Bed Bug Bites: 5 Symptoms, What They Look Like & How to Treat

Bed bug bites do not transmit diseases and usually resolve within 1 to 2 weeks. However, some individuals may experience allergic reactions, including intense itching, blisters, and skin discoloration.

Bed bugs (Cimex lectularius or Cimex hemipterus) are small, reddish-brown, wingless insects that feed on human and animal blood and typically hide in mattress seams, bed frames, or headboards.

Bites may be asymptomatic or cause more severe reactions requiring dermatological evaluation.

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Bed bugs in mattress

Symptoms of bed bug bites

1. Flat red spots with darker centers

Flat, red patches often with a darker or reddened center

2. Itching or burning

Persistent itching or a burning sensation at the bite site

3. Small red blisters

Clusters of tiny, red, fluid-filled bumps

4. Single or multiple linear bites

Bites may appear alone or in lines or zigzag patterns

5.Bite size

Each bite usually measures 2 to 5 mm

Bites most commonly occur on exposed areas such as the face, neck, arms, or hands, and symptoms often appear immediately but may develop or worsen over the following days. Seek emergency care if serious symptoms arise—difficulty breathing, fever, nausea, swollen tongue, or irregular heartbeat—as these may signal a severe allergic reaction.

Are bed bug bites dangerous?

Bed bug bites are not dangerous, do not cause significant pain, and do not spread disease, but they can be uncomfortable and anxiety-inducing. In susceptible individuals, bites may trigger mild to severe skin allergy reactions.

Flea vs. bed bug bites

Both flea bites and bed bug bites can cause intense itching and red spots, but flea bites typically feature a single red dot at the center, indicating where the flea pierced the skin. Fleas usually bite lower body areas—legs, feet, or ankles—whereas bed bugs bite upper body regions such as the back, face, neck, arms, and hands.

How to relieve bed bug bites

The most important step is to wash the affected area with soap and water. Most bites heal on their own in one to two weeks without specific treatment. If itching or discomfort is severe, a dermatologist may prescribe topical corticosteroids or oral antihistamines. If signs of infection appear, a physician may recommend antibiotics.

How to prevent bed bug bites

  • Wear clothing that covers as much skin as possible when sleeping, such as long-sleeved pajamas
     
  • Inspect second-hand furniture or beds for cracks, seams, or mattress openings before bringing them home, and disinfect if necessary
     
  • Seal cracks and crevices with caulk or sealant
     
  • Vacuum carpets, upholstery, mattresses, and pillows regularly
     
  • Be cautious in high-traffic locations—homes, hotels, or campsites—to avoid infested areas
     

How to eliminate bed bugs from a mattress

  • Wash bedding, sheets, curtains, and clothing in hot water for at least 30 minutes
     
  • Use a dryer on high heat (above 50 °C) to kill bed bugs
     
  • Vacuum mattresses and surrounding areas frequently
     
  • Treat the mattress and bedroom floors and furniture with hot steam
     
  • Encase the mattress in a zippered cover for at least one year, since bed bugs can survive up to 12 months without feeding
     

The most effective prevention method remains professional pest control services