Bed bugs tend to congregate, but it’s also common to find a single bug or some eggs here and there. A thorough inspection and treatment may take up to several hours. Some companies use specially trained dogs to assist in finding small dispersed infestations, especially in such places as hotels, schools, libraries and office buildings. When properly trained, bed bug detection dogs can be quite effective. Relatively few companies are routinely using them, however, due to the expense of training and maintaining such animals. Reliability of some of the dogs is also being questioned as more enter the market.    
Español: tratar las picaduras de chinches, Deutsch: Bettwanzenbisse behandeln, Português: Tratar Picadas de Percevejos, Italiano: Trattare le Punture delle Cimici da Letto, Français: traiter des piqures de punaises de lit, Русский: лечить укусы клопов, 中文: 应对床虱叮咬, Nederlands: Bedwantsbeten behandelen, Čeština: Jak léčit štípance od štěnic, Bahasa Indonesia: Mengobati Gigitan Kutu Ranjang, Tiếng Việt: Trị Vết cắn Bọ rệp, 日本語: トコジラミの刺し跡を治療する, العربية: معالجة لدغات البقّ المنزلي, 한국어: 빈대에 물린 상처를 치료하는 법, ไทย: รักษารอยตัวเรือดกัด
For those concerned about bedbug infestations in hotels, an important tip is that you can inspect any hotel room for the presence of the telltale signs of bedbugs. It is important to check the mattress and headboard, and luggage racks. In hotels, keeping your suitcase away from the bed and on a luggage rack can help prevent bedbugs from infesting your luggage. When you return home, inspect your luggage and put clothes immediately into the washer. While washing clothes in hot water does not kill bedbugs, drying clothes at a high temperature can eliminate them.

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.
Most people have never seen a bed bug. Adults are wingless, about one-fourth of an inch long, and flat to fit in cracks and crevices where they hide by day. Females typically lay three to five adhesive eggs per day in crevices and depressions. Eggs and newly hatched nymphs are somewhat translucent and only about one-sixteenth of an inch long. After feeding, nymphs become bright red.
Apply residual Bed Bug Insecticide Spray. After every crack, crevice, switch plate, electrical switch, baseboard, box springs, mattress, etc, has been treated and everything is put back, it is time for the residual treatment. Using a hand held sprayer such as the Chapin Sure Spray apply Optimate, Cy-Kick, Suspend SC or Demand along the baseboards in the bedroom and closet, under and around the bed, behind the headboard, inside bed stands etc.
Some less proven heat weapons have been suggested online, such as clothes irons. Clothes irons might reach the temperature needed to kill bed bugs, but the heat won’t penetrate deep into soft materials to where bed bugs might be hiding. You also can’t iron areas besides clothes and sheets, like cracks and crevices in walls, floors, and furniture. The metal surface and high surface heat would damage many of the materials it wasn’t designed to be used on.
Bedbug bites themselves are typically painless. However, the subsequent allergic reaction that may develop can cause intense pruritus. While feeding, bedbugs may inject one of several pharmacologically active substances, including hyaluronidase, proteases, and kinins. These compounds may induce different skin reactions, such as erythema, wheals, vesicles, or hemorrhagic nodules. Repeated bites may sensitize individuals, leading to more pronounced cutaneous manifestations or systemic hypersensitivity reactions. The local trauma from bedbug bites can lead to secondary bacterial infection, causing ecthyma, cellulitis, or lymphangitis. There is some evidence that bedbugs may also be a vector for hepatitis B and Chagas disease. Histologic findings from bite-site biopsy specimens typically show eosinophilic infiltrates, which are indicative of the allergic nature of the reaction. The image shown is papular urticaria, which may develop from bedbug bites.

Minimize its spread. First, notify your landlord if you rent in a building to control its spread to other units. Thoroughly vacuum any infested areas, including carpets and mattresses, and then empty the vacuum bag into a plastic bag, seal it, and throw it in the trash outside. If you can’t get the bed bugs out of your furniture, discard items in a responsible manner. To avoid someone else from salvaging infested furniture or mattreses, rip, remove stuffing, or spray paint with the words “bed bugs.”
Wash all linen on hot, dry on hot setting. Gather all linen, cloth and leather bags, mattress covers, clothing, teddy bears... etc. Machine wash on hot - wash the laundry bag also. Tumble dry on hot. Steam kills bed bugs. Some metropolitan areas offer bed bug laundry and dry cleaning services which have the added benefits of proven methods for killing bed bugs and bagging or storing cleaned items so they do not become re-infested while the home is still being exterminated.
Unlike those of other insects, bed bug bites may sometimes appear in tight lines of multiple, small, red marks where multiple bed bugs have fed along an exposed area. Bed bug bites can cause itchiness. Initially, a victim may detect a slight burning sensation. The burning area then develops red bumps, known as papules or wheals (rash). In extreme cases, bites may swell dramatically or turn into blister-like skin inflammations.
First, remove all affected areas such as bed linens, clothing, sheets and pillowcases and wash them in borax. For non-washable surfaces, as in drawers or cabinets, dust talcum powder on the affected area. Vacuum the area thoroughly and purchase an enzyme cleaner to clean all possible surfaces. If there are open spots or crevices in the wall, dust them with talcum powder and caulk them shut. This cleaning process should be repeated as often as possible to rid your home of the infestation.
Bed bug sprays usually act as an insecticide and repellent. The best kind of bed bug sprays should kill bed bugs on contact and need to be used repeatedly to help eliminate your bug problem. According to the Texas A&M University, bed bug sprays are best used in combination with other bug control methods like natural bed bug powders. This is because bed bugs don’t build up resistance to natural bug powders and products like diatomaceous earth which kills bed bugs as long as the powder is dry.5 

Apply as a coarse, low-pressure spray to harborage areas including crevices, baseboards, loose plaster, behind bed frames and headboards, beneath beds and furniture, and to bedsprings and bed frames. After removal of bed linens, apply Transport Mikron to mattress and boxsprings. Apply to tufts, edges, seams and folds (do not spray clothes or bed linens). Your may apply it to furniture, but not to areas where there is direct access to seating or arm placements. Infested bed linens should not be treated, but should be removed, placed in sealed plastic bags, and taken for laundering and drying at high temperatures.
Systematically treat the room–all cracks and crevices around windows, outlets, blinds, pictures, posters and clocks on walls, baseboards, under edges of carpets and any other crevices or void areas in the room. Remember that immature bed bugs are very tiny. Dozens of bed bugs can hide in a recessed screw hole in a bed frame or dresser. Therefore it’s important that no hiding place be overlooked. Treatment can include vacuuming, but should not be limited to vacuuming only. Vacuums do not remove eggs, and will likely not remove all bed bugs from deeply infested cracks and crevices. Vacuums can remove many bed bugs from mattresses and the exterior of box springs (remember to immediately double-bag the vacuum bag after cleaning and dispose of outside in a trash can or dumpster). Sticky tape is another method of picking up bed bugs from furniture, walls, etc.
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.
Stripping and vacuuming the mattresses and box springs, and encasing them.  Double bag your bedding and wash in hot water and dry for at least 30 minutes (discard the inner bag after putting bedding into the washer, as it could have bed bugs).  After vacuuming suspected bed bugs from the bed, take your vacuum cleaner outdoors and remove and discard the bag.  Purchase a good quality set of bed-bug-proof encasements for your mattresses and box springs. Bed bug-proof encasements are fabric sacks into which you slide your mattress or your box spring. The zippers on bed bug encasements are designed to be tight enough to prevent even the smallest life stages of the bed bugs from escaping. Also, good bed bug-proof encasements are woven to prevent bed bugs from biting you through the encasement. A good encasement will trap all bed bugs in the mattress and box spring inside, and will be smooth on the outside, providing few places for bed bugs to hide. Sears, Target, Walmart and other stores may sell bed bug-proof encasements, but these can also be purchased online. A good place to look for different brands and reviews of mattress encasements is Amazon.com (whether you buy there or at a local store). Go to http://www.amazon.com and search for “bed bug mattress protectors”.
Treatment for bedbug bites is typically supportive. Local antiseptic lotions or antibiotic creams can be applied for secondary infections, whereas corticosteroid creams and oral antihistamines can be used for allergic reactions. Bedbugs can be eliminated through the use of permethrin insecticides, baited traps, special bedbug-free beds, and bed nets. Homemade methods, such as wrapping duct tape around bed legs as shown, may be effective, but bedbugs have been known to climb other objects and then fall down onto a bed. Image courtesy of Wikimedia Commons.
Bed Bugs can re-infest your freshly treated bed, so be sure to stop them from crawling up the bed posts by using Climb-Up Bed Bug Insect Interceptors. The Climb-Up Insect Interceptor is a small dish that is placed under the bed post and captures bedbugs in a a powder coated ring. These type of bed bug traps are very effective and should be used on every bed to help make a complete bed bug proof bed.

Pest management professionals are increasingly looking to heat to control bed bugs. Whole houses and, in some cases, multi-unit structures are heated to temperatures well above those lethal to bed bugs, to help assure uniform heating of household contents. Rooms must be heated for several hours during which bulky contents are turned to help ensure heat penetration deep enough to kill bed bugs hiding inside.

Mix an insecticide labeled for use on bed bugs, such as Temprid FX, with water in a pump sprayer using the ratio found on the product label to create a bed bug spray. Spray onto baseboards, in corners, around door and window frames, around bed frames, and under furniture. Do not broadcast spray an entire carpet or floor. Allow the spray to dry before moving on to the next step.
Isolating your bed from the rest of the house.  If you don’t use a bed, purchase a frame that gets your mattress off the floor and install bed bug interceptors under all feet of the bed frame to keep bed bugs off your bed while you are sleeping. Interceptors are special platforms or cups that are purchased to prevent bed bugs from climbing on to your bed.  An interceptor can be as simple as a sticky card placed under a bed post (sticky and messy).  Better are one of the commercial pitfall traps made specifically for this purpose.  The Climbup™ Bed bug Interceptor and BlackOut BedBug Detector (Google them) are two such products sold online. Relatively inexpensive, these cups trap bed bugs attempting to climb (or exit) the bed. If you have encased your bedding, treated your bed frame thoroughly and installed interceptors, you will be instantly protected against bed bugs.  Don’t take out your clean bedding or put it back on the bed until the bed has been treated (and dried) and encasements installed. And note that for this method to be effective, beds and bedding must not touch the floor, furniture or walls.  This would provide bed bugs other ways to climb onto the bed and foil your defenses.

Treat or isolate your bagged items. For washable items research shows that dry cleaning, washing in hot water for 30 minutes, or tumble drying for 30 minutes on high will kill all stages of bed bugs. Non-washables items that aren’t needed for a while can just be stored. It takes 2-5 months to kill bed bugs by isolating them in bags or heating bags by placing in direct sunlight is one of the most effective methods during the warm summer months.  

Don't let the name bedbug fool you. Bedbugs can be found any place humans rest and lounge and nearby. Bedbugs can be found under school desks, restaurant benches, on computers in the library, chairs, hospital beds and curtains or on a store wall. The same goes for carpets. Many times a brush against a wall in on infested area can lead to bedbugs in the home. Bedbugs are very good at clinging onto fabrics. Transportation hubs such as airports, train stations and bus terminals are also key infestation stations to be wary of.[4]
If you live in an apartment or condominium, it’s best to alert the property manager.  A coordinated bed bug control effort using a pest control company is generally needed in such situations. Bed bugs readily move from apartment to apartment, with many people unaware that they have a problem. If one apartment is infested, adjoining units (left side, right side, above and below) should be assumed to be infested unless shown otherwise through inspection or monitoring.  Simply asking tenants whether they have bed bugs is not enough.  In one recent study only half of apartment residents whose homes were determined to have bed, bugs knew (or admitted) they had a bed bug problem.
Low toxicity contact sprays like SteriFab™ or Bedlam® are likely to kill bed bugs only on contact. Alcohol- and soap-based sprays, are only partly effective. All of these products, once dry, are likely to provide no further control. Eggs will not be killed by alcohol-based sprays, so repeat treatments are usually needed. Be careful when using sprays containing alcohol because they may be flammable.
Whether you use traps or not, beds and bedclothes should not touch walls or furniture, and bed clothes should not contact the floor. In this way the bed is isolated, forcing bed bugs that attempt to access a sleeping person, to enter the traps, be captured and expire. Wrapping double-sided carpet tape or duct tape around bed legs also can trap bed bugs attempting to enter beds.
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

Most bed bug bites go away by themselves and don't need treatment. Keep the skin clean and try not to scratch. Over-the-counter, anti-itching cream for insect bites can help relieve the itching. If the bites are very itchy, your health care provider may prescribe cream or antihistamines to relieve the itchiness. Oral antibiotics may be prescribed for any secondary skin infection from excessive scratching.

After repeated bedbug bites, a person’s skin may become sensitized to the saliva of the bedbug, and subsequent bites may cause an allergic response, resulting in itching and inflammation. It is important not to scratch the red, itchy spots, as they can become infected. If you think you may have been bitten by bedbugs, talk to your doctor. They may prescribe antibiotic or antiseptic creams to prevent infection and corticosteroids and antihistamines to treat allergic reactions.[25]
Today, bedbugs can be found in every State in the United States, and almost every city. Bedbugs are so common now that the federal government considers them almost "epidemic". The National Pest Management Association has declared war on bed bugs and has held bedbug meetings all across the Nation to help educate pest control companies in an effort to help control them. 
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