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November 22, 2009
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Bed Bugs

Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

Bed Bugs:
At Home in Your Home

How to Know if Bed Bugs Have Invaded

You can look to see if you can identify the fecal stains, egg cases, and exuviate (shed skins) in crevices and cracks on or near beds. You should also look at other areas such as under wallpaper, behind picture frames, in couches and other furniture, in bed springs and under mattresses, and even in articles of clothing. While fecal stains and skin casts suggest that bed bugs have been present, these do not confirm that the infestation is still active. Observing the bed bugs themselves is definitive confirmation that your home is infested. You may require professional assistance from a pest-control company in determining whether your home contains bed bugs.


Bed Bugs in the News

The blood-sucking bugs have been thought to carry a host of different diseases, but a new review of research on the pesky critters suggests they may be less harmful than previously thought. More »

What are bed bugs? What do bed bugs look like?

Bed bugs are small, oval, nonflying insects that belong to the insect family Cimicidae, which includes three species that bite people. Adult bed bugs reach 5-7 mm in length, while nymphs (juveniles) are as small as 1.5 mm. Bed bugs have flat bodies and may sometimes be mistaken for ticks or small cockroaches. Bed bugs feed by sucking blood from humans or animals. Adult bed bugs are reddish brown in color, appearing more reddish after feeding on a blood meal. Nymphs are clear in color and appear bright red after feeding. The wings of bed bugs are vestigial, so they cannot fly.

Where are bed bugs found?

Bed bugs were common in the U.S. before World War II and became rare after widespread use of the pesticide DDT began in the 1940s and 1950s. They remained prevalent in other areas of the world and, in recent years, have been increasingly observed again in the U.S. Increases in immigration and travel from the developing world as well as restrictions on the use of stronger pesticides may be factors that have led to the relatively recent increase in bed bug infestations. While bed bugs are often reported to be found when sanitation conditions are poor or when birds or mammals (particularly bats) are nesting on or near a home, bed bugs can also live and thrive in clean environments. Crowded living quarters also facilitate the spread of bed bugs.

Bed bugs can live in any area of the home and can reside in tiny cracks in furniture as well as on textiles and upholstered furniture. They tend to be most common in areas where people sleep and generally concentrate in beds, including mattresses, box springs, and bed frames. Other sites where bed bugs often reside include curtains, the corners inside dressers and other furniture, cracks in wallpaper (particularly near the bed), and inside the spaces of wicker furniture.

Since bed bugs can live for months without feeding, they can also be found in vacant homes.

What do bed bugs look like?
What does a bed bug look like?
Picture of an adult bed bug
Picture of an adult bed bug


Next: What about bed bugs in hotels? »

Bed Bugs - Initial Symptoms

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What were your initial symptoms for bed bugs?

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Bed Bugs

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Itch is an irritation in the skin that elicits an urge to scratch. Itches are a common problem and can be localized (limited to one area of the body) or generalized (occurring all over the body or in several different areas). The medical term for itching is pruritus. Generalized itch, for obvious reasons, is more difficult to treat than localized itch. Itches can also occur with or without skin lesions (for example, bumps or blisters). An itch that is accompanied by visible skin abnormality usually should be evaluated by a physician and, in some cases, by a dermatologist since the problem is likely to be a condition that requires specialized medical treatment (for example, eczema, scabies, etc.).

What causes itching?

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