugs really weren't directly at fault. Rather, the cases of MRSA infections associated with bed bug bites are actually an example of scratching leading to minor skin trauma and subsequent secondary bacterial infections. In these cases, people who are carriers of MRSA scratch at the itchy bite sites and provide a port of entry for the MRSA (which was already present on their skin) to get in and under the skin and cause the secondary infection. While it can be blamed for some other bed bug symptoms like itching and red welts, the bed bug cannot be blamed for the infection.
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.
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
They also have the ability to travel beyond the bedroom, so all adjoining rooms should be checked for infestation. Any area that offers a layer of protection, e.g. dark, isolated areas, should be checked. They do leave excrement droppings behind, so even if they are not seen, you can often see where they have been. The best method to find them is to check only at night, and with a red light.
Dismantling bed frames in infested areas typically exposes bed bug hiding sites. Having access to these areas during cleaning is important. Stand up the box spring and shine a flashlight through the gauze fabric and look for bed bugs. If the fabric is torn (possible hiding place), remove fabric to prepare for spraying. If the mattress and or box springs are infested, you may want to consider Encasements by Mattress Safe. Once covered with these encasements, bed bugs can not enter or exit. There is no need to treat the mattress or box spring when using these encasements. Keep them on for a year.
Scrub infested surfaces with a stiff brush to dislodge eggs. Vacuum the room extensively. Use a vacuum hose attachment to thoroughly vacuum cracks and crevices on furniture and along baseboards on the walls. Vacuum along baseboards, furniture, bed stands, rails, headboards, foot boards, bed seams, tufts, buttons, edges of the bedding, as well as the edges of the carpets (particularly along the tack strips). A good vacuum cleaning job may remove particles from cracks and crevices to encourage greater insecticide penetration. Bed bugs cling tightly to surfaces, so it is best to vacuum by scraping the end of the vacuum attachment over the infested areas to pull out the bed bugs. Caution: It is not good to use a bristle attachment, because you may transfer bed bugs to other areas since they cling to the brush. Dispose of vacuum cleaner bags after you are finished in an outdoor trashcan.
Bed bugs are challenging to eradicate. Since they can hide in so many places, inspections must be thorough and elimination is not always a certainty. Whenever resources allow, it’s prudent to enlist the services of a professional. Experienced pest controllers know where to look for bed bugs, and have an assortment of tools at their disposal. Nonetheless, owners and occupants can assist the professional in several important ways. Affording access to all living areas is crucial, and excess clutter will need to be removed. Belongings strewn about rooms offer many places for the bugs to hide, and impede inspection and treatment. Since bed bugs can disperse throughout a building, it often will be necessary to inspect adjoining rooms and apartments as well. 
One interesting thing is: many of my small lesions seem to be permanent. I have had some of the prominent ones for more than a year and they show no signs of shrinking or going away. I am not particularly worried about skin cancer because the permanent lesions are all very regular in appearance; skin-cancer lesions are usually irregular in shape and color.
I have been divorced from my ex for 4 yrs now but remain friends with him and see him often. I recently learned that my ex in laws have a heavy bed bug infestation. My ex lives 3 houses away but is at his mothers every day as they are elderly. He has been dealing with the bugs and my ex’s petulance about the bugs. They have doctors appointments coming up and I wonder if they should tell the doctor about this. My ex has tried to get them to bathe more, treat the bites, wash the clothes but they act as if it is a big imposition to them. I have not asked him over since I found out about them and am reluctant to do so. Am I wrong in thinking that the ex in laws can spread them to others at the doctors office and is it possible for my ex to bring them here?
Hi please help me out Natasha! A few days ago I woke up at midnight to find 3 bites in a almost straight line and I was afraid that it was a bed bug my mom said that there was a chance of it being a misquito since I was outside all night long but I’m still getting this weird feeling that it could be bed bugs what do you think it is can you take a guess. Help!
Hi Natasha !! I recently saw a bed bug crawling on my bed. So, I immediately cleaned all clothes in my room with hot water and put in high heat in the drier. I also sprayed the whole house with bed bug spray. Now on closer look of the mattress I found some bug remaining like its cover/shell, 2-3 blood stains but I did not find a colony/cluster of the bugs (which I was sort of expecting). So I bought a steamer and steamed my mattress and box spring. I also bought covers for the mattress and the box spring so that in case I missed any, they might get suffocated (at least I hope so). After all this, the next morning I woke up and found some sort of bite marks on my face. Also since I could not find any cluster of bugs, could they still be somewhere in my room ? where should I look for them ?

I was in europe and have always been healthy and felt fine the 2 months while there, on my drive back home I started itching my arm and didn’t think much of it. During the next few days to weeks the itching turned into welts that itched like crazy and got bigger and harder within hours. The redness would then extend out apx. the size of a 50 cent piece that would form a small scab in the middle as it would heal. Then it would heal , but the next few welts would appear in different places. They would start off as itchy flat red circles that would quickly become firm and red. I sometimes would also feel stings all over . I’ve had this problem now for over a month. One dr. told me I had mites, another said I had bed bugs. I have small scars all over my body now. I used the all over cream 4 nights ago that is supposed to kill mites. The itching is still there but not quite as bad today and yesterday. I’ m going for a third opinion tomorrow. I never knew that itching can keep me from working or actually doing anything else except for keeping calamine lotion beside me and rubbing it on me every 10 minutes. Good luck to all of you that are dealing with the same nightmare.

I sleeped over my boyfreinds house just for a night my 4month old daughter and I slept on the bed and we got bit bad but my poor baby seems to have pus on her bites..she got bit even on her face her fingers etc..but funny thing my boyfreind didnt get bit, I got home and i washed everything we took in hot water dried in hot washed my beeding all her blankets the car seat was left out in the heat for 2 days..then i washed it in hot water i vacumed the whole room sprayed alcohol on the carpet on my matress..question is what more can i do? is there any chance that they could still be in my room?
Check to see if you can identify the rust-colored fecal stains, egg cases, and shed skins (exuviae) in crevices and cracks on or near beds. A sweet, musty odor is sometimes present. You should also look at other areas such as under wallpaper, behind picture frames, in couches and other furniture, in bedsprings and under mattresses, and even in articles of clothing. While fecal stains and skin casts suggest that bedbugs have been present, these do not confirm that the infestation is still active. Observing the bedbugs themselves is definitive confirmation that an area is infested. You may require professional assistance from a pest-control company in determining whether your home has a bed bug problem.

Also, we do have pets and a 10 year old living with us as well. 3 cats and a dog. They have been fine with the bleach smell, though it seems to be making one of my cats a little wild. A suggestion I have, if you try what we’re trying, is put the animals up until the KABOOM has dried, because, where as our animals are seemingly okay, it could still harm them. Luckily our cats are indoor/outdoor cats, so we can put them outside while we do it.
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.
Since DDT was banned there has been an escaltion of bugs. Malaria is killing millions and now bed bugs are taking over. I am waiting for a exterminaor right now. Something is biting me and I cannot find out what it is. I know Benadryl itch stopping cream has been my salvation. I have order a few things from an online shopping network and wonder if we are getting these bugs from other countrys. I am stopping all shopping online. The only way I feel like something is on me is to take a shower. Where is the CDC on this problem.
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.
Bedbugs bite and suck blood from humans. Bedbugs are most active at night and bite any exposed areas of skin while an individual is sleeping. The face, neck, hands, and arms are common sites for bedbug bites. The bite itself is painless and is not noticed. Small, flat, or raised bumps on the skin are the most common sign; redness, swelling, and itching commonly occur. If scratched, the bite areas can become infected. A peculiarity of bedbug bites is the tendency to find several bites lined up in a row. Infectious-disease specialists refer to this series of bites as the "breakfast, lunch, and dinner" sign, signifying the sequential feeding that occurs from site to site. In some people, the bites can take several days to develop. The signs may become apparent up to 14 days after the bite has occurred.
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