Bed Bugs Quiz: What's Your IQ? Bed Bugs Slideshow Pictures Gallery of Skin Problems and Image Collection Pictures

Medical Author:

Melissa Conrad Stöppler, MD

Melissa Conrad Stöppler, MD

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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Medical Editor:

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

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.

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Bed bugs facts

• Bed bugs are small, oval non-flying insects that feed by sucking blood from humans or animals.
• 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, boxsprings, and bed frames.
• Bed bugs 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.
• A bed bug bite 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.
• Typically, no treatment is required for bed bug bites. If itching is severe, steroid creams or oral antihistamines may be used for symptom relief.
• Fecal stains, egg cases, and exuviae (shed skins) of bed bugs in crevices and cracks on or near beds are suggestive that bed bugs may be present, but only observing the bugs themselves can confirm an active infestation.
• A professional pest-control company may be required to help identify and remove bedbugs from the home.

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

Bed bugs are small, oval non-flying insects that belong to the insect family Cimicidae, which includes three species that bite people. Adult bed bugs reach 5 mm-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. However, they are able to crawl rapidly. Temperatures between 70 F-80 F are most favorable for bed bugs, allowing them to develop into adults most rapidly and produce up to three generations per year.

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, boxsprings, and bed frames. They do not infest the sleeping surfaces of beds as commonly as cracks and crevices associated with the bed frame and mattress. Other sites where bed bugs often reside include curtains, edges of carpet, 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 or even longer under favorable conditions without feeding, they can also be found in vacant homes.

What does a bed bug look like? SOURCE: CDC

Picture of an adult bed bug; SOURCE: CDC