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.
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:

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.
One method of applying freezing temperatures to bed bugs entails the use of carbon dioxide (CO2) applied as “snow” with a portable application device, i.e., Cryonite™. When applied directly onto bed bugs, the frozen CO2 will kill them. However, this method is similar to using contact pesticides, that is, there is no residual activity. It can kill only as many bed bugs as the applicator can find. The advantage of using this type of freezing device is that bed bugs may be killed quickly and without the use of more hazardous pesticides. Again, this is not a stand-alone treatment, and it is recommended that it be used as a supplemental to the application of residual pesticides and/or other means of control.

Heat treatments of this type are advantageous because they present no pesticide hazard. However, they also provide no residual activity. That is, they do not prevent a structure from being re-infested after it is heat treated. For this reason, residual pesticides are often applied in conjunction with heat treatments. Such applications may not prevent re-infestation, but help control any bed bugs not killed by the heat. A certain percentage of heat treatments, perhaps 10 to 20 percent, fail to kill all the bed bugs present. Often this is due to residents failing to adequately prepare the premises for heating.

One trick to make this disposal easier involves using the cut-off end of a nylon stocking (or a knee-high nylon stocking) and a rubber band. Insert the stocking (toe first) into the end of the vacuum suction wand/tube, leaving the opening of the stocking protruding out of the end of the suction wand. Then fold the stocking opening back over the end of the wand and use the rubber band to secure it there. When the vacuum is turned on and the bed bugs are sucked into the tube, they will be trapped in the stocking. Afterwards, carefully remove the rubber band and retrieve the bug-filled stocking. Then secure the end of the stocking with the rubber band and dispose of it. 
Considering how time-consuming and costly it can be to eradicate bed bugs, it’s prudent to take precautions and avoid infestations in the first place. Householders should be vigilant when acquiring used furnishings, especially beds and couches. Discarded items should be avoided, and secondhand articles should be examined closely before being brought into the home. Look carefully in the folds and seams of furniture for signs of bed bugs (see the previous section entitled "Description and Habits" for more details). There is no reason to stop shopping in consignment stores, yard sales, etc., but it would be prudent to run clothing and fabric items through the washer or dryer before storing them in the home. The risk of acquiring bed bugs from items purchased in antique stores would generally be insignificant.      

Bed bug eradication is challenging and it’s prudent to hire a professional when resources allow. However treatment can be expensive, often costing hundreds or thousands of dollars. Those who cannot afford this often must cope with the problem themselves. A useful step that anyone can take to combat bed bugs is to install bed encasements. Covering the mattress and box spring can help eliminate a substantial portion of the bed bug population -- especially if discovered early while most of the bugs are still confined to the bed area. Extra care should be taken when installing budget encasements since these can tear easily, especially on metal bed frames. Ideally both the mattress and box spring should be encased. If only one encasement is possible it’s often best to cover the box spring which is harder to subsequently inspect.
Discard affected items. In some cases, infested mattresses and box springs will need to be discarded. Since bed bugs can disperse throughout a building, it also may be necessary to inspect adjoining rooms and apartments. Pay it forward: chop up and/or damage the items you discard so nobody will be tempted to take them home and spread the problem further.[17]
Units that produce “dry” steam are less likely to damage household goods. Steam must be at least 113 degrees Fahrenheit (F), the minimum temperature to kill bed bugs, and care must be taken to reduce pressure so that bed bugs are not literally “blown away” before they can be killed by the steam. Steaming should be avoided around hazards such as electrical outlets.
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.
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.

After bedbugs find a food source, they bite down with their mouths and inject anticoagulant and anesthetic compounds into the skin. Depending on the species, these parasites feed on the host blood via 1 of 2 mechanisms. Vessel feeders directly insert their mouthparts into superficial capillaries, whereas pool feeders damage the superficial tissue and feed on the accumulated blood. As bedbugs feed, their color may change as they swell with the host blood, as shown in this picture of a larval bedbug feeding on a volunteer host. Image courtesy of the US Centers for Disease Control and Prevention (CDC).
Some pest control firms also employ commercial steamers or spot-freezing equipment to treat areas where bed bugs are found or suspected. Used correctly, they kill bugs and eggs on contact. Neither method, however, affords residual protection against bed bugs which may have been missed. Steaming and spot-freezing equipment also have limited ability to penetrate fabric, wood, and other materials where bed bugs often reside. 
Considering how time-consuming and costly it can be to eradicate bed bugs, it’s prudent to take precautions and avoid infestations in the first place. Householders should be vigilant when acquiring used furnishings, especially beds and couches. Discarded items should be avoided, and secondhand articles should be examined closely before being brought into the home. Look carefully in the folds and seams of furniture for signs of bed bugs (see the previous section entitled "Description and Habits" for more details). There is no reason to stop shopping in consignment stores, yard sales, etc., but it would be prudent to run clothing and fabric items through the washer or dryer before storing them in the home. The risk of acquiring bed bugs from items purchased in antique stores would generally be insignificant.      
Once a pest of the past, bedbugs now infest every state in the U.S.. Cimex lectularius—small, flattened insects that feed solely on mammalian and avian blood—have been living with humans since ancient times. Abundant in the U.S. prior to World War II, bedbugs all but vanished during the 1940s and '50s thanks to improvements in hygiene and the use of pesticides. In the past 10 years, however, the pests have staged a comeback worldwide—an outbreak after the 2000 Summer Olympics in Sydney was a harbinger of things to come. This revival may be the worst yet, experts say, due to densely populated urban areas, global travel and increasing pesticide resistance—something to consider as the summer travel season gets underway.
While the mattress and box spring are left to dry, spray down the joints of the bed frame, headboard, and footboard with a contact spray and residual spray. The contact spray will kill bed bugs quickly and then evaporate, while the residual spray will kill bed bugs over several weeks. Remember to follow the sprays’ product labels and MSDS for safe and effective usage.
Use precautions in your own home. Keep the plastic covering that comes on your mattress when purchased new. Purchase special bedbug covers for you mattress and box spring. Make sure that they are quality ones with heavy duty zippers and constructed with special fabric that doesn't rip easily. Don't buy the cheap versions which are not thick enough to prevent the bedbugs from sticking their feeding tubes into the skin through the cover.[19]
Bed bugs could be hiding in all sorts of tight spaces in your room, like wood cracks, inside books and furniture, and along the baseboards and the edges of the carpet. In this step, we’re going to clean, vacuum, and steam those areas that bed bugs are likely to be. This will cut down on the bed bug population while making it harder for survivors to hide.
Bed bugs are a type of insect that feed on human blood, usually at night.[7] Their bites can result in a number of health effects including skin rashes, psychological effects and allergic symptoms.[5] Bed bug bites may lead to skin changes ranging from invisible to prominent blisters.[1] Symptoms may take between minutes to days to appear.[2] Itchiness is common, while some may feel tired or have a fever.[2] Typically, uncovered areas of the body are affected and three bites occur in a row.[2] Bed bugs bites are not known to transmit any infectious disease.[5][7]
As for traps, these capture methods may not be full-proof for all bedbug species. Researchers have found that while both the common and tropical bedbug species have hairy feet, C. hemipterushas denser foot hairs, making this tropical insect an expert climber on slick surfaces. In the study, detailed on March 15, 2017, in the Journal of Economic Entomology, the researchers found that adult tropical bedbugs were much better at escaping traditional pitfall traps, which held onto most of the common bedbugs in the study.
According to a study carried out on Ortho Home Defense, it contains a chemical bifenthrin that is considered relatively safe and kills off bugs that pyrethroid-based insecticides can’t. It is also effective against bed bug eggs and larvae.12 It should be sprayed as a spot treatment in any crevice where bed bugs can reside. You can get more information about Ortho Home Defense bed bug spray and purchase it in Amazon here.
Do encasements work? Yes. When you put an encasement on your mattress or box spring you can lock bed bugs in and prevent new bed bugs from getting in. No chemical control is needed, so you don't have to worry about being poisoned by powders or some other toxin in your bed. The problem is that encasements by themselves, or when used with traps, are simply a bandaid. They are not likely to contain or stop a bed bug infestation. As mentioned above, this method can lead to the growth of an infestation and, ultimately, a prolonged and frustrating infestation.
As for traps, these capture methods may not be full-proof for all bedbug species. Researchers have found that while both the common and tropical bedbug species have hairy feet, C. hemipterushas denser foot hairs, making this tropical insect an expert climber on slick surfaces. In the study, detailed on March 15, 2017, in the Journal of Economic Entomology, the researchers found that adult tropical bedbugs were much better at escaping traditional pitfall traps, which held onto most of the common bedbugs in the study.

It’s cost us about 3 to 6 hundred dollars to get them exterminated. Alcohol does kill on contact but it takes a lot more than that. Some things need to be bagged up until you can wash all clothes! They can live without feeding on your blood for months and months! I had them feeding on me but my husband worked outside and had darker skin so they weren’t biting him at first until they found his white legs! He was sporting a farmers tan.LOL
Vacuum your house. This will remove bugs and eggs from mattresses, carpet, walls and other surfaces. Pay particular attention to seams, tufts and edges of mattresses and box springs, and the perimeter edge of wall-to-wall carpets. Afterward, dispose of the vacuum contents in a sealed trash bag. Steam cleaning of carpets is also helpful for killing bugs and eggs that vacuuming may have missed.[14]
Bed bugs are found across the globe from North and South America, to Africa, Asia and Europe. Although the presence of bed bugs has traditionally been seen as a problem in developing countries, it has recently been spreading rapidly in parts of the United States, Canada, the United Kingdom, and other parts of Europe. Bed bugs have been found in five-star hotels and resorts and their presence is not determined by the cleanliness of the living conditions where they are found.
The best bed bug traps are those that are used under the bed. The Climb-Up Bed Bug Interceptor is placed below the bed frame rollers or legs. The Climb-Up prevents bed bugs from being able to crawl either from the bed to the floor or from the floor to the bed. The Climb-Up works very well at isolating the bed from the floor and making it bed bug proof. As long as the comforter or some other linen is not touching the floor, then the bed is protected.
* Typically used for control of wood-destroying organisms, true fumigation of structures is occasionally performed for bed bug control. Fumigating a structure involves “tenting” it, i.e., draping and sealing it with tarps so that the fumigant, a poisonous gas, can be applied into and contained within the structure where it penetrates the contents and kills all pests within. Like whole-room heat treatments, fumigation has no lasting effect (it leaves no pesticide residue), is labor-intensive, and can damage contents. It is also more expensive, especially in northern states where fumigations are done less frequently. The advantage of fumigation over heat treatment may be that fumigation is more likely to kill all the pests within a structure.

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.


2. Active Guard Liners: Active Guard Mattress Liners may be placed on beds and are effective as both preventative and active bed bug treatments. They kill bed bugs and dust mites within 72 hours and will prevent bed bugs from infesting mattresses. ActiveGuard Liners act like a fitted sheet; it comes in single, full, queen, and king sizes that fit up to 17" in depth.
Discourage bed bug infestation by keeping clutter picked up, washing bedding and upholstery routinely and not buying used furniture. When you’re traveling, lower your risk of bringing bed bugs back home by opening your suitcase on a hotel desk or luggage rack instead of on the bed; keeping your belongings in your suitcase, not unpacked in dresser drawers; sealing dirty laundry in plastic bags that can be taken straight to the laundry room at home; and inspecting your luggage for bed bug activity before you bring it into your bedroom.
The bites themselves don't usually pose any major health risk since bedbugs are not known to spread diseases, but an allergic reaction to the bites may require medical attention, CDC officials say. There have also been some strange cases linked to bedbug infestations. Researchers reported in the Canadian Medical Association Journal in 2009 that they treated a 60-year-old man for anemia caused by blood loss from bedbug bites. Another study published in 1991 in the Journal of the Egyptian Society of Parasitology found that people with asthma might be more susceptible to allergic reactions from bedbug bites.

Traps aren’t an effective way to wipe out a bed bug infestation, but they’re an excellent way to determine whether you have them. Set traps in areas where they may hide or travel, like near baseboard trim or under nightstands. If they aren’t living in your mattress or other parts of your bed, that means they need to travel up the legs of the bed frame to get to you, so place traps there as well.
Move your bed away from any other points of contact, like walls, nightstands, and other furniture. Tuck in or remove any hanging skirts or sheets, and remove any storage under the bed that is touching any part of the frame. The only thing your bed should be touching is the floor via its legs. If you don’t have a bed frame with legs, you should purchase one to sleep in, at least until you are bed bug free.
Bed bug bites usually do not pose a serious medical threat. The best way to treat a bite is to avoid scratching the area and apply antiseptic creams or lotions and take an antihistamine. Bed bug infestations are commonly treated by insecticide spraying. If you suspect that you have an infestation, contact your landlord or professional pest control company that is experienced with treating bed bugs. The best way to prevent bed bugs is regular inspection for the signs of an infestation.

Español: matar chinches, Italiano: Liberarsi delle Cimici da Letto, Русский: избавиться от постельных клопов, Deutsch: Bettwanzen loswerden, Français: se débarrasser des punaises de lit, Nederlands: Bedwantsen bestrijden, Čeština: Jak se zbavit štěnic, 中文: 清除床虱, Português: Acabar com os Percevejos, Bahasa Indonesia: Membasmi Kutu Busuk, हिन्दी: खटमलों से छुटकारा पायें, العربية: التخلص من بق الفراش, ไทย: จัดการตัวเรือด, Tiếng Việt: Diệt trừ rệp, 한국어: 빈대 퇴치하는 법, Türkçe: Tahtakurularından Nasıl Kurtulunur, 日本語: トコジラミを退治する
Check the mattress throughly, paying close attention to seams and tufts along the edges. Flip the mattress over and inspect the bottom carefully as well. Pay particular attention to any rips in the fabric. View the fabric on the bottom of the box spring and shine a flash light to verify that bed bugs have not penetrated the interior of the box spring.
While vacuuming may seem like an obvious remedy, it is fairly unconventional in the sense that it does not usually prove effective against the majority of the bed bugs in a contained area. Due to its low level of effectiveness, it is generally not recommended as a sole treatment. Vacuuming can, however, increase the effectiveness of other treatments.
Bedbugs are highly resistant to many sprays. There are, however, certain sprays that may be able to kill bedbugs. Check with a professional exterminator about advice using sprays to try and remove the bedbugs yourself. Dead bedbugs usually won't move, may be arched back, or red in color. Ultimately, you may be better off replacing your mattress and bedding and fumigating your home to kill the bedbugs.
It’s cost us about 3 to 6 hundred dollars to get them exterminated. Alcohol does kill on contact but it takes a lot more than that. Some things need to be bagged up until you can wash all clothes! They can live without feeding on your blood for months and months! I had them feeding on me but my husband worked outside and had darker skin so they weren’t biting him at first until they found his white legs! He was sporting a farmers tan.LOL
It’s cost us about 3 to 6 hundred dollars to get them exterminated. Alcohol does kill on contact but it takes a lot more than that. Some things need to be bagged up until you can wash all clothes! They can live without feeding on your blood for months and months! I had them feeding on me but my husband worked outside and had darker skin so they weren’t biting him at first until they found his white legs! He was sporting a farmers tan.LOL
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