I’ve been getting bites as well and I am extremely allergic. It is super itchy and now I have scars that will never go away. I am the ONLY one in my family getting bitten so no one understands my pain. I have 2 hours of sleep max at night because of both paranoia and getting bitten. I am up to the point that I cry almost every night from the pain. I’ve tried a lot of solutions, the one that is currently working for me is Vaseline. I apply several thick layers of the jelly and it stops the pain and itching. It also helped a lot with the swelling. I noticed it sped up the healing process a lot more than over-the-counter drugs that I’ve tried. I hope this helps!
Bedbugs are small, flat, wingless insects with six legs that, like mosquitoes, feed on blood from animals or people. They range in color from almost white to brown, but they turn rusty red after feeding. The common bedbug doesn't grow much longer than 0.2 inches (0.5 centimeters) and can be seen by the naked eye to the astute observer.  Bedbugs get their name because they like to hide in bedding and mattresses.

Mechanical approaches, such as vacuuming up the insects and heat-treating or wrapping mattresses, are effective.[3][6] An hour at a temperature of 45 °C (113 °F) or over, or two hours at less than −17 °C (1 °F) kills them.[6] This may include a domestic clothes drier for fabric or a commercial steamer. Bed bugs and their eggs will die on contact when exposed to surface temperatures above 180 degrees and a steamer can reach well above 230 degrees.[31][15] A study found 100% mortality rates for bed bugs exposed to temperatures greater than 50 °C (122 °F) for more than 2 minutes. The study recommended maintaining temperatures of above 48 °C for more than 20 min to effectively kill all life stages of bed bugs, and because in practice treatment times of 6 to 8 hours are used to account for cracks and indoor clutter.[32] This method is expensive and has caused fires.[6][15] Starving them is not effective as they can survive without eating for 100 to 300 days, depending on temperature.[6] One expert recommends not trying to get rid of bed bugs exclusively on one's own.[29]
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
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Went on vacation with my husband, just 3 weeks ago. Stayed at a motel in Daytona. Had a double bed. Slept with my husband the first night, we did not go under the cover. The next night slept in the other bed, went under the cover and low and behold felt something biting me in the middle of the night, so I went on top of the cover for the rest of the night. Told my husband about it when we awoke.
This question is answered by the condition of the mattress and the size of infestation. If there are holes or tears in the gauze fabric or fabric of the mattress, bed bugs and eggs may be inside, as well as outside. There are restrictions on how beds can be treated with insecticides. We carry both Mattress Safe Bed Bug Encasements and ActiveGuard Mattress Liners.
Hi there! Honestly, if you have checked properly (like really well) and you don’t see any signs of bed bugs, it might be another insect. Unfortunately, there are so many little insects that could be biting you (such as fleas, etc.) but maybe start with giving all your laundry a good hot wash. Once that is done, see if you continue getting the bites and then we can investigate. Good luck, if you appreciated my help, please share my blog with your friends and family.
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
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. 
Luckily we were at the tail-end of our trip and once I arrived back home I immediately soaked in a hot-hot Epsom Salt bath. I used 3 cups of Epsom Salt, repeated that twice…and shazaam! The bites reduced in size and the itch was “almost” completely relieved. I had an extremely severe reaction going on and at one point considered going to a dermatologist or hospital to get some professional care.

Once an infestation is confirmed, an integrated pest management strategy should be employed. Promoted by the Environmental Protection Agency (EPA) and the Centers for Disease Control and Prevention, an integrated pest management strategy is a multi-faceted, comprehensive strategy that relies on knowledge of bedbug biology and habits, and the most up-to-date pest control methods.3 An integrated pest management strategy minimizes economic, environmental, and health hazards, and is most effective for small bedbug populations.


I have had one bite in threes which cleared up in days and an occasional acne looking sore on my but and arm. I have noted in my car lots of little bites but no marks. My son does not appear to have bites. once he had one on his back that cleared quickly. I really needs some help here as I am getting obsessive with cleaning and making my child change and bath. I have checked my cat for flees and bought her a flee collar as I am thinking the stinging bites I get in the day may be from flees but no itch or real marks. Help please.
I don’t get to see our kids; I can’t protect them from the little monsters; my own body is being eaten alive; the constant itching and scratching is embarrassing, as is the fact that I have bites and scars in visible places, and that my blood no longer clots properly, so if I get a paper cut, I’ll be bleeding a good half hour; we’ve sprayed, washed, dried and the bites keep coming; I’ve used prescription strength cortisode cream, Benadryl (which makes me tired and stupid at work), Zyrtec, Aveeno shower soap and even used my DOGS anti-itch shampoo. And I an still itching till they bleed, scarring, and finding new ones every day. I just…a part of me has totally lost hope that there will EVER be an escape and I’m so depressed I just want to go to sleep and not wake up
No money whatsoever to do anything about it. I’m out of work and can’t even pay my rent. If we mention the infestation to the landlord he’ll toss us out because he’s in the process of selling the building. I’m going to try and go to an urgent care place to see if I can at least get something to stop the itching. This is driving me crazy with all the itching.
Hey there! So I recently stayed in a condo through a timeshare. After two nights of staying there I woke up with about 30 bites all over my boxy (head to toe) throughout the day more and more bites appeared. They have began to itch very, very badly and are now beginning to blister. I did go to a nearby lake as well so it could possibly be something from the lake. I went to two separate physicians and neither one of them could diagnose the bites as anything. I am no longer there to inspect the bedding and furniture, unfortunately. Although I didn’t not see any blood spots, egg shells or any of that matter on the bed sheets. Do you think the bites could be from bed bugs?
Hi can you respond to me privately? I inspected my bed mattress and linens for any signs of bed beg fecal matter and any grown bed bugs or spots of feces. I have not found any traces blood-type residue or brownish type feces in the mattress. Is it normal to find an occasional bites from something other than bed bugs? Sometimes after shaving, I will have red pimples where I have shaved.
This…this…ugh!!! I went to the doctor and the moron said my son and I had scabies. I wish, they are easier to get rid of than bed bugs! He gave us a CREAM to cover our bodies from head to toe. Said to bag everything that can’t be washed. Make sure sealed air tight for 3 days. Ok I believed him after all he is a doctor. Did everything just as he said I had to pay 70 $ cash for my medicine. I had purchased tea tree oil for the bites before the prescription. I lost 3 weeks of work because of how severely I scratch in my sleep.
Medical treatment is usually not needed for bedbug bites. If required, medical treatment is aimed at relieving the symptoms (like itching) caused by bedbug bites. In the rare cases of a systemic allergic reaction or a secondary skin infection, evaluation by a health care professional may be necessary. Individuals may also want to seek medical care if they are unsure of what is causing their skin lesions.
Luckily we were at the tail-end of our trip and once I arrived back home I immediately soaked in a hot-hot Epsom Salt bath. I used 3 cups of Epsom Salt, repeated that twice…and shazaam! The bites reduced in size and the itch was “almost” completely relieved. I had an extremely severe reaction going on and at one point considered going to a dermatologist or hospital to get some professional care.
In the lab we handle all the bed bugs in a specific room that we steam clean once a week, and we have double-stick tape barriers that they can't walk through (as long as the adhesive remains dust-free). And the bed bugs themselves are enclosed in containers that they can't get out of. We actually feed them inside those containers—we lay a blood reservoir against the cloth "lid" and the bed bugs have to push their mouthparts through the cloth into the reservoir to eat.
This pair of bed bug bite photos below show the immediate (left) and next day (right) reaction after feeding a colony of bedbugs from a container in the lab. (That's why they are contained in a small circular area).  The hive-like immediate symptoms are replace by dark red rash type reaction the following day with inflammation and less severe redness radiating out to a larger area.  
It was stated in 2012 that no truly effective insecticides were available.[6] Insecticides that have historically been found effective include pyrethroids, dichlorvos, and malathion.[4] Resistance to pesticides has increased significantly over time, and harm to health from their use is of concern.[3] The carbamate insecticide propoxur is highly toxic to bed bugs, but it has potential toxicity to children exposed to it, and the US Environmental Protection Agency has been reluctant to approve it for indoor use.[33] Boric acid, occasionally applied as a safe indoor insecticide, is not effective against bed bugs[34] because they do not groom.[35]
Pay attention to when the bites occur. Consider, for example, if you notice the bites after waking up when previously you hadn't noticed them. However, this can also be difficult to determine because each person's reaction time can vary significantly. Symptoms that result from the bite can manifest at any point from a couple of hours to more than a week after the bite occurred.
With practice and a flashlight, nonprofessionals can become proficient in finding and destroying bed bugs. The process is made easier by reducing clutter, especially in bedrooms and sleeping areas. Bugs that are spotted can be removed with a vacuum (see previous discussion), or killed with over-the-counter insecticides labeled for such use. Most bed bug sprays intended for householders have little remaining effect after the spray has dried. Therefore it’s important to initially contact as many of the insects as possible with the spray droplets. Insecticide labels should be read carefully as some bed bug products should not be used on mattresses and seating areas. Some insecticides applied as powders or dusts (e.g., diatomaceous earth) will kill bed bugs although boric acid powder will not. However powders can be messy and difficult to apply, especially by nonprofessionals. Total release foggers (otherwise known as ‘bug bombs’) are ineffective against bed bugs and potentially dangerous when used incorrectly (see University of Kentucky entomology fact sheet Limitations of Home Insect Foggers).
My family and I have had bed bugs for about 6-8 months we have tried everything that we could except hire an exterminator because we cannot afford it. I am actually awake right now because I just found 3 bugs in my bed!!! I have been rubbing baby oil over my whole body and have not got bit I suggest that you try it, it has helped me I can honestly say I do not get any bites when I use the baby oil
I’m suffering a similar problem. I had a friend who stayed with me on and off for a few months. She just didn’t tell me she had bed bugs right away. I had three kids and one on he way at the time. I bombed everything, threw out lots of things, and washed everything. Its now been a year and they’re back. Only now i have three kids and I have recently become the only income. Im barely holding rent and i don’t know what to do. I’m about ready to burn everything i own. I just can’t take it. I work 40 hrs., go to school, and have a child starting school in a week. Urgggg!!!!!!
The symptoms of a bedbug bite are usually mild when present, and often individuals will not experience any symptoms at all. Bedbug bites can occur on any exposed part of the body, with the face, neck, arms, and hands being areas commonly affected. The signs and symptoms can appear from minutes to days after the initial bite. Affected individuals will usually complain of localized itching and reddish-colored skin lesions, which may look like a flat welt or a raised bump. Sometimes, the lesions can be found in clusters or in a linear pattern. Typically, these skin lesions will go away after one to two weeks.
"In the past, bedbugs have repeatedly shown the ability to develop resistance to products overly relied upon for their control. The findings of the current study also show similar trends in regard to chlorfenapyr and bifenthrin resistance development in bedbugs," study researcher Ameya Gondhalekar, research assistant professor at Purdue's Center for Urban and Industrial Pest Management, said in the Entomology Today statement. "With these findings in mind and from an insecticide resistance management perspective, both bifenthrin and chlorfenapyr should be integrated with other methods used for bed bug elimination in order to preserve their efficacy in the long term."
Bed bugs are attracted to their hosts primarily by carbon dioxide, secondarily by warmth, and also by certain chemicals.[4][16][17][18] Cimex lectularius only feeds every five to seven days, which suggests that it does not spend the majority of its life searching for a host. When a bed bug is starved, it leaves its shelter and searches for a host. It returns to its shelter after successful feeding or if it encounters exposure to light.[19] Cimex lectularius aggregate under all life stages and mating conditions. Bed bugs may choose to aggregate because of predation, resistance to desiccation, and more opportunities to find a mate. Airborne pheromones are responsible for aggregations.[20]
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.
Great stuff to use. My former girlfriend gave me a parting gift of bedbugs she got while staying at her parents house. She was good enough to leave me some cortisone though which I needed for the first time this morning. I had being seeing bedbugs and routinely treating them for about 2 months and I had laid diatomaceaous earth around my bed and didn’t have any itching or real issues. The layer had been wearing thin and I was too lazy to respreads. Last night I slept in the nude and woke up with the worst itching and now a rash all over my body. I had been seeing bedbugs and killing them for a month or two on and off and thought what’s the big deal. Now if know!!! This is the worst case of itching I’ve ever experienced!! Luckily I have the cortisone but it’s not helping too much. I’m blasting off a bed bug bomb my brother gave me 2 months ago that I never used and respreading the diamo earth. I checked my mattress and found literally only 2 bugs a very small nymph and an adult but they must be somewhere else because my body is covered in a rash. Maybe I finally reacted to bites I had been getting in the past or more are hiding elsewhere but I’m going to rid myself of these pests. Wish I could rid the world of them!!! This itching is the worst!!
Bed bugs will also succumb to cold temperatures below 32°F, but the freezing temperatures must be maintained for a longer period (e.g., one to two weeks). Consequently, heating tends to be a better option throughout much of the country. Efforts to rid entire dwellings of bed bugs by raising or lowering the thermostat will be unsuccessful, although pest control firms are able to achieve lethal temperatures with supplemental heaters (see the subsequent section entitled "Heat Treatments" for more details). 
I am apparently allergic to these things. My bites swell to huge sizes and I get red marks running up my arms and it itches like crazy, almost like a burning itch. However, doing some research I found an effective way to stop the itch. Its not for everyone, but for someone like me who can’t even touch the shells (my fingers have gotten swollen searching for the damn things), this works for me. Again, not for everyone:
The prognosis for bedbug bites is excellent. The vast majority of people who experience bedbug bites will recover without any long-term problems, and many individuals who are bitten may not exhibit any physical signs at all. However, the recent resurgence in bedbug infestations will require increasing public education and awareness, instituting effective preventive and control measures, and continuing research into the development of more effective, safe insecticides.
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.
Reports of bedbugs can be found in the popular press and on hotel and travel review sites, and they appear to be making a comeback. The good news is that they typically do not pose serious health risks, even though their bites may be uncomfortable. These slides show you how to recognize bedbugs, know where they're hiding, and learn what to do to prevent getting bitten.
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.
I just moved into my new apt with my 1 yr old and 3 yr old sons. the first night we slept on covers on the floor until i got the beds in. that very first morning there we woke up with bite marks on us. i thought maybe they were just mosquito bites or something. after the beds got in we continued to have this problem. poor kids cant play right from the itching. I’m pregnant so when the bites we on my stomach i went crazy especially since i worked so hard not to scratch and cause stretch marks.

Some preparation is still required (e.g. removal of heat-sensitive items such as aerosol cans, indoor plants and medications), but it is seldom necessary to bag, launder and/or hot dry bedding and clothing since these items will be heated along with other furnishings. Another advantage of heat treatment is that infestations can often be eliminated in one day, rather than over multiple days or weeks. Conversely, heat treatment alone has no lasting (residual) effect should bed bugs be reintroduced into the dwelling. Consequently, some companies recommend concurrently applying residual insecticides. To further minimize reintroduction, occupants are advised to take as few belongings as possible with them while the heat treatment is in progress.    
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.
One month an a half later here I am. I went back an d told the doctor, it isn’t scabies because I have been to the badbedbugs site at least 30 times this past month and he should feel free to check it out. I guess he felt insulted. Needless to say I have changed my carpet, washed everything in hot water, and vacuumed and vacuumed yet somehow 1 or 2 pop up daily.
With practice and a flashlight, nonprofessionals can become proficient in finding and destroying bed bugs. The process is made easier by reducing clutter, especially in bedrooms and sleeping areas. Bugs that are spotted can be removed with a vacuum (see previous discussion), or killed with over-the-counter insecticides labeled for such use. Most bed bug sprays intended for householders have little remaining effect after the spray has dried. Therefore it’s important to initially contact as many of the insects as possible with the spray droplets. Insecticide labels should be read carefully as some bed bug products should not be used on mattresses and seating areas. Some insecticides applied as powders or dusts (e.g., diatomaceous earth) will kill bed bugs although boric acid powder will not. However powders can be messy and difficult to apply, especially by nonprofessionals. Total release foggers (otherwise known as ‘bug bombs’) are ineffective against bed bugs and potentially dangerous when used incorrectly (see University of Kentucky entomology fact sheet Limitations of Home Insect Foggers).
Bedbugs have resurged worldwide and these blood-sucking insects (both the Cimex lectularius and Cimex hemipterus) are a problem in many homes and hotels. Fortunately, bedbugs aren't known to spread contagious diseases. However, it is difficult to eradicate an infestation and you will want to take steps to prevent bringing bedbugs home. Learn how to identify and treat these pests.
Before you run off and buy every cream the pharmacy stocks, you’ll want to confirm that the marks are actually from bed bugs. Even if they match the description – round, red marks that may bump, swell, itch, and/or burn – the marks could be allergic reactions to food or fabric, irritations from a rough material, or bites from another pest like mosquitoes or carpet beetles.
1. Mattress Safe Encasements: Mattress Safe Products are bed encasements to place over your mattress or boxspring so you don't have to throw them away. They are bedbug certified. If using a labeled insecticide on the mattress or boxspring first, apply on mattress or box springs then zip it up. It has a patented hook to keep the bed bugs inside the encasement so they cannot escape. Keep the encasement in place for one year (due to bed bug life cycles).
Hi can you respond to me privately? I inspected my bed mattress and linens for any signs of bed beg fecal matter and any grown bed bugs or spots of feces. I have not found any traces blood-type residue or brownish type feces in the mattress. Is it normal to find an occasional bites from something other than bed bugs? Sometimes after shaving, I will have red pimples where I have shaved.
Hello! Almost overnight I have had a series of small bumps appear on my chest. These bumps look like pimples and they don’t itch at all. I had bed bugs well over a year ago and once they were treated I never saw anything except these bumps recently. My sister thinks I’m just being paranoid because we’ve both checked the bed and saw no signs. And because my chest is always covered, but my arms and legs that are are exposed never have places. I realize that I’m probably being paranoid, but I just wanted an outside opinion.
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I can definitely understand. This is has been going on with us for almost a year. My hands and arms look like I have leprocy or something. Horrible blisters, rash, scabs, and bunches of “bumps” especially in my right hand. I wind up with painful blood blisters some times. I am living on benedryl and calamine lotion. I hate going out because of what I look like. I have taken to using cover up and foundation on my hands to make the mess less noticable. i have a long-sleeved summer weight sweater that I wear whenever I do have to go out.
I dealt with these creatures for over 7 months. thought I was going crazy. 3 doctors- allergist-GP, dermatoligist. was treated for scabies as well. every day 2-3 new bites. some days none. i did the diaclamateous earth- alcohol- website bed bug kikkers. Finally, I actually saw 3 in a box. then i called an exterminator- for bedbugs. showed him the box he came 4 times – every sat for a month. something to do with how they reproduce. luckily this was a good man and he charged 300.00 and guaranteed it. i ripped out the carpet- the baseboards- everything in my room. only saw maybe 20 bugs in total. he said i had been treating them so that was why there were so few. Finally they are gone- 2 months now. I was the only one getting bitten- my husband did not until the very end and not nearly like me. The drs do not know for sure what the bites are when we go. and when we traet ourselves we kill them… but they hatch and are not gone. Had I known i would have gladly paid the 300 in the 1st place as these things nearly made me crazy. Just my story
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]
I recently just got bed bugs from my room mates moms house and the pain is so bad it to me feels like there’s poison in my stomache and it sucks. i have done the benadryl spray didn’t work the only thing that i been doing that helps with the itch is the rubbing alcohol, but the thing is it works but for like ten mins and that’s it. Tonight i am hopefully hopping to try the lime thing and see how it goes will keep an update.
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 ?
It often seems that bed bugs arise from nowhere. The bugs are efficient hitchhikers and are usually transported into dwellings on luggage, clothing, beds, furniture, and other items. This is a particular risk for hotels and apartments, where turnover of occupants is constant. Bed bugs are small and agile, escaping detection after crawling into suitcases, backpacks and belongings. Acquiring secondhand beds, couches and furniture is another way that the bugs are transported into buildings. Bed bugs also can be carried in on one’s clothing, shoes or wheelchair. Once bed bugs are introduced, they can crawl from room to room or floor to floor. They can also be transported throughout buildings on people and their belongings. 
People don't often consider bed bugs until they've left their mark. The appearance of flat, red welts in zigzag lines or small clusters is a key sign of bed bugs on humans. Bed bugs can also leave their bites in straight rows and, while they don't spread diseases to humans, their bites are quite irritating and scratching them can lead to bleeding and infection.
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