A definitive diagnosis of health effects due to bed bugs requires a search for and finding of the insect in the sleeping environment as symptoms are not sufficiently specific.[5] Bed bugs classically form a line of bites colloquially referred to as "breakfast, lunch, and dinner" and rarely feed in the armpit or behind the knee which may help differentiate it from other biting insects.[4] If the number in a house is large a pungent sweet odor may be described.[4] There are specially trained dogs that can detect this smell.[2]
Your replies to these questions are great! I have a question for you. I’ve recently returned home after spending a week in a hotel and the day after I returned I noticed 4 red dots which could be bites on my waist line. They don’t itch or hurt but I’ve never had anything like this before. I can send you a picture if you tell me how. I’m worried that they may be bed bug bites.
When it comes to controlling bed bugs, "do it yourself" should not be anyone's motto. Bed bugs are notoriously difficult to eradicate - 76 percent of pest professionals say they are the most difficult pest to control.  As such, people who suspect a bed bug infestation should turn to a qualified pest professional with expertise in treating these pests. The pest professional will evaluate the extent of an infestation and recommend the best course of treatment.  In fact, the Centers for Disease Control and Prevention endorses that appropriate control of a bed bug infestation requires an experienced pest management professional and recommends that victims be advised against attempting to control measures themselves.
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. 
Bed bugs are active mainly at night. During the daytime, they prefer to hide close to where people sleep. Their flattened bodies enable them to fit into tiny crevices--especially those associated with mattresses, box springs, bed frames and headboards. Bed bugs do not have nests like ants or bees, but do tend to congregate in habitual hiding places. Characteristically, these areas are marked by dark spotting and staining, which is the dried excrement of the bugs. Also present will be hatched and un-hatched eggs, the tannish shed skins of maturing nymphs, and the bugs themselves. Another possible sign are rusty or reddish smears on bed sheets or mattresses from crushed engorged bed bugs. Although it’s often stated that bed bugs have a telltale “buggy” odor, the smell is seldom evident except in extreme infestations and should not be relied upon for detection.
Jump up ^ Anderson, J. F.; Ferrandino, F. J.; McKnight, S.; Nolen, J.; Miller, J. (2009). "A carbon dioxide, heat and chemical lure trap for the bed bug, Cimex lectularius" (PDF). Medical and Veterinary Entomology. 23 (2): 99–105. doi:10.1111/j.1365-2915.2008.00790.x. PMID 19499616. Archived (PDF) from the original on 16 August 2017. Retrieved 27 May 2010.
I think the lice/bedbug/flea killing shampoo and gel I’ve been using accounts for me not getting munched on that terribly…as i stated earlier the worst of it seems to be over and I’m going to keep using gold bonds and neosporin. I had a few other topical anti itch creams lying around and while they’ve helped some…nothing soothes like the golds bond. I feel very lucky that I’m not bitten in anyplace visible. my right bicep was where i was bit the most (besides my feet)…which is also the side i sleep on.
Spray all baseboards, loose plaster, behind bed frames and headboards, beneath beds and furniture, and bedsprings and bed frames. Do not apply to furniture surfaces or mattresses where people will be laying or sitting unless using a product labeled for that type of treatment. Infested bedding should not be treated, but should be removed, placed in sealed plastic bags, and taken for laundering and drying at high temperature.
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. 
Doctors often misdiagnose those afflicted because it is nearly impossible to tell, if you are experiencing an allergic reaction, what bit you. Often healthcare providers and individuals that have been bitten by a member of the Hemiptera order mistake bites for those of a mosquito. The only way to discern, with complete surety, what your bites are from, is to get a sample of what has bitten you.
I am freaking out. I woke up with one bump on my hand yesterday and tonight at about 2am i woke up with my hand itching again…there is a swollen lump about an inch away from yesterdays bump and then there are two swollen itchy lumps right by my wrist…there is also a swollen itchy lump on my chin… I am freaking out because i work in people’s homes so i always have this fear of bringing something home and recently a client hadn’t some bites on her back that looked similar to this. They went down as I rubbed alcohol. Ive had bites at a friends house similar to this n there are lots of spiders where she lives. It doesnt look like bed bigs but maybe some kind of house spider maybe getting to me at night(im in philadelphia). But again swelling and extremely itchy. I dont see bed big signs on my bed or anything can i email u a pic of my hand and face? I am itching so badly amd i cannot turn the lights back out and fall to sleep im paranoid. I cant stand any bugs.

The bites usually last about 7 days, even if they are treated correctly. However, if you have sensitive skin like myself, they can last a couple weeks or in my husbands case, they last only a few days. As mentioned, if you scratch the bites its going to make things worse and besides running the risk of a bacterial infection, they will also take longer to heal so keep your nails away from them!
My husband returned from a Military Deployment…and brought bed bugs home with him. The day after we realized we had them, an exterminator that specializes in Bed Bugs came to our house and sprayed. They scheduled themselves to come back in 14 days to spray again (to kill the new bugs that hatch after the initial spray). We were old the spray would kill all the adults and babies…and the second spray would get the new hatchlings. 3 days after the initial spray, we started seeing adult bugs again!
Most people will find bed bug bites to be small and very itchy. These bites are often mistaken for something else such as eczema. It can be hard to diagnose bed bug bites due to this, especially if someone inflames their skin further by scratching the area. There are some signs that point more strongly to bed bugs over other types of bugs. The number one thing to look out for is a line of bites going straight up your body: bed bugs commonly bite in this pattern as they bite you at the crease where your body meets the bed sheets. It’s very rare to find a single bite like you would with spiders or mosquitoes, and much more common to find clusters and lines. It’s also rare for bugs to bite your face. They most frequently bite your lower body, but anywhere can be bitten.
If possible get your treatment from a local outlet like Home Depot, a hardware store or an agricultural/farm supply store. If you can afford it get one of those steam mops like Shark has. It comes with a unit designed for hand steam treatments of the bed and the hot steam will kill the bugs. You will also need it if you have to treat carpeting. Professionals use a combination of treatments and you will too in order to be successful. Good luck!
I found something that works. Diatomaceous earth or perma guard. Buy a big bag. About a good 5 pounds and put it around the whole house yard in your bed in every crack the carpet. I mean all over and give it a couple days. They will be gone. I live in an apt I ha e a cat n dog. It isn’t harmful to pets or humans its 100% safe to use around kids and best of all no bed bugs no ants no roaches. I paid about $10 on ebay. Good luck and I’m telling u this worked for me.
Bedbugs are a species of insect known as cimex lectularius (literallycimex is Latin for bug and lactularius is Latin for bed). There is a second common species of bedbugs known as cimex hemiptera. These are known as the tropical bedbugs, staying within 30 degrees of the equator. There are published reports, many without supporting evidence, that each of the common bedbug species has chemically different saliva. Some researchers, however, have found no difference in the reactions caused by each species.

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]
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. 
When I discovered bed bugs, at first I thought it was just mosquitoes or something. It wasn’t they his exceptionally well. I cleared any clutter I had, especially near the bed. How to Treat Bed Bug Bites, or bugs in general is you need to first inspect the bed. The black dots are a sign where they dwell. You need to be careful not to alarm them or they’ll just move to another location that’s harder to find.
Bed bugs are not too picky when it comes to feeding. As long as skin is exposed, it’s a juicy target. However, it seems that bed bugs enjoy feeding on the neck region, making their feeding habits very close to those sparkly vampires you see on Twilight. Since most people wear pajamas when they go to sleep, other common areas for bites include the arms, hands, feet and face since they are also exposed. If you are sleeping in a hotel and are nervous about bed bugs, simply wear extra clothing to completely cover your skin. You can also purchase plastic covers to protect yourself against these pests while sleeping out.
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.

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.
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.    
If you are seeing bites everywhere and wondering, what do bed bug bites look like, have a look at the bed bug bite pictures below. They illustrate how bed bug bites look on different parts of the body, making it much easier to identify the bites. Write a comment below if you need help determining if you have been bitten by bed bugs or some other insect. You are also very welcome to submit your own bed bug bite pictures, like many of our other members have already done. Just write a comment and I will get back to you on how to upload images.

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.

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.
The first sign of a bed bug problem is obvious: the bed. After bed bugs feed on humans, they'll leave behind blood stains resembling small rust spots. These will usually be found near the corners and edges of the bed. Bed bugs also shed their skin, or molt, several times as they mature, so you may find their oval brown exoskeletons during your search.
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