How To Treat Bed Bugs Bite

Bed bugs: Six cheap and natural solutions to treat itchy bites at home

BED BUG bites can be extremely irritating, especially if you have a serious infestation and lots of bites, but there are ways to deal with them. David Cross, head of Technical Training at Rentokil Pest Control outlines six ways to treat the itch.

Bed bugs are small insects that live in the cracks and crevices in and around beds, and the recent heatwave has caused a reported increase in their numbers in the UK.

They crawl out at night and bite exposed skin, leaving small, red lumps. Bites can appear from a few minutes after being bitten up to a week or two later, according to the NHS.

Although bed bug bites are painless, they can be very itchy and irritating.

“Bedbugs aren’t dangerous and don’t spread any diseases, but some people experience a reaction to their bites and they can be stressful to live with,” the NHS said.

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There are many natural remedies and ‘old wives tales’ on what you can use to help reduce the inflammation and itching associated with bed bug bites

David Cross, Rentokil Pest Control

So what’s the most effective method of treating bed bug bites?

“There are many natural remedies and ‘old wives tales’ on what you can use to help reduce the inflammation and itching associated with bed bug bites,” said Rentokil’s David Cross.

According to Cross, there are six treatments to try, which should be applied after washing the bites with soap and water, before drying them.

Calamine lotion

This relieves itching and also helps to dry rashes and protect the skin.

Baking soda and water

Make a paste with baking soda and water, and apply it directly to the skin. Let it dry before wiping away with a cotton pad.

Bed bug bites are painless but can be itchy and irritating (Image: Getty Images)

Toothpaste

The menthol contained in toothpaste is said to be a good anti-itch remedy. Apply a generous amount to the bite to soothe the burning sensation and relieve the itching.

Witch Hazel

This provides a mild anaesthetic effect that helps to calm the itching caused by bites.

Aloe Vera

Both “fresh” Aloe Vera or gel works well against insect bites. The active substances and amino acids present in Aloe Vera help relieve itching and burning sensations.

Lemon juice

This has anti-inflammatory and antibacterial properties. It is also a natural astringent. Lemon juice can help dry rashes and itchiness while reducing redness and swelling.

As bed bugs are small and only come out at night, they can be difficult to spot and it is therefore not always easy to identify if you have an infestation.

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Bed bug bites usually fade in a few days, but there are ways to treat the itch (Image: Getty Images)

Bed bugs often bite in lines or clusters on the skin (Image: Getty Images)

Bed bugs: How to spot them and how to get rid of them

Bed bugs: What are bed bugs? How to spot an infestation and how to get rid of them.

Bed bugs: How to spot them and how to get rid of them

However, one thing which distinguishes them from other biting insects is the pattern in which they bite.

Because they are crawling insects, as opposed to flying insects such as mosquitoes, bed bugs often bite in lines or clusters across the skin.

Bed bug bites also usually occur on exposed areas such as the face, neck, hands or arms.

In more severe cases, bed bug bites may cause a rash or fluid-filled blisters. They can also become infected with bacteria if scratched.

According to the NHS: “The bites usually fade in a few days. If they’re very itchy, you can buy a mild steroid cream (such as hydrocortisone) or antihistamine tablets to relieve the itch.”

“See your GP if you develop signs of a skin infection, including pain, redness and swelling, as you may need antibiotics,” the NHS said.

How to Identify Bed Bug Bites—and How to Treat Them

Wake up with reddish welts or itchy skin? The culprit may be a bed bug hiding under your bed. These are the signs a dermatologist and entomologist look for.

Changlu Wang/Courtesy Rutgers New Jersey Agricultural Experiment Station

Unfortunately, a bed bug bite has no telltale sign, according to a review published in theAmerican Society for Microbiology. The reaction to bites varies tremendously from one person to the next. Some people will have no reaction or just minor itching and mosquito-like bumps in one area; others will get dramatic red raised welts all over. “It depends on the number of feeding bugs on the body, how long the person has been suffering bites, and also where the bites are located,” says Jody Green, PhD, an urban entomologist at the University of Nebraska-Lincoln.

Five stages of post-bed bug bites

If you have evidence of bed bug bites on your skin, it’s due to your body’s allergic response, according to the U.S. Armed Forces’ 2019 Pest Management Board: Technical Guide #44. That response can take a few different forms: little to no reaction; an immediate reaction—often a red spot with minor discomfort; a delayed reaction in which red weals turn up within 14 days that trigger intense itching that can last two to five days; or, unfairly, a combination of immediate and delayed reactions. This makes it tough to know what’s gnawing on you without the help of an entomologist or dermatologist. Although this guide to bug bites may help.

Familiar signs of bed bug bites

While there is no exact way to tell what bug bit you, dermatologist A. Yasmine Kirkorian, MD, an assistant professor of Dermatology & Pediatrics, Children’s National Health System, says there are some patterns doctors look for: “Bed bugs typically bite several times in a row so people may notice several red itchy bumps grouped closely together, a pattern sometimes called ‘breakfast, lunch, and dinner,’” she explains. “They can occur anywhere on the body; bed bug bites on the face may cause intense swelling including of the eyelid.” A small study found that 72 percent of people who were bitten by bed bugs had itchy red welts, 50 percent had redness or discoloration, and 28 percent had itching with no welts. Call your doc or dermatologist and look for these signs of bed bugs in your house.

It can’t be bed bug bites

Let’s say you are sleeping in the same bed as your partner and your partner wakes up with bites but you don’t. Must not be bed bugs, right? Sadly, it still could be. “The most challenging thing about bed bug bites is that there is are people who do not react to bed bug bites, so they have no adverse skin responses and have no idea that they are being fed upon while they are sleeping,” says Green. One survey found that nearly one in three people had no reaction to bed bug bites. When the researchers broke out reactions by age, they found that 42 percent of people over 65 had no reaction. Bites or no bites, this is how bed bugs could get in your bedroom.

Bed bug bite treatment

People who do react to bed bugs often have intense itching. “Once a patient has been bitten, it is difficult to eradicate the itching. Over-the-counter anti-itch creams that contain one percent pramoxine can help,” says Dr. Kirkorian. Try Aveeno with pramoxine and calamine. Oral antihistamines such as Zyrtec and Benadryl may be effective too, says Dr. Kirkorian. But if your itching persists, your dermatologist or doctor might prescribe topical steroids such as triamcinolone and fluocinonide.

Just thinking about bed bugs can wreck your sleep, as well. Talk to your doctor if you start suffering from insomnia. “A sedating antihistamine such as Benadryl could be safe to use,” says Dr. Kirkorian.

Home remedies for bed bug bites

Before you commit to natural bed bug treatment, remember to practice good hygiene and caution, advises Larry Bishop, MD, a dermatologist with Health First Medical Group: Be sure to wash the area with soap and water first to reduce the risk of infection; if the area appears irritated or develops a rash, stop using the treatment and see a doctor. For remedies, Dr. Bishop suggests trying peppermint oil: “It works by two mechanisms—the peppermint oil is a vasoconstrictor (blood vessel constrictor), which lessens the pain and irritation from bed bug bites. Additionally, the peppermint works as a soothing agent by gently stimulating the nerves around the bite.” Try adding a few drops to a warm bath; if you want to apply it to the bites, dilute it first with an oil such as coconut, jojoba or olive.

Lemon balm is another favorite for bug bites. Crush or roll the leaves with your fingers to release the juice, apply it to the bites, and wrap with a bandage. “It works by having soothing properties and antibacterial properties,” Dr. Bishop says. Finally, there’s household ammonia—research suggests that it can help with itchy bites. It may not smell great, says Dr. Bishop, but if you put a little on a cotton ball and dab it on the area right away, it can help. “It works by neutralizing the proteins that are in the saliva of the bed bugs.” The saliva is what produces the allergic reaction in some people, and the quicker you neutralize it, the better.

When to see the doctor

Your bed bug bites will generally clear up on their own, but if you itch them the scratching can lead to secondary infections. “The initial bite may be a portal for bacteria to enter the skin. If a patient develops a worsening red bump, pus drainage, a fever, or other signs of systemic illness, they should seek urgent medical attention,” advises Dr. Kirkorian. Then, find out how to get rid of bed bugs.

Bedbugs

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Bedbugs are small, oval, brownish insects that live on the blood of animals or humans. Adult bedbugs have flat bodies about the size of an apple seed. After feeding, however, their bodies swell and are a reddish color.

Bedbugs do not fly, but they can move quickly over floors, walls, and ceilings. Female bedbugs may lay hundreds of eggs, each of which is about the size of a speck of dust, over a lifetime.

Immature bedbugs, called nymphs, shed their skins five times before reaching maturity and require a meal of blood before each shedding. Under favorable conditions the bugs can develop fully in as little as a month and produce three or more generations per year.

Although they are a nuisance, they are not thought to transmit diseases.

Where Bed Bugs Hide

Bedbugs may enter your home undetected through luggage, clothing, used beds and couches, and other items. Their flattened bodies make it possible for them to fit into tiny spaces, about the width of a credit card. Bedbugs do not have nests like ants or bees, but tend to live in groups in hiding places. Their initial hiding places are typically in mattresses, box springs, bed frames, and headboards where they have easy access to people to bite in the night.

Over time, however, they may scatter through the bedroom, moving into any crevice or protected location. They may also spread to nearby rooms or apartments.

Because bedbugs live solely on blood, having them in your home is not a sign of dirtiness. You are as likely to find them in immaculate homes and hotel rooms as in filthy ones.

When Bedbugs Bite

Bedbugs are active mainly at night and usually bite people while they are sleeping. They feed by piercing the skin and withdrawing blood through an elongated beak. The bugs feed from three to 10 minutes to become engorged and then crawl away unnoticed.

Most bedbug bites are painless at first, but later turn into itchy welts. Unlike flea bites that are mainly around the ankles, bedbug bites are on any area of skin exposed while sleeping. Also, the bites do not have a red spot in the center like flea bites do.

People who don’t realize they have a bedbug infestation may attribute the itching and welts to other causes, such as mosquitoes. To confirm bedbug bites, you must find and identify the bugs themselves.

Continued

Signs of Infestation

If you wake up with itchy areas you didn’t have when you went to sleep, you may have bedbugs, particularly if you got a used bed or other used furniture around the time the bites started. Other signs that you have bedbugs include:

  • Blood stains on your sheets or pillowcases
  • Dark or rusty spots of bedbug excrement on sheets and mattresses, bed clothes, and walls
  • Bedbug fecal spots, egg shells, or shed skins in areas where bedbugs hide
  • An offensive, musty odor from the bugs’ scent glands

If you suspect an infestation, remove all bedding and check it carefully for signs of the bugs or their excrement. Remove the dust cover over the bottom of the box springs and examine the seams in the wood framing. Peel back the fabric where it is stapled to the wood frame.

Also, check the area around the bed, including inside books, telephones or radios, the edge of the carpet, and even in electrical outlets. Check your closet, because bedbugs can attach to clothing. If you are uncertain about signs of bedbugs, call an exterminator, who will know what to look for.

If you find signs of infestation, begin steps to get rid of the bugs and prevent their return.

Bedbug Treatments

Getting rid of bedbugs begins with cleaning up the places where bedbugs live. This should include the following:

  • Clean bedding, linens, curtains, and clothing in hot water and dry them on the highest dryer setting. Place stuffed animals, shoes, and other items that can’t be washed in the dryer and run on high for 30 minutes.
  • Use a stiff brush to scrub mattress seams to remove bedbugs and their eggs before vacuuming.
  • Vacuum your bed and surrounding area frequently. After vacuuming, immediately place the vacuum cleaner bag in a plastic bag and place in garbage can outdoors.
  • Encase mattress and box springs with a tightly woven, zippered cover to keep bedbugs from entering or escaping. Bedbugs may live up to a year without feeding, so keep the cover on your mattress for at least a year to make sure all bugs in the mattress are dead.
  • Repair cracks in plaster and glue down peeling wallpaper to get rid of places bedbugs can hide.
  • Get rid of clutter around the bed.

If your mattress is infested, you may want to get rid of it and get a new one, but take care to rid the rest of your home of bedbugs or they will infest your new mattress.

Continued

Bedbug Extermination

While cleaning up infested areas will be helpful in controlling bedbugs, getting rid of them usually requires chemical treatments. Because treating your bed and bedroom with insecticides can be harmful, it is important to use products that can be used safely in bedrooms. Do not treat mattresses and bedding unless the label specifically says you can use them on bedding.

Generally it is safest and most effective to hire an experienced pest control professional for bedbug extermination.

Sources

University of Kentucky College of Agriculture: "Bed Bugs."

Ohio State University Extension Fact Sheet: "Bed Bugs."

The New York City Department of Heath and Mental Hygiene: "Stop Bed Bugs Safely."

University of Nebraska–Lincoln Extension Lancaster County: "Managing Bed Bugs."

Bed bug bites: What you need to know

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Most people who are bitten by bed bugs experience symptoms that include irritation, sores, or itchiness. But how should bed bug bites be treated and can they be prevented?

There are several ways of reducing the chances of getting bites, while the treatment options include good hygiene and antihistamines.

This article explores bed bug bite treatment and prevention methods in detail.

Bed bugs are small parasitic insects that feed on human blood.

While they are a public health concern, bed bugs are not known to transmit disease through their bites.

Bed bugs use a small tube-like structure called a proboscis to pierce the skin and drink a person’s blood. The pests are most active when humans are asleep, during the night and early morning.

An estimated one in five Americans have personally dealt with a bed bug infestation or knows someone who has encountered the pests.

Bed bugs can bite anywhere on the body where there is skin. Typically, bites tend to occur on areas exposed during sleeping, such as:

Many people do not feel the bite itself or develop clear symptoms other than the dots where the bug bit and some minor, surrounding inflammation and irritation. Others are considered hypersensitive to bites and develop more severe symptoms.

In most cases symptoms occur more or less immediately after the bite, but they can develop or progress over the following days as well. Without further irritation, symptoms typically resolve after a week or so.

Almost all bed bug bites will produce some degree of discomfort, typically itchiness and inflammation. Other signs and symptoms of bed bug bites include:

  • a burning painful sensation
  • a raised itchy bump with a clear center
  • a red itchy bump with a dark center and lighter swollen surrounding area
  • small red bumps or welts in a zigzag pattern or a line
  • small red bumps surrounded by blisters or hives
  • papular eruptions or areas of skin with raised or flat patches that may be inflamed
  • small spots of blood from bites often dried or stained onto sheets or bed clothing
  • reddish or reddish-brown dried stains on fabrics due to bed bug droppings
  • white or clear skins, shed by the nymphs as they mature

Individual characteristics of the bug’s bite and the person who is bitten also influence the resulting sore.

While fairly rare, some people have or develop severe reactions and symptoms from bed bug bites. Serious symptoms that require medical attention include:

  • difficulty breathing
  • blisters
  • fever
  • feeling nauseous or flu-like
  • swollen tongue
  • irregular heartbeat

Living with bed bugs can cause additional health complications:

  • Increased likelihood of infection: Due to the skin’s surface being compromised.
  • Sleep deprivation: The idea of being fed on can be extremely stressful. Given that the bugs only feed at night, some people will avoid sleep or will only get fitful or restless sleep.
  • Decreased wellbeing: A continual lack of sleep has been linked to feelings of depression, anxiety, general fatigue, and lowered immune function. The misconceptions surrounding bed bugs, especially the mistaken association with lack of cleanliness, can add to feelings of depression and low self-esteem.

There are relatively few treatments options when it comes to uncomplicated bed bug bites.

The first recommended line of treatment involves cleaning the wound, ideally with soap and water.

For itchy bites, the following may relieve minor symptoms:

  • over-the-counter hydrocortisone, which can be purchased online.
  • anti-itch creams
  • antihistamines

Most wounds heal on their own within a week, sometimes two.

If severe swelling, inflammation, or itchiness occurs or persists, a person should seek medical attention.

A dramatic immune response may be a sign of an allergic reaction. If this is the case, one of the following may need to be administered:

  • an injectable corticosteroid
  • antihistamine
  • epinephrine medication

If infection occurs, antibiotics may be prescribed.

Severe itchiness may result in further complications, such as infection or scarring. If severe itching is experienced, people may be prescribed corticosteroid creams and antihistamine pills or liquid.

One way to help prevent exposure and potential infestations by bed bugs is to be able to recognize bed bugs and distinguish them from other pests.

In a 2017 study, some 35 percent of polled American business travellers and 28 percent of leisure travellers were unable to tell a bed bug apart from other household pests.

Common characteristics of nymphs (young bed bugs) include:

  • being less than than 5 mm in length
  • whitish-yellow and or clear-colored
  • invisible without a microscope or magnifying glass

The nymphs are easier to see if they have just feed when the blood fills their abdomen, giving it a reddish brown color.

Adult bed bugs are typically far easier to spot than nymphs. Identifiable characteristics of most adult bed bugs include:

  • an oval-shaped body
  • apple seed in size
  • a body that is fairly flat unless recently fed and inflated
  • reddish-brown to light-brown or tan color of shell, depending on how recently it fed
  • a length of 5-7 millimeters (mm)
  • three segments, an antenna with four parts, short yellow hairs, and unusable wings
  • a musty or stale-sweet scent released by glands on the underbelly

Controlling bed bugs needs the identification and complete removal or destruction of the pest’s eggs.

On average, one female can produce at least 345 eggs over her lifetime. Egg-laying females often increase the volume and frequency of feeding to support their brood.

Common characteristics and signs of bed bug eggs include:

  • they are often laid in the same places where the female choses to rest
  • they resemble tiny barrel-shaped, pearl-colored specks, no bigger than the head of a pin
  • they develop a noticeable eye spot after a few days

The key to preventing bed bug bites is to stop the insects entering, feeding, and breeding in human environments.

In the daytime, bed bugs often seek refuge in the cracks and crevices of furniture, flooring, walls, and mattresses.

The seams and folds of upholstered furniture can also offer an ideal hiding place. Bed bugs have been known to persist in vacuum canisters or units.

The insects tend to pick hiding spots near human sleeping quarters, including bedrooms. Bed bugs found in other rooms are usually a sign of a severe infestation.

Areas where bed bug infestations commonly occur include:

  • apartment or condominium buildings
  • large office spaces
  • hotels
  • vacation rentals
  • cruise ships
  • daycares
  • nursing homes
  • hospitals
  • college dormitories or housing units
  • public transportation, including airplanes
  • shopping malls
  • furniture or second hand stores
  • urban areas
  • rented homes

Items commonly responsible for spreading bed bugs include:

  • used or secondhand furniture
  • new furniture or textiles exposed to bed bugs during transit
  • items of luggage
  • chairs or loungers where people fall asleep
  • bedding or bed clothes
  • moving or storage boxes
  • shipped items, especially if held at several locations or warehouses

Bed bugs do not have a preference between sanitary, messy, or unsanitary conditions.

They can, however, be found at higher rates in places, such as hotels, if infestations are not properly cleared.

How to Treat a Bed Bug Rash

How Does an Individual Get a Bed Bug Bite Rash?

Bed bugs commonly infest summer cabins, especially at camps, hiking trail shelters and parks. Many times, when they are found in an urban home they can be traced back to a visit to one of these facilities.

These parasites are attracted to warmth, which is why they bite us as we sleep. They are also attracted to carbon dioxide, which is what is exhaled by oxygen breathing species.

They reside in dark areas and crevices near the host. Their only food is the blood they obtain from the host. Hosts for this bug are many different species of vertebrates including canaries, poultry, guinea pigs, cats, dogs, mice, bats and unfortunately, man.

How They Feed

These bugs feed on the host while the host sleeps, generally just before dawn. They will usually not be seen during the daylight hours unless the infestation is severe.

This bug will secure itself to the host’s skin using its claws and then inserts it ‘beak’ into the skin of the host. The ‘beak’ consists of two tubes (stylets); one sucks up the host’s blood while the other injects saliva (venom) in the wound.

This saliva assists in preventing the host’s blood from coagulating to keep it flowing. It also has an anesthetic to numb the feeding area on the host. This saliva is what causes the itching sensation on the host’s skin.

Have Bed Bug Problems?

Feeding Based on Age

Nymphs (adolescents) feed for approximately three minutes while an adult may continue to feed on the blood of the host for ten to fifteen minutes.

Amazingly, they can survive 18 months without any oxygen and as much as a year without any blood. The bites cause burning, itching and swelling. The degree of symptoms depends upon the host’s susceptibility.

How Common are These Rashes?

The National Pest Management Association has stated that prior to the year 2000, as few as 25% of the pest control companies in the United States had encountered an infestation of these nasty bugs. Currently that number has risen to 95%.

At this point in time 76% of the United States pest control professionals think that this bug is the most difficult pest to eradicate.

Companies that previously received one or two calls per year are now reporting that they receive one or two calls weekly.

Why has the Infestation Returned?

There are various factors that are contributing to the resurgence in the United States. Citizens are frequently traveling to foreign areas that are infested.

Second-hand furniture and furnishings have become extremely popular. Populations have increased their resistance to the various pesticides. Control has been neglected by the pest control industry since the ‘40s.

What Does a Typical Bite Rash Look Like?

When these bugs bite an individual, they can develop a rash. These rashes have the ability to cause an extremely irritating itching sensation. The actual rash is not considered to be detrimental to one’s health.

Many times a rash is mistaken for bites that are caused by insects commonly found in a household. These insects include fleas, lice, ants and mosquitoes. The truth is that the majority of individuals are not aware they have been fed on by these parasites. Many times, they assume the rash is just a skin allergy.

However, once you are aware of what to look for, it is very easily recognizable.

One of the first signs is numerous tiny or raised skin bumps. These bumps will always be in a row or cl ustered pattern. This is because they generally feed more than one time at the same location.

Other Signs to Watch Out For

The next sign is that the bites will occur nightly while sleeping and the rashes will increase daily. These rashes will usually be located on the legs, arms, neck, face and back, which are the most common areas. The reason these places are the most common sites is because these areas are usually exposed during the night. Exposed areas of the host are what they prefer.

For a lot of individuals these tiny red bumps will generally manifest hours or even days after the bite. These bumps will then begin to itch. If these bumps are scratched, the area may become inflamed because of a severe infection.

The bites or welts are misdiagnosed by many dermatologists as bites from fleas or even scabies. Only around half of the populace notices the very first bite and makes the correlation to these bloodsucking bugs.

Many reactions to bites are delayed for approximately ten days. People over the age of 65 either react less or are not usually bitten. In one survey, 42% of individuals over 65 years reported no bites or reactions even though there was an ongoing presence.

Personality

These bugs are very shy and cautious. During the night, they are attracted to the odors and warmth of the closest human being. Believe it or not, they are able to feed for ten minutes or longer non-stop!

One will consume as much as six times its body weight in blood. However, usually the individual is unaware that they are being bitten. Once they have completed feeding, they look extremely bloated and have even been characterized as animated blood drops.

Not only can bites create a rash or welts, they also have the ability to spread disease organisms that bring on digestive and nervous disorders. Allergic reactions, particularly in more sensitive individuals can occur. The have been known to carry contributory agents for plague, anthrax, tularemia, typhus, relapsing fever and yellow fever.

They have been known to CARRY these diseases; at this point in time, there is NO PROOF that they actually TRANSMIT them. Children residing in homes that are extremely bug-ridden tend to become pale and listless.

How Long Does a Bite Rash Last?

Usually, the rash will appear several hours after the actual bite has occurred. In some cases, however, the rash may not appear for days. The appearance of the rash is dependent upon the individual’s allergic reaction to the bites. For the most part, the rash will last just a few days and then begins to fade slowly.

Unfortunately, the bite rash does have the ability to last a lot longer if the individual has a more intense allergic reaction to the bites. Some individuals will not have any reaction whatsoever, while others who have more sensitivity to allergies may develop rashes that cause extreme itching as they are continuously bitten nightly.

Many times medical attention will be necessary for these individuals to eliminate the rash completely.

How Can a Bite Rash be Treated?

The swelling and redness that is associated with a bite rash does not clear very easily. However, the itching and discomfort can easily be treated with several remedies including natural remedies and medications.

Oral antihistamines and steroid creams can be used in treatment regime. These medications will help to ease the itching that is associated with the rash.

It is important to remember not to scratch the bites. Scratching the bites ONLY MAKES THEM ITCH MORE and does have the ability to cause a secondary skin infection.

Names of Medications Used for the Treatment

Cortaid

There are topical steroid creams that are applied directly to the affected area to eliminate the itching sensation. One of these creams is hydrocortisone. Hydrocortisone is available with or without a prescription. The lower strength creams may be purchased over-the-counter.

However, if the low dose cream does not work, you may need to obtain a prescription from your physician to purchase a stronger dose.

Creams Containing Dephendrydramine & Pramoxine

The optimal creams contain a mixture of pramoxine to assist with the tenderness and pain and diphendrydramine to eliminate the itching associated with the rash.

Creams & Lotions Containing Benzyl Alcohol

Lotions and creams containing benzyl alcohol may also be used to treat both the symptoms of itching and pain. These lotions and creams can be extremely effective in eliminating the itch to resolve the bite rash rather quickly.

Calamine Lotion

The use of Calamine Lotion will assist in protecting the skin while it heals. It also speeds the drying of the rash, which facilitates a quicker healing process.

Alka-Seltzer

If the individual is NOT allergic to aspirin, a cotton ball can be dipped into an Alka-Seltzer solution and then rubbed onto the bite rash to assist in clearing it up quicker.

Prednisone

Oral steroids are also useful in treating the itching. One of these steroids is called Prednisone and a prescription must be obtained from a physician to purchase this product. It is not an over-the counter medication.

Benadryl

Oral antihistamines can be very effective in relieving the itching sensation. One of these antihistamines is called Benadryl; however, these medications tend to cause drowsiness.

Therefore, this kind of medication is better used prior to retiring. It is not necessary to obtain a prescription from a doctor to purchase this medication. It is an over-the-counter product available at your local pharmacy.

Zyrtec & Claritin

There are some oral antihistamines that may be taken during the daytime and are not prone to cause drowsiness. A couple of these medications are Claritin and Zyrtec. It is not necessary to obtain a prescription for these medications either. Both are available over-the-counter at your local pharmacy.

Oral Antibiotic or an Antibiotic Ointment

If a bacterial infection occurs on the skin, a health-care provider/physician may prescribe an oral antibiotic or antibiotic ointment to treat the skin infection.

Corticosteroids, Antihistamines or Epinephrine Injections

Should an individual be suffering with a systemic allergic reaction, a physician can administer antihistamines, corticosteroids or epinephrine to the individual. *It is important to note that this condition is extremely rare.

Natural Remedies to Consider

Apply lukewarm water above 120°F or 50°C to the area that has been bitten as soon as possible. This has been known to relieve some of the symptoms.

Just by washing the rash regularly with the use of antibacterial soap helps to keep the bacteria from growing on the rash and causing an infection.

Applying a mixture of baking soda and salt to the affected areas will help to relieve inflammation.

Soaking in a lukewarm bath after adding powdered oatmeal will provide some relief from the itching sensation and reduce inflammation. A paste can be made out of the powdered oatmeal and applied to the areas affected.

A paste can be made from water and baking soda. Rub this paste on the area infected with the rash. Let the paste dry and then peel it off. This should help relieve some of the itching.

Lemon juice or Witch Hazel may be applied directly on the bites.

Home Treatment Suggestion Regimen

Wash the affected area with hot water and soap. Apply anesthetic lotion or cream liberally. To avoid welting and swelling apply ice to the affected areas.

Repeat the regimen every 6 to 8 hours until the symptoms subside.

When to Seek Medical Attention

If unsure what is actually causing the skin lesions, call a health-care provider or a physician.

If any signs that indicate a secondary infection are present, it is time to call the doctor. *Many times this secondary infection is caused by scratching of the bites/rash.

It is rare, but there have been cases of systemic allergic reactions, meaning affecting the body throughout. It is necessary to seek medical attention if this condition occurs.

Following-up with the health-care provider or physician could be necessary following a systemic allergic reaction. The health-care provider or physician may want to monitor your progress especially if a secondary skin infection had developed.

Preparing to See the Health-Care Provider/Physician

Prepare a List

Write down a very detailed description of all your symptoms.

Provide history related to any recent travel, especially international travel. Include information concerning any recent motel or hotel stays.

All the supplements and drugs you have taken including the dosage, frequency and when the last time was that you took these medications or supplements.

The health-care provider or physician will examine the areas that have been bitten.

The Life Cycle

Each female will lay from one to five eggs every day. That means that each female can lay anywhere from 200 to 500 eggs in her lifetime. These eggs are yellow/white and elongated. They are approximately 1/25” in length and just slightly curved.

Each batch of eggs is fastened on rough surfaces with cement after being laid in clusters. This process occurs several times daily in protected places such as the ceiling, floor crevices and furniture cracks. These are just a few places they deposit their eggs.

Nearly several hundred could be deposited in a period of just two months. A female will not continue to lay eggs after 11 days if she does not feed.

When Do the Eggs Hatch?

The eggs will hatch sometime between one to three weeks. The length of time prior to the hatching of the eggs will depend on the temperature where the eggs were deposited. In the warmer weather, the incubation time will be shortened. Once the eggs hatch, it is now considered to be a nymph.

Nymphs are tiny and have no color upon hatching. They have five stages. The nymph has to molt or instar five times and feed on a full meal of blood prior to proceeding to the next stage of its metamorphosis. The amount of the host’s blood that is taken at each of these 5 meals is from 2 ½ to 6 times the nymph’s original weight.

This period can continue for several weeks when the conditions are favorable or up to an entire year when there are no hosts to feed on and the temperatures are low. The nymph looks similar to an adult, only smaller and pale yellow, straw colored or white prior to feeding.

Color Changes

Once the nymph has fed, it will turn purple or red. A nymph can survive for nearly 2 months without feeding on a host. A nymph is approximately the size of the letter ‘R’ in the word ‘liberty’ that is on a penny.

The nymph will undergo a gradual and simple metamorphosis and eventually become an adult. Once they reach adulthood it will be shiny and brown.

Very soon, after becoming an adult, they mate and the cycle will begin again. The adults are about as big as Lincoln’s head on the penny. An adult prefer humans as their host.

Where to Look

It is important to remember that they have a very flat body that allows it to hide almost anywhere. During the initial onset of the infestation, they are only visible around the tufts and seams of the mattress. As the infestation grows, these bugs spread out and inhabit larger and larger areas. Generally they prefer rough surfaces like wood or paper for their harborages.

These parasites can be found in a multitude of places throughout the home. However, they will not usually stray very far from their host; therefore, the bedroom would be a good place to start the search. It is usually the center of the infestation.

Favorite Hiding Spots

Some of the places they reside include dark and tight cracks in the home, in mattress seams, under buttons, in holes, inside walls, upholstered furniture ticking and seams, in or on bedside furniture, dressers, electrical outlets, wall boards, window and door frames, behind baseboards and pictures.

They can also hide out in where slats join beds, under wallpaper or borders that are loose, under wall-to-wall carpeting, under tack boards, in bed clothes, hollow bed frames and any place that is dark and isolated is a place that they would call home. Inspecting the home at night with only a red light will assist in locating the infestation.

Smell the suspicious areas; if there is a sweet smell resembling rotting raspberries you may have an infestation. This is the smell of the liquid excreted by the bug when it is afraid.

Brown or black spots of dried excrement on the bed linens also indicate their presence.

Tips on How to Eliminate Within the Home

These bugs are extremely sensitive to heat in every stage of their life. Thermal death point of a common bed bug is just 111°F to 113°F. Many times even temperatures that are lower than this, 97°F to 99° F can kill multitudes. If the temperature is raised to 140° F for about an hour or to 120°F for several hours most infestations will be eradicated.

If a steam cleaner is used to steam or hair dryer is used to heat the crevices and cracks of the mattress every week, this will assist in keeping them at bay. The mattress can be placed inside a sauna at 170°F weekly to help eliminate any bugs.

Low temperatures also kill these pests, including the eggs. These temperatures range from 32°F to 48°F and must be maintained for up to 50 days to ensure the eggs have died. The nymphs and adults will die within a few hours. An infested bedroom can be closed off and unheated during the cold weather and the bugs will be eradicated.

Vacuuming and Changing Lines

Vacuum all the areas where they routinely reside. By vacuuming all the hiding places daily, the bugs and their eggs will be removed along with their shelter-the dirt. ALWAYS be sure to place the vacuum bag into a sealed garbage bag outside.

Do this OUTSIDE of the home and immediately after vacuuming. EVEN IF THE BAG IS NOT FULL-this needs to be done EVERY time the home is vacuumed until the bugs have been TOTALLY eliminated from the home.

Change bed linens daily, or in the least weekly. Wash the bedding and the bed with Borax. The bedding should be laundered at the minimum of 120°F. Dry the bedding on high heat as well. Place the pillows and any other non-washable items in the dryer on high heat at least once weekly. Do not allow the bedding to touch the floor at any time.

Other Home Maintenance Tips

Since this bug cannot fly and only has the ability to crawl, moving the bed away from the wall would be helpful. To further protect the bed, sprinkle the bed with talcum powder. A vinyl cover placed over the mattress and the box springs will help to eliminate these bloodsuckers. Leave the vinyl covers on for at least a year.

Dust all the cracks, drawers and electrical outlets with talcum powder. Be sure to tighten, caulk and then screen all possible entry routes. Then, lightly dust these areas with Comet® or talcum powder.

Steam clean, vacuum the mattresses, or clean with Borax to remove bugs and any debris remaining. Caulk all the crevices and any cracks and re-glue any wallpaper or borders that are loose or falling down.

Vacuum all drawers and cabinets, this will also deter rodents from nesting in these areas. Consider hiring a pest control company to assist in the elimination process. These creatures are a very annoying and pernicious vermin and with an experienced professional helping, the time necessary to eradicate these pests will be shortened.

Eliminating and Preventing Outside the Home

Keep all vegetation away from the home’s foundation. This includes shrubs as well as weeds.

Move all woodpiles and debris away from the home.

Eliminate all the rodent pests and garbage outside the home.

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