The most frequent bed bug encountered in the United States is Cimes lectularius, the common bed bug. However, one other bed bug species occasionally found in the southern United States, is Cimex hemiperus, the tropical bed bug. Both of these species are oval, flat and reddish brown. They range from one-fourth inch to five-eighths inch in length. Nymphs and adults have piercing-sucking mouthparts and are incapable of flight. However, small stubby wing remnants can be observed on the adults.

If disposal isn't an option, encasing the mattress and box spring will be helpful if bugs are still present (allergy supply companies sell zippered bed encasements for dust mite prevention). Vacuuming and brushing will further help to remove bugs and eggs from mattresses and box springs that cannot be discarded. Some pest control firms also treat beds with portable steam machines. The technique is useful, but does not kill bugs or eggs that are hidden inside the box spring or mattress.[23]
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Flat surfaces can be wiped with alcohol or sprayed with a bed bug—killing contact pesticide, but all items that have a small nook or cranny where bed bugs could hide (which is most stuff) need to be treated with penetrating fumes. Build yourself a kill chamber out of a large storage bin. Tape a pesticide strip to the side or lid of the bin, and seal your stuff inside for a couple days or however long the manufacturer recommends. Seal the lid of the bin with duct tape.
Avoiding bed bugs is most challenging in hotels, apartment buildings, and other places where there are many people, high turnover and ongoing opportunities for introduction of the pests. Periodic, preventive inspection by tenants, housekeeping/maintenance staff, or pest control firms is the best way to detect infestations in their initial stages when they are easiest to control. Visual inspections can be supplemented by using various monitoring devices to capture and reveal bed bugs that may have been overlooked by occupants.   
First up are the contact sprays, like STERI-FAB and JT Eaton Kills Bed Bugs. These will kill quickly, but evaporate shortly after, leaving no long-lasting protection. Spray along baseboards, below drawers and on drawer slides, behind cabinets, and behind night stands. Follow up with a residual spray, such as Bedlam Plus and JT Eaton Kills Bed Bugs Plus. Residual sprays will offer long-lasting protection against bed bugs and hatchlings. Bedlam Plus is ideal for cracks and crevices throughout the room, while JT Eaton Plus can be used below the cushions and bases of sofas, chairs, edges of carpets and other fabric items.
According to the Texas A&M University, there are no “magic” insecticide sprays for bed bugs. However, both natural and chemical sprays have a measure of effectiveness against bed bugs. One of the benefits of chemical sprays is that they are stronger and will kill off bed bugs quicker. However, the drawback is that many populations of bedbugs have become resistant to pyrethrins and pyrethroids – the 2 main chemicals in many chemical bed bug sprays. Therefore, they may not be effective in reducing many bed bug populations.5

Begin by reducing clutter in the room; things like clothes, books, and other personal belongings shouldn’t be left on the floor, as they make treatment more difficult and add hiding places for bed bugs and eggs. Seal those items in garbage bags and store them away from the room. Any clothing that was picked up or removed from dresser drawers should be dried on high heat for at least 45 minutes. Once treated, clothing that you don’t normally wear should be stored inside garbage bags outside of the infested room.
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It’s not likely that you’ll kill all the bed bugs with a bed bug spray. That’s where a residual powder insecticide comes into play. It kills any bugs that wander through the powder. Some powders can kill bugs for many years if left undisturbed. Skip the open areas and spray the powder in those places where you think they’ll be traveling to and from, like near bed legs and under baseboard trim.
The scientific name for bed bugs is Cimex lectularius. They are small creatures that grow up to 5 mm in size, or about the size of an apple seed. They have a flat oval-shaped body and will become significantly larger if they have fed. According to the United States Environmental Protection Agency, bed bugs start life as a tiny egg, then grow into a nymph before becoming an adult.1
Bed bugs multiply quickly, and in just six months, a few can turn into a full-on infestation of 13,000 or more. Detection is critical to break the bed bug life cycle before they become a bigger problem. Orkin Bed Bug Detection Service gets to the root of the problem with targeted inspections of common bed bug hiding places in your home and ongoing monitoring to ensure the pests never return.

It should also be noted that pest management professionals are subject to state regulation, licensing and regulation, while bed bug dog teams are typically unregulated. In Illinois, for example, bed bug detection dogs are regarded as inspection tools, not devices that facilitate the application of pesticides. A few private organizations certify dogs and their handlers as bed bug detectors, holding them to certain standards before awarding certification. But at present, these organizations, like dogs and handlers, are not subject to regulations that govern those who apply pesticides to control bed bugs. Nevertheless, the National Pest Management Association (NPMA) recommends that bed bug detection teams be independently certified and adhere to the minimum standards found in the NPMA’s Best Management Practices for Bed Bugs (see RESOURCES for more info). 

Cracks and crevices of bed frames should also be examined, especially if the frame is wood. (Bed bugs have an affinity for wood and fabric more so than metal or plastic.) Wooden support slats, if present, should be removed and examined since bed bugs often congregate where the ends rest on the frame. Screw holes, knots and other recesses are also common hiding places. Headboards secured to walls should be removed and inspected. In hotels, the area behind the headboard is often the first place that bed bugs become established. Bed bugs also frequently hide within items stored under beds. 


Insecticides might also have their work cut out for them: Entomologists have known that the common bedbug has built up resistance to some typical insecticides such as those containing certain pyrethroid chemicals like deltamethrin, according to Entomology Today. Deltamethrin apparently paralyzes an insect's nervous system, according to Cornell University.

One bed bug will usually take more than one bite. Once a bed bug inserts its mouthparts and finds a suitable blood vessel, it will begin feeding. However, finding the right blood vessel may take more than one injection into the skin. In addition, bed bugs are very sensitive to movement by the host they are feeding on. Therefore, if a sleeping person moves, a feeding bed bug will probably withdraw its mouthparts and begin its search for a blood meal on another part of the body. It’s important to remember that the number of bites a person receives is not indicative of the number of bed bugs that feed on that person.
These nocturnal creatures can hide in beds, floors, furniture, wood, and paper trash during the day. We humans usually become their dinner during the night, with peak biting activity just before dawn.They can obtain their meal in as little as three minutes, after which they are engorged and drop off the host, then crawl into a hiding place to digest their meal. Bedbugs can live for 10 months, and can go weeks without feeding.
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.
Bedbugs can live in any area of the home and use tiny cracks in furniture as well as on textiles and upholstered furniture as hiding places. They tend to be most common in areas where people sleep and generally concentrate in beds, including mattresses or mattress covers, box springs, 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 bedbugs 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.
Use of Organic-Based Bed Bug Spray – thanks to growing going green trend, there are now bed bug products made with natural ingredients. With them, you could now get rid of the crawlies safely, easily and inexpensively. However, you should take note that this method only works if you have the best-selling bed bug spray that kills on contact and is without harsh chemical ingredients.
Pesticides alone are not the answer to bed bugs. Most of the commonly used pesticides today, including professional products and consumer products advertised for control of bed bugs, are at best moderately effective at controlling these pests. Pesticides must be used with care for safety and with attention to proper application to work well. Aerosol “bug bombs” or “fumigators” are also mostly ineffective in eliminating bed bugs. Aerosol insecticides mainly kill insects that are exposed, and out of their hiding places, not those hidden behind baseboards, in cracks and crevices of the bed, under carpet edging and in walls.
A hair dryer might seem like a safer way to kill bed bugs with heat. Unfortunately, their maximum temperature is rarely more than 150 degrees. That heat level can kill bed bugs, but only if you maintain the heat over them for several minutes. So unless you want to follow each bug you see around with a hair dryer until they eventually die, you’d probably be better off just hitting them with the thing.

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.
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]

Begin by reducing clutter in the room; things like clothes, books, and other personal belongings shouldn’t be left on the floor, as they make treatment more difficult and add hiding places for bed bugs and eggs. Seal those items in garbage bags and store them away from the room. Any clothing that was picked up or removed from dresser drawers should be dried on high heat for at least 45 minutes. Once treated, clothing that you don’t normally wear should be stored inside garbage bags outside of the infested room.


A lot of DIY bed bug recommendations involving household items stem from the desire to solve your bed bug problem without spending money or resorting to chemicals. Unfortunately, these recommendations don’t always pan out. Bloggers and forum posters usually aren’t professionals (this blog author being one of the exceptions). They haven’t done the same research, and they tend not to have much experience getting rid of bed bugs themselves.
The next recommendation is a mixture of essential oils. You might see one of many oils or combinations of oils in online discussion, whether it’s clove oil, cedar wood, lavender, or a combination of mint oils. The use of these against bed bugs dates back centuries, as their simple method of suffocating the bugs predates the use of sophisticated chemical killers.
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.    
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]
Bed bug infestations have resurged since the 1980s[43] for reasons that are not clear, but contributing factors may be complacency, increased resistance, bans on pesticides, and increased international travel.[44] The U.S. National Pest Management Association reported a 71% increase in bed bug calls between 2000 and 2005.[45] The number of reported incidents in New York City alone rose from 500 in 2004 to 10,000 in 2009.[46] In 2013, Chicago was listed as the number 1 city in the United States with the worst bed bug infestation.[47] As a result, the Chicago City Council passed a bed bug control ordinance to limit their spread. Additionally, bed bugs are reaching places in which they never established before, such as southern South America.[48][49]
Instead, get written quotes from three licensed exterminators detailing their course of action, including pesticides, traps, and/or heat treatments they'll use and how and where they'll use them. "You should ask lots of questions to the companies you interview, because a good company will answer them and will never pressure you to make an appointment," says Dunham.
The mechanism of skin injury by arthropods depends on the structure of the mouthparts. These insects are categorized as vessel feeders if they insert the tip into a capillary or as pool feeders if they feed on the extravasated blood from damaged tissue. They often inject different pharmacologically active substances (eg, hyaluronidase, proteases, kinins), which may cause different skin reactions (eg, erythema, wheal, vesicle, hemorrhagic nodule). See the following images.
Some people develop allergic reactions to bedbug bites, which can include a fever, difficulty breathing, hives, or a swollen tongue. Others may develop an infection where the bite starts oozing pus. If you experience either of these reactions or you develop blisters where the bites occurred, it’s a good idea to make an appointment with a dermatologist.

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.
Hiring a pro to wipe out bed bugs isn’t cheap. Expect to pay about $200 per room to kill bed bugs, and you’ll likely need a few chemical treatments in order to eradicate bed bugs. Professional heat treatments will cost even more. And even if you hire a pro, you’ll still have to do lots of work yourself (moving furniture, washing all clothes, etc.). So consider declaring a DIY war on bed bugs. If you’re willing to spend $100 to $200 and do things right, your chances of success are excellent.
First up are the contact sprays, like STERI-FAB and JT Eaton Kills Bed Bugs. These will kill quickly, but evaporate shortly after, leaving no long-lasting protection. Spray along baseboards, below drawers and on drawer slides, behind cabinets, and behind night stands. Follow up with a residual spray, such as Bedlam Plus and JT Eaton Kills Bed Bugs Plus. Residual sprays will offer long-lasting protection against bed bugs and hatchlings. Bedlam Plus is ideal for cracks and crevices throughout the room, while JT Eaton Plus can be used below the cushions and bases of sofas, chairs, edges of carpets and other fabric items. 

Bed bugs are tiny, flat, wingless insects that range in color from nearly white to deep brown/reddish. The parasitic pests get their name from their hiding spot of choice – they prefer burrowing into bed frames and mattresses during the day, then become active at night when they feed on people and pets. Bed bugs are resilient pests that can hitch a ride on luggage, furniture, storage boxes, backpacks and clothing (but rarely humans), very quickly causing an infestation.
Scrub infested surfaces with a stiff brush to dislodge eggs. Vacuum the room extensively. Use a vacuum hose attachment to thoroughly vacuum cracks and crevices on furniture and along baseboards on the walls. Vacuum along baseboards, furniture, bed stands, rails, headboards, foot boards, bed seams, tufts, buttons, edges of the bedding, as well as the edges of the carpets (particularly along the tack strips). A good vacuum cleaning job may remove particles from cracks and crevices to encourage greater insecticide penetration. Bed bugs cling tightly to surfaces, so it is best to vacuum by scraping the end of the vacuum attachment over the infested areas to pull out the bed bugs. Caution: It is not good to use a bristle attachment, because you may transfer bed bugs to other areas since they cling to the brush. Dispose of vacuum cleaner bags after you are finished in an outdoor trashcan.
The type of reaction provoked depends on previous exposure; repeated bites may lead to an allergic reaction, which may lead to pronounced cutaneous manifestations. Some patients show a severe systemic hypersensitivity to arthropod allergens. The site of the bite can also become secondarily infected with bacteria infection and lead to ecthyma, cellulitis, and/or lymphangitis.
Insect bites, including those from the bedbug, have been proposed as a factor contributing to the formation of a cutaneous reaction termed papular urticaria. Patients with papular urticaria have been shown to demonstrate immunoglobulin (Ig) G antibodies to bedbug (C lectularius) antigens. [10] Thus, IgG against C lectularius, Cimex pipiens, and Pulex irritans in patients with papular urticaria may contribute the pathogenesis of this condition.
Great read and very helpful info. However, when you describe how to use essential oil sprays for bed bug treatment, it would be most helpful if you included the amount of water used to mix with the oils. Simply stating to use “a small spray bottle filled with water” isn’t a very good description. A quick search for “small spray bottle” will get results for a wide range from 2-ml to 16-ounce bottles, all classified as small. This makes for a rather potent mixture to an extremely weak mixture.
Prior to the widespread use of synthetic insecticides, this small, brown blood-sucking bug was perhaps the most unwanted pest in America. The insidious bed bug was loathed even more than the cockroach. Although the bug’s impact was greatly reduced by insecticides during the 1940s and 1950s, it remained an occasional invader of homes, hotels and shelters. Pest management professionals now agree that bed bugs have become the most difficult pest to control.
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.
Some patients develop blisters filled with blood or bloody fluid, especially on the arms and legs. These blood blisters are extremely rare and can burst, causing bleeding or oozing of the bloody fluid. Healthcare providers are not sure if the cause of these blisters is related to the bug or the human but have found groups of patients that were all bitten by bugs on the same train exhibiting this sign.

Research has shown that some bed bugs are resistant to the pyrethroid pesticides that have been most commonly used in recent years by pest management professionals. Likewise, pyrethroids such as deltamethrin and permethrin have been among the active ingredients most commonly available in pesticides at retail stores. The ongoing use of pyrethroids has undoubtedly contributed to the resistance we see today in some bed bug populations.
Bed bugs have six life stages from eggs to adulthood. The adults and nymphs of the pests could stay out of sight for months after feeding so they are quite difficult to detect. However, the eggs are much harder to locate. Female bed bugs usually hide them in dark and deep cracks and crevices. The fact that they are very small, makes it even harder to search for them. So, if you need to implement a keen inspection when looking for adult bed bugs, you need to be more canny when looking for their eggs.
Then it was a baby bed bug. They are super tiny. I hope you washed out your suit case and clothing. I just found her bugs in my home and we think it came from the museum my husband works at where 1000’s of people come day in and day out. Probably transported them from his back pack. It’s been a nightmare for two days now. I’ve had to throw away my curtains and the box spring. It’s just awful. The sprays and foggers are okay but bleach and peppermint oil seems to be working as well as the more expensive remedies.
there’s a simple and easy way to get rid of bed bugs I had an infestation of bed bugs it came from a mattress that A friend gave me it was full of bed bugs I used Febreze dryer sheets and fabric softener I put the dryer sheets in my couches sprayed them with Febreze simply spray your matches with Febreze put dryer sheets on the mattress put your sheet on the mattress do the same with the pillowcases put dryer sheets inside your pillow cases all your furniture that has upholstery stick to dryer sheets in the crevices and you can even rub a dryer sheets on your skin and they won’t get on you. spray your outer clothes with Febreze! travel Febreze always when you go to someone’s house you never know
The second technique is by doing a bed bug treatment by yourself using a chemical solution. Though this method offers quick results and is a bit inexpensive, still this is a risky process. Like the hiring of an exterminator that uses chemical pesticides, it presents several health risks and could cause asthma, allergies, breathing difficulties and even poisoning. Another problem is that, studies about the said pests found out that bed bugs are now becoming resistant to chemical pesticides.
Start in the corners and along edges of an open wall.  With the card, see if you can dig things out of the cracks and crevices. Work your way along the cracks and crevices. For example, if you are checking a baseboard along the floor, see if you can get the card between the baseboard and the floor, as well as the top of the baseboard and the wall. If you have a bare tile or wood floor, consider using a damp cloth or map to wipe the floor.  Don’t use too much water as floors can be slippery.  Look for anything moving after you wipe the floor. If you have carpeted areas vacuum the clean area. See Vacuuming Items to Capture Bed Bugs.  Don’t forget to check pictures and other items on this wall.
You’ll likely only see them in their hiding spots or crawling across the floor since, unlike other insects, bedbugs cannot fly or jump. Durham says to check along the edges of your mattress. You may see the exoskeletons that bedbugs have shed as they matured, or you may notice a musty smell, both of which indicate there could be bedbugs in the area. It can also be helpful to check your bed with a flashlight during the middle of the night (since these crawlers tend to be more active at night.)
Bed bugs like to travel and are good hitchhikers. They will hide in suitcases, boxes and shoes to be near a food supply. They are elusive, nocturnal creatures. They can hide behind baseboards and in cracks, crevices, and folded areas of beds, bedding and adjacent furniture, especially mattresses and box springs. Bed bugs can also hide in electrical switchplates, picture frames, wallpaper and nearly anywhere inside a home, car, bus, or other shelter. Bed bugs usually come out at night for a blood meal. However, they are opportunistic insects and can take a blood meal during the day, especially in heavily-infested areas. Bed bugs usually require 5-10 minutes to engorge with blood. After feeding, they move to secluded places and hide for 5-10 days. During this time in the bed bug life cycle, they do not feed but instead digest their meal, mate, and lay eggs. 

We are often asked, "How do you kill bed bugs?" While we would love to give a simple answer, this is actually a loaded question. There are many ways to kill a bed bug but, if you want to kill all of the bed bugs in your home or business, it is important to pay attention to the details. Here are some ways you can kill bed bugs, and what you should know about each.
What’s the best way to get rid of bed bugs? Stop feeding them. To prevent those unwanted dinner guests, isolate your mattress from the rest of the room. Start by pulling the bed away from the wall and away from other furniture like nightstands and chairs. Remove box spring skirting that hangs down to the floor. Oversize blankets that drape to the floor can also act as a ladder for the little buggers.

While alcohol can kill bed bugs on contact, it’s not going to kill nearly enough of bed bugs to be considered effective. In lab studies, even 99 percent concentrations of alcohol only killed between 40% to 60% of the adults that were sprayed. On top of that, alcohol has no long-lasting residual effect, and doesn’t affect bed bug eggs. 60% sounds good, but a contact killer should be able to kill a lot closer to 100% of the bed bugs you see. Otherwise, a shoe or a blowtorch would be the more reliable tool for the job. (Editor’s note: please don’t use a blowtorch.)


Treat other areas in your home.  This is perhaps the most challenging part of do-it-yourself bed bug control.  If you catch an infestation early you may not need to do anything more than treat and isolate your bed as described above.  But if an infestation has spread to other parts of the home, bed isolation may not be good enough. Here is where professional help may be needed, especially if you’re not up to moving furniture. Still determined?  Here are some tips that may improve your chances of success:
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