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. 
If you suspect an infestation, experts recommend finding a professional exterminator who has experience dealing with bedbugs. Sprayed insecticides are commonly used to treat infestations, and exterminators may also use nonchemical methods, such as devices to heat a room above 122 degrees Fahrenheit (50 degrees Celsius), a lethal temperature for bedbugs, according to the Mayo Clinic. Freezing infested items for a few days at temperatures below 0 F (-18 C) may also put bedbugs to permanent rest, according to the University of Minnesota. But you may have to throw out heavily infested mattresses and other items of furniture.

Avoidance is the best means of preventing bedbug infestation.8 While traveling, sleeping quarters and bedding should be closely inspected for signs of bedbugs. Suitcases should be placed on metal racks away from walls and furniture. Frequent travelers might consider obtaining a portable heating unit for luggage and clothing (e.g., Packtite) as an additional precaution. Items at yard sales and secondhand stores should also be carefully examined before purchase.8  All potentially infested items should be sorted and sealed in plastic bags and removed only when ready to be disinfested (see Table 36 for instructions regarding effective care of infested items). Wearing long-sleeved nightclothes can minimize exposed skin, and although insect repellants have not been shown to be reliably effective, oil of lemon eucalyptus or diethyltoluamide (DEET) might help deter bites.44,45
Insect and spider bites and how to deal with them Insect and spider bites can occur almost unnoticed, or they can be painful. Either way, home treatment is usually enough for most symptoms. However, some bites can spread serious disease, such as Lyme disease and malaria. Find out how to protect against bites and what to do if someone has a severe reaction to a bite. Read now
Jump up ^ Johann Friedrich Wolff; Johann Philip Wolff. "According to Scopoli's 2nd work (loc. cit.), found in Carniola and adjoining regions. According to Linnaeus' second work on exotic insects (loc. cit.), before the era of health, already in Europe, seldom observed in England before 1670". Icones Cimicum descriptionibus illustratae. p. 127. Retrieved 1 December 2016. fourth fascicle (1804)
The first thing is you have to be able to recognize and distinguish a bed bug from any other insect. Everything starts to look like a bed bug if you start to worry about them. An adult bed bug is about the size and shape of an apple seed. If it has not fed recently it will be flattened and brown. If it has fed it will be round in circumference and reddish. Immature bed bugs have a similar appearance to adults, with the smallest being the size of the head of a pin. You can then learn to look for their fecal spots, which can be easier to detect than the bugs themselves. Check your hotel rooms when you travel. And think twice before bringing home used furniture. If you are purchasing used furniture, ask the furniture store how they deal with bed bugs. If they have no plan whatsoever, that's probably not a good sign. If you purchase used clothing, put it through a clothes dryer on a medium to high setting for a cycle as soon as you bring it home. And before you move into an apartment, ask the landlord whether there has been a bed bug infestation, or whether the building has ever been treated for bed bugs.
Adult bedbugs are reddish brown in color, flat, oval-shaped, wingless and approximately 4-5 millimeters in length. Immature bedbugs (nymphs) may be translucent or light tan in color and therefore very difficult to see. Bedbugs are often more red in color after feeding. Bedbugs are attracted by warmth, and they generally feed during the night, often just before dawn. They tend to feed every five to 10 days, though they can survive without feeding for several months. Bedbugs pierce the skin and inject saliva that contains anesthetics and anticoagulants into the host, which often make their bites painless initially. After feeding on the host's blood for several minutes, bedbugs will crawl back to their hiding place. They will generally try to hide and remain within close range of their warm-blooded host. Affected individuals may feel and see the consequences of the bedbug bite afterward, though many individuals will not develop any physical signs of a bite. Bedbugs do not transmit or spread human disease.
First and foremost I think the wisest course of action to take is to get rid of your bed. the whole shebang…the mattress and box spring and all your linens, blankets, pillows and articles of clothing you use to lay in bed with (robes, pajamas and underwear). It’s just not worth it. Get a temporary air mattress for a few weeks if need be. You will be better off in the long run.
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. 
Found worldwide, bedbugs are most common in developing countries. Still, reports of bedbugs in luxury hotels are not uncommon. They are most commonly found in areas like hostels, hotels, shelters, and apartment complexes where there are many visitors coming and going. When they enter your home, it's often because they have hidden in luggage, furniture, clothing, or boxes that are being moved. They can also travel on pets' fur. Increases in international travel may be responsible for the rise in bedbug sightings.
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?”
Many chemical pesticides are available, with more than 300 registered by the EPA. Pesticides should be applied to walls, floors, cracks in furniture, and seams and buttons of mattresses.21 The EPA’s Bed Bug Products search tool (Web site: http://cfpub.epa.gov/oppref/bedbug/) allows users to search by product name, company, EPA registration number, location of intended use, and pesticide type. The National Pesticide Information Center (Web site: http://npic.orst.edu/; telephone: 800-858-7378) is another useful resource. Silica gel dusts are a safer alternative to traditional pesticides, because they are less concentrated and less toxic.21 Plastic mattress and pillow encasements can help trap bedbugs and restrict spread.42 Regardless of the integrated pest management strategy used, a follow-up inspection 10 to 21 days after extermination is advised to detect and manage a persistent infestation.42
Just wondering if it is unusual for bed bugs to bite where you are clothed? I have 3 bites, in a diagonal line on one side and in a triangle shape on the other side of my pelvic area both which are covered by underwear at night. Then I have a random spot here and there on my legs. We have a plastic mattress cover on our bed but use dark sheets. As best I can tell there is no evidence of bed bugs. What do you think? Thanks!
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. 
Considering how time-consuming and costly it can be to eradicate bed bugs, it’s prudent to take precautions and avoid infestations in the first place. Householders should be vigilant when acquiring used furnishings, especially beds and couches. Discarded items should be avoided, and secondhand articles should be examined closely before being brought into the home. Look carefully in the folds and seams of furniture for signs of bed bugs (see the previous section entitled "Description and Habits" for more details). There is no reason to stop shopping in consignment stores, yard sales, etc., but it would be prudent to run clothing and fabric items through the washer or dryer before storing them in the home. The risk of acquiring bed bugs from items purchased in antique stores would generally be insignificant.      

Hi so I am 32 years old and never heard of bedbugs intill 2 years ago I thought if u where dirty u can get it IM a clean freak and i got them I just moved into a new place and was only there for 2 months and I am also diabetic i got real sick and was in and out of the hospital and the drs just keap saying I need to clean my house and said they can’t do anything for the bedbugs bite and made it seem that it was my fault I was like I just moved in and don’t have anything in my place yet come to find out the apartments where all in feasted with bedbugs even my dog got sick the drs put me on so many different meds I was drug up with 2 kid’s to take care of i got bit from head to toe my ho body looked like i had something I was getting bit everyday with it leveing me with swollen skin that looked red as a Apple that was on fire that I would have to jump into a cold shower and just see steam come off my body i would cry all day cause if i wasn’t in pain i was feeling things crowing all over me and my head and face but couldn’t see anything but only see little bites or some that looked like blisters that had white yellow ish puss dripping or some that popped into black hos or some that would dry up and have colors like tan brown mixed with red look like a critical and i would scratch and it felt like sharp and pain coming off my skin so I moved and have been staying in a motel for 2 1/2 months to find out they have bed bugs and now me abd my husband and 2 kid’s have been getting bit to find out for me getting bit so much I got a real bad infection called prurigo nodularis
The treatment of bedbug bites depends on the symptoms and their severity. The bites should heal and disappear in one to two weeks whether you treat them or not. The goal is to prevent scratching the itchy rash, which can lead to a skin infection. You can use over-the-counter (OTC) anti-itch creams such as calamine lotion or those containing diphenhydramine or cortisone. Be sure to read the product label and don't use these creams around the eyes, anus, or genitals.
Bedbug bites, like all insect bites, can become infected through excessive scratching, as underneath the fingernails lies a host of bacterial pathogens. If your bites become infected, they will appear red and swollen, feel tender and may drain pus. Typically there will not be a fever unless a substantial area of the skin is involved. If you experience any of these symptoms, you must seek medical attention as it points to a secondary infection. Your physician may prescribe antibiotic therapy or, if the infection is mild, an antiseptic medication that you can buy without a prescription.[12][13][14]
Have you tried the hot-water cure? It’s old fashioned but works for all kinds of bites (mosquitoes, fleas, BB, sand fleas and poison ivy and oak and also for bee and wasp strings but not spider or venomous bites) . My doctor told me about it when I was pregnant and had got bitten by sand fleas. You take a very hot shower, as you put the water hotter and hotter, the itching increases dramatically. You do this until it starts burning SLIGHTLY, BE CAREFUL NOT TO BURN YOURSELF!
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.
You should look for traces of the insects in the folds of your mattresses, box springs and other places where they are likely to hide. You might be able to find their papery skins, which get cast off after molting and look like popcorn kernels but are smaller and thinner, Harlan said. They also leave small, dark-colored spots from the blood-filled droppings they deposit on mattresses and furniture. If you can touch the spot with a water-soaked towel and it runs a rusty, reddish color, you're probably looking at a fresh drop of bedbug feces, Harlan said.
I am 59 and never had any allergies before.. My other half never got bit until recently, and it is only recently I’ve seen the bugs.. we got a new kittie and he gets them before or after they get me. That’s how I finale got to see one, he woke me up chasing it..the bites I cover with alcohol for 2-3 days, the itching stays down… am going to try the Diatomaceous earth trick, am on a small pension and can not afford Orkin or any others..love this site, great information..

On Tuesday my arm became worse after spending the night at my friend’s place. At home, when I got out of the shower a bug near my jeans and killed it. I called my doctor to treat my arm and mentioned the bug. He saw me that day and put me on prednisone. Last night I took the antihistamine he prescribed, and it knocked me right out. I fell asleep on my friend’s shaggy carpet for about an hour and a half. As I awoke, I saw another bug run across my shorts.
Bed bug bites are caused primarily by two species of insects: Cimex lectularius (the common bed bug) and Cimex hemipterus.[3] They are about 1 to 7 mm in size.[7] Spread is by the bugs walking between nearby locations or being carried within personal items.[2] Infestation is rarely due to a lack of hygiene but is more common in high density areas.[8][2] Diagnosis involves both finding the bugs and the occurrence of compatible symptoms.[5] Bed bugs spend much of their time in dark locations like mattress seams or cracks in the wall.[2]
We had an exterminator check our mattress and he found old dried remains of a bed bug. Never had any bites. Sometimes I will get a small welt that itches for a few minutes then nothing. I have checked the bed ten thousand times and never saw anything. Please don’t say we have bed bugs. I’m losing my mind. Am a senior so if there’s anything I can use that’s household and low cost please let me know. Thank you.

Some people experience anxiety, sleeplessness and unease as symptoms of having had bed bugs. Let's face it, bed bug infestations are understandably significant psychosocial stressors, and some people may experience sleeplessness as they worry about bugs biting them or their family members. Not surprisingly, people have been known to self-isolate, avoiding family and friends out of concern for spreading the infestation, or (if word gets out that they have bed bugs) they may be avoided by friends or others in the community, or find they have problems at work.  As a result, victims of bed bug infestations may experience moderate to severe levels of stress, anxiety and depression. In severe cases, these persons should seek counseling and treatment as required.
We vacuum the carpets and bed almost everyday, wash everything every week and even sprayed every with bed bug spray. It seems to be working a bit cause they have lessened but I’m still getting bitten quite a bit. Of course they itch and I scratch a lot. I’ve been using the baking soda and water remedy (it works pretty well for me) but before I used to scratch until they bled and now I’m having trouble healing old bites.
Found worldwide, bedbugs are most common in developing countries. Still, reports of bedbugs in luxury hotels are not uncommon. They are most commonly found in areas like hostels, hotels, shelters, and apartment complexes where there are many visitors coming and going. When they enter your home, it's often because they have hidden in luggage, furniture, clothing, or boxes that are being moved. They can also travel on pets' fur. Increases in international travel may be responsible for the rise in bedbug sightings.
Seattle Children’s complies with applicable federal and other civil rights laws and does not discriminate, exclude people or treat them differently based on race, color, religion (creed), sex, gender identity or expression, sexual orientation, national origin (ancestry), age, disability, or any other status protected by applicable federal, state or local law. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.
We took a road trip with our kids, stayed in a nice hotel and guess what? Bed bug bites on all of us. I usually carry a product with us as it works on insect bites so we decided to try it… thank goodness it worked and got rid of the pain and itching quickly… i ordered it from a website but soon found out that I could do the same thing with baking soda and water as mentioned on this site. Before you buy, consider the alternatives! Thanks and good luck to everyone!

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?
As mentioned earlier, applying insect repellent at bedtime will probably not deter bed bugs from biting. When working in severely infested dwellings, there may be some benefit to spraying tops and bottoms of shoes with DEET-based repellents. Those working in bed bug-infested environments may also want to hot wash or run clothing, etc. through a dryer upon returning home or to the office.    
Bed bug bites can leave you with painful inflammation and since they love to hide in beds, you may be bitten a number of times before you wake up in the morning! If you have a severe allergic reaction, its recommended that you seek professional medical assistance as soon as possible. Besides medical creams and pills, things like tea tree oil, baking soda and even lemon juice can also give you relief at minimal cost. I highly recommend that you try these first as they work really well.
Some bed bug species are parasites of bats or birds, and may bite people if the wild hosts are no longer available. Although similar in overall appearance, the species of bed bugs that normally feed on bats, swallows, chimney swifts, pigeons or other wild hosts can be differentiated from those that prefer humans. Entomologists and knowledgeable pest managers can make this determination. If bat bugs or bird bugs are present, roosting and nesting sites should be the primary focus, and the animals should be removed and excluded from the building. 

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.
Call your city or town health inpespector. In most major cities it is the landlords obligation to hire a an exterminator. In the case of bed bugs I believe there is more of an urgency and most city inspectors will come out within days, now that bb’s have reached epidemic levels not only in the U.S., but in many countries around the world. In some U.S.cities there are “lanlord/tenant agreements”, which are locally legal and binding contracts that state what the obligation of a landlord and tenant is, and most contain a clause which says that repairs, maintenance, etc.,which are landlords obligations, and what recourse a tenant has when the landlord refuses to repair or maintain his rental properties. In some cases, the tenant may pay for the repairs and deduct from the rent after following various steps first, such as, notifying the landlord via certified letter, prior to the tenant paying for said repairs. Please READ your lease and call your city or town’s health department or building inspectors first,as these ordinances may vary. You can always file a case in local claims court without an attorney,after paying for the repairs,if all else fails, and moving is not an option. I am not a lawyer, and this is not legal advice. I hope this helps. Bed bugs are a public health hazard. And not taken lightly by many local elected, or appointed officials. I hope this helps.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.
Just an FYI – We steamed ALL of our leather reclining living rm furniture to get rid of bedbugs. In short only the single glider/recliner was saved. The large sofa and loveseat were “sacrificed” to the firepit “gods”!!! HA Ha ha!!! Really wasn’t funny AT ALL!!! Watching quite a bit of $$$ that was hard earned just goin’ up in flames. Hate them damned bugs!!! What their purpose I wonder???!!!

Conventional insect repellents, like those used to deter ticks and mosquitoes, do not appear to be as effective against bed bugs. Therefore, attempting to avoid being bitten by applying insect repellent at bedtime is not recommended. Sleeping with the lights on is also not likely to deter hungry bed bugs, as they will adjust their feeding cycle to the host’s sleeping patterns. 

Some people have no reaction whatsoever to bed bugs. In addition to not having much of an effect on the elderly, some are just not allergic. Since the irritation and welting appears as the result of an allergic reaction, it is possible to not even know that you were bitten at all. It is entirely possible for several people to live in the same house, and have one person not be affected.


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.
About a week ago my son bought me a sectional sofa at a yard sale and by the 3rd day my grand daughter had more than 100 bites all over her arms, legs and back. I told my son that it was chicken pox because she got so full of them by the next day again, until i got up the next morning with my legs, back and arms filled with the same bites…. for my luck the sofa was loaded with the unwanted bed bugs and now they were all over my home. This is the worst itching ever not to mention the frustration when people see you with all the bite marks and they see you like you have something contagious . I threw the sofa out and found a spray called “Rest Easy bed bug repel” ($10.00) and a powder (Diatomaceous Earth) ($10.00) and sprayed all the mattress in the house along with the powder and washed EVERYTHING with hot water. I think they are gone now. I bought Calamine lotion, benadryl anti itch cream, and cortisone but the only way that my itching started to feel better was with “Gold Bond max relief cream.
These things are the real vampires!!!! Just got bit over my eye, which now is all swollen and hurting, and 3 bites on my upper arm, caught the 2 little bugs on the wall next to my bed. Make sure that your bed is away from the walls. I use tea tree oil it helps to calm the itching down, I have a bad reaction to them. Not sure where the keep coming from and always in twos. Ahhhhhh!!!!!!! Can’t sleep
Vigilant travelers may also want to elevate suitcases off the floor on a stand, tabletop or other hard surface rather than storing them on the floor or another bed. Hyper-vigilant travelers may further opt to keep belongings in sealed plastic pouches and their suitcase in a zippered tote — however each traveler must decide how cautious they wish to be. 

I have been getting a “bites” here and there the last couple weeks. Mostly on legs and a couple on my hip. They don’t itch and sort of look like pimples. I am stressed about bedbugs due to a scare a while back (turned out to be carpet beetles) and think it may be from stress. Anywho there is no evidence (cast,spots, ect) yet but could it be bedbugs if it is new infestation.
Hi i been had these bite on my ankle they start to spread on my arm in leg. . I found. Bug on son bed. I start. Spray hot spot for bed bugs all over the 3 bed .Is there anything else i need to do because it my first time every have bed big in my life .they i see small bug on feet awake up this morning. So I freak out because i had children in one my son complained about itch.I live in apartment buildings on third floor
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.
Each of the following pictures of bed bug bites shows typical skin reactions to the insect's saliva. Most people  are not hypersensitive to the bites and will show no reaction at all with the exception of two small dots where the bedbug punctured the skin. Other people can develop red papular eruptions (raised inflamed areas) or in severe cases, blisters.
Bedbug bites don’t normally require treatment by a doctor, though there are a few precautions you should take at home. (8) Start by cleaning the area with soap and water to lower your risk of infection and to relieve itchiness. If the bites are itchy, pick up a corticosteroid cream at your local drugstore and apply it to the area. The bites generally will heal within a couple of weeks. (9)
×