Understanding and Managing Bed Bug Infestations

A Patient's Guide to Identification, Prevention, and Treatment

Dermatology

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Last updated: Mar 24, 2025

What Are Bed Bugs?

Bed bugs (Cimex lectularius) are small, oval-shaped insects that feed on human blood. These nocturnal parasites are approximately 4-5mm in length when fully grown and have a reddish-brown coloration.

Signs and Symptoms

Physical Signs of Infestation

  • Small brown or red spots on bedding (bug excrement)
  • Tiny bloodstains on sheets
  • Shed bed bug skins
  • Live bugs in mattress seams and furniture crevices

Bite Characteristics

  • Clustered or linear pattern of small, red welts
  • Intense itching
  • Usually on exposed skin during sleep
  • May take 1-3 days to appear

Health Impact

Common Reactions

  • Allergic responses
  • Skin irritation
  • Secondary infections from scratching
  • Sleep disturbances
  • Anxiety and psychological distress

Prevention Methods

When Traveling

  • Inspect hotel rooms thoroughly
  • Keep luggage elevated and away from beds
  • Check clothing and luggage before returning home

At Home

  • Use mattress and box spring encasements
  • Reduce clutter
  • Regularly inspect bedding
  • Vacuum frequently

Treatment Options

Professional Intervention

  1. Licensed pest control services
  2. Heat treatment
  3. Chemical treatments

Home Care

  1. Washing affected items in hot water (60°C/140°F)
  2. High-heat drying
  3. Freezing items at -18°C/0°F for 4 days

When to Seek Medical Help

  • Severe allergic reactions
  • Signs of infection
  • Persistent skin problems
  • Mental health concerns

Long-term Management

  • Regular inspections
  • Maintain preventive measures
  • Early intervention if signs reappear

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